Main Article Content

Abstract


RÉSUMÉ
Introduction. La grossesse extra-utérine (GEU) est un problème majeur de santé publique à l’échelle planétaire de par sa fréquence et sa gravité. Elle constitue la première cause de mortalité maternelle au premier trimestre de la grossesse surtout dans les pays en développement. L’objectif de ce travail était d’identifier ses facteurs de risque. Matériels et méthodes. Nous avons réalisé une étude cas-témoins non apparié à l’Hôpital de référence de Talangaï à Brazzaville de 2018 à 2019. Les données ont été traitées et analysées avec le logiciel STATA 15. L’analyse bivariée a permis de tester les associations entre les variables d’étude au seuil de 5%. Une analyse des correspondances multiples a vérifié les proximités entre plusieurs facteurs de risque. La régression logistique a été utilisée pour identifier les facteurs de risque de la GEU. Résultats. La fréquence de la GEU était de 0,98%. Notre étude a ressorti plusieurs de ses facteurs de risque, dont : les antécédents de MIP (AOR=13,2 ; IC95% = [6,4-27,3]), d’avortement provoqué (AOR=6,4 ; IC95% = [2,9-13,7]), d’avortement spontané (AOR=2,8 ; IC95% = [1,2-6,9]), de GEU antérieure (AOR=16,3 ; IC95%= [2,2-122,7]) et de kystectomie (AOR=17,6 ; IC95% = [7,8-39,2]), le statut célibataire (AOR=7,7 ; IC95%= [2,5-24,3]), la nulliparité (AOR=34,6 ; IC95% = [7,7-156,2]), la primiparité (AOR=4,4 ; IC95%= [1,2-16,2]). Conclusion. La GEU est une urgence pouvant engager le pronostic vital des femmes. L’identification de ses facteurs de risque permet de mettre en œuvre des interventions de prévention efficaces.


ABSTRACT
Introduction. Ectopic pregnancy (EP) is a major public health problem worldwide due to its frequency and severity. It is the first cause of maternal mortality in the first trimester of pregnancy, especially in developing countries. The objective of this work is to identify its risk factors. Methodology. We conducted an unpaired case-control study at the HRT of Brazzaville from 2018 to 2019. Data were processed and analyzed with STATA 15 software. Bivariate analysis tested associations between study variables at the 5% threshold. Multiple correspondence analysis tested for proximities between multiple risk factors. Logistic regression was used to identify risk factors for EP. Results. The frequency of EP was 0.98%. Our study identified several of its risk factors, including: history of PID (AOR=13.2; CI95%=[6.4-27.3]), induced abortion (AOR=6.4; CI95%=[2.9-13.7]), spontaneous abortion (AOR=2.8; CI95%=[1.2-6.9]), previous EP (AOR=16.3; CI95%=[2.2-122.7]) and cystectomy (AOR=17.6; CI95%=[7.8-39.2]), single status (AOR=7.7; CI95%=[2.5-24.3]), nulliparity (AOR=34.6; CI95%=[7.7-156.2]), primiparity (AOR=4.4; CI95%=[1.2-16.2]). Conclusion. EP is a life-threatening emergency for women. The identification of its risk factors allows the implementation of effective prevention interventions.

Keywords

EP , risk factors case-control HRT Brazzaville GEU facteurs de risque, cas-témoins HRT Brazzaville

Article Details

How to Cite
Melania Angue, E. O., Y, A., AC, N., D, M. E., Y, V., H, N., H, I., G, D., & Pierre Marie, T. (2022). Facteurs de Risque de la Grossesse Extra-Utérine à l’Hôpital de Référence de Talangaï (Brazzaville) de 2018 à 2019: Facteurs de Risque de la Grossesse Extra-Utérine à Talangaï, Brazzaville. HEALTH SCIENCES AND DISEASE, 23(5). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/3629

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