J Gynecol Obst Bio R
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A 69-year-old menopaused woman, presented a 2-month history of metrorrhagia. We suspected a malignant disease, but, the histopathologic examination of biopsies, found an endometrial inflammation without malignant cells. Culture for mycobacteria showed a Mycobacterium tuberculosis. ⋯ Usually, it concerns young infertile women from non-industrial countries. More attention should be paid to this disease. Women, irrespective of their age, should be investigated for silent or subclinical genital symptoms, with mycobacterial examination.
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J Gynecol Obst Bio R · Feb 2006
[Time-course of neonatal precocious mortality between 1994 and 2003 at the Dakar University Teaching Hospital].
To evaluate early neonatal mortality at the University Teaching Hospital and assess changes in the rate and causes during the last ten years. ⋯ Early neonatal mortality has decreased remains at a high level. It could be improved by limiting the number of premature births, neonatal suffering and neonatal infection. In a parallel direction we recommend organizing a perinatal network in Dakar.
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J Gynecol Obst Bio R · Oct 2005
Review[Inflammatory bowel disease and pregnancy: report of 76 cases and review of the literature].
Obstetrical prognosis for women suffering from Crohn's disease and from ulcerative colitis, and consequences of pregnancy on inflammatory bowel diseases (IBD). ⋯ Control of IBD is the main obstetrical factor for prognosis. Starting pregnancy can be advised if the disease is quiescent, with rapid and efficient management of possible flare-ups. Delivery route must be determined on a case-by-case basis, each considering pregestational anal continence and the clinical presentation of the perineum.
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Fever during labor is quite frequent and may be an etiologic and therapeutic challenge for obstetric and anesthesia teams. Although an infectious cause should be suspected first, intrapartum fever can also be non-infectious, most frequently in association with epidural analgesia. In this article, we review what is presently known about the association between epidural analgesia and intrapartum fever. Neonatal consequences of intrapartum fever are also discussed.