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Abstract


RÉSUMÉ
Introduction. Les avortements sont une des principales causes de morbidité et de mortalité maternelles. Notre étude avait pour but de décrire les aspects cliniques et anatomopathologiques des avortements incomplets à l’Hôpital Gynéco-Obstétrique de Yaoundé). Méthodologie. Nous avons mené une étude descriptive rétrospective allant de Janvier 2009 à Décembre 2016. Toutes les femmes venues consulter à l’Hôpital Gynécologique Obstétrique et Pédiatrique de Yaoundé pour avortement incomplet ont été enrôlées. L’échantillonnage a été consécutif. Résultats. Nous avons retenu 233 patientes. Les âges extrêmes étaient de 14 et 49 ans avec une moyenne de 27,91 ans (± 6,78 ans). La majorité (27,5 %) se trouvait dans la tranche d’âge de [25-30[ans. Concernant les antécédents, les multigestes (37,4%) et les nullipares (31,7%) étaient majoritaires. Sur le plan clinique, le motif de consultation prédominant était les métrorragies (95,3 %). Le délai de consultation après le début des symptômes variait de 0 à 60 jours avec une médiane de 2 jours. Les avortements fréquemment retrouvés étaient spontanés (77%). Trente-trois cas (13,3 %) étaient compliqués d’une anémie. Une analyse histopathologique du produit de conception a été réalisée dans 35 cas parmi lesquels 40% étaient du matériel de grossesse non évolutive et 25,7% de grossesse môlaire. Conclusion. Les avortements incomplets sont fréquents dans notre milieu. Les métrorragies en sont le principal signe clinique. Sur le plan morphologique les grossesses non évolutives sont les plus retrouvées, bien que les grossesses molaires ne soient pas rares.


ABSTRACT
Introduction. Abortions are a leading cause of maternal morbidity and mortality. Our study aimed to describe the clinical and pathological aspects of incomplete abortions in Yaounde Gynaeco-obstetric and paediatric Hospital. Methodology. We conducted a retrospective descriptive study from January 2009 to December 2016. All the women who came for consultation at Yaounde Gynaeco-obstetric and paediatric Hospital for incomplete abortion were enrolled. Sampling was consecutive. Results. We retained 233 patients. The extreme ages were 14 and 49 years with an average of 27.91 years (± 6.78 years). The majority (27.5%) were in the age group of [25-30[years. Concerning the antecedents, the multigestes (37.4%) and the nulliparous (31.7%) were in the majority. Clinically, the predominant reason for consultation was metrorrhagia (95.3%). The time to consultation after the onset of symptoms varied from 0 to 60 days with a median of 2 days. Spontaneous abortions were mainly found (77%). Thirty-three cases (13.3%) were complicated by anaemia. An histopathological analyzis of product of conception has been performed in 35 cases among which 40% were non evolutive pregnancy material, and 25.7% were molar pregnancies. Conclusion. Incomplete abortions are frequent in our community. Metrorrhagia is the main clinical sign. Morphologically, non-evolving pregnancies are the most common, although molar pregnancies are not uncommon.

Keywords

Incomplete abortion – Symptom – Histopathology Mots-clés : Avortement incomplet – Symptôme – Histopathologie

Article Details

How to Cite
Grâce, M., SANDO NGUEFFO, L., NDOUMBA AFOUBA, A., DJAPA YAMEN, C., MANGHE, R., KABEYENE OKONO, A., & SANDO, Z. (2022). Les Avortements Incomplets à l’Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé : Aspects Cliniques et Histopathologiques. HEALTH SCIENCES AND DISEASE, 23(9). Retrieved from https://hsd-fmsb.org/index.php/hsd/article/view/3673

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