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Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo)

Received: 15 October 2023    Accepted: 31 October 2023    Published: 17 November 2023
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Abstract

Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; p<0.05); paucigest (OR=2.7[1.5-4.8]; p<0.05); not referred (OR=1.7[1.01-2.9]; p<0.05); followed in private clinics (OR=1.8 [1.01-3.4]; p<0.05); by obstetricians (OR=1.7[1.02-3.04]; p<0.05). They benefited the most from the prognosis of childbirth (OR=2.9[1.5-5.5]; p<0.05) and carried out the preoperative assessment (OR=3.9[1.4-11.2]; p<0.05) and the pre-anaesthetic consultation (OR=32.8 [4.2-255.2]; p<0.05). Caesarean section was the preferred delivery route (OR=1.9[1.1-3.2]; p<0.05) and prophylactically (15.6% vs 1.6%; p<0.05). The maternal prognosis was not influenced by the presence of the uterine scar. Conclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6)
DOI 10.11648/j.jgo.20231106.12
Page(s) 137-142
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Scarred Uterus, Epidemiology, Childbirth, Prognosis

References
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Cite This Article
  • APA Style

    Gauthier Regis Jostin, B., Sekangue Samantha Nuelly, P., Ickobo Nogaelle, O., Jules César, M., Max Levy Emery, E., et al. (2023). Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). Journal of Gynecology and Obstetrics, 11(6), 137-142. https://doi.org/10.11648/j.jgo.20231106.12

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    ACS Style

    Gauthier Regis Jostin, B.; Sekangue Samantha Nuelly, P.; Ickobo Nogaelle, O.; Jules César, M.; Max Levy Emery, E., et al. Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). J. Gynecol. Obstet. 2023, 11(6), 137-142. doi: 10.11648/j.jgo.20231106.12

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    AMA Style

    Gauthier Regis Jostin B, Sekangue Samantha Nuelly P, Ickobo Nogaelle O, Jules César M, Max Levy Emery E, et al. Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo). J Gynecol Obstet. 2023;11(6):137-142. doi: 10.11648/j.jgo.20231106.12

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  • @article{10.11648/j.jgo.20231106.12,
      author = {Buambo Gauthier Regis Jostin and Potokoue Sekangue Samantha Nuelly and Ongagna Ickobo Nogaelle and Mokoko Jules César and Eouani Max Levy Emery and Itoua Clautaire},
      title = {Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo)},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {137-142},
      doi = {10.11648/j.jgo.20231106.12},
      url = {https://doi.org/10.11648/j.jgo.20231106.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.12},
      abstract = {Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; pConclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Profile of Women Giving Birth with a Scarred Uterus at the Brazzaville University Hospital Center (Republic of Congo)
    AU  - Buambo Gauthier Regis Jostin
    AU  - Potokoue Sekangue Samantha Nuelly
    AU  - Ongagna Ickobo Nogaelle
    AU  - Mokoko Jules César
    AU  - Eouani Max Levy Emery
    AU  - Itoua Clautaire
    Y1  - 2023/11/17
    PY  - 2023
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    DO  - 10.11648/j.jgo.20231106.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 137
    EP  - 142
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231106.12
    AB  - Objective. Analyze the profile of women giving birth with a scarred uterus at the University Hospital Center of Brazzaville. Patients and Method. Monocentric case-control study conducted from June 1 to December 31, 2021, at the University Hospital Center of Brazzaville, comparing 88 women in labor with a single-scar cesarean uterus and 176 women in labor with a healthy non-myomatous uterus. The variables studied concerned the prepartum and peripartum periods. The p-value of the probability was considered significant for a value less than 0.05. Results. The women who gave birth with a scarred uterus were older (31 vs 28 years old; pConclusion. The profile of the mother with a scarred uterus differs from that of mothers with a healthy uterus. Prenatal contacts refocused on the scar, the prognosis of childbirth and the monitoring of labor are necessary to improve maternal prognosis.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

  • Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

  • Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo

  • Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

  • Department of Obstetrics and Gynecology, University Hospital Center of Brazzaville, Brazzaville, Congo; Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Congo

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