DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173443

Panorama of fetal malformations at the maternity of Treichville teaching hospital (Abidjan - Côte d’Ivoire)

Ignace N’guessan Yao, Jean-Marc Lamine Dia, Mouhideen Adunfé Oyeladé, Paul-Eric Kouamé Bohoussou, Edouard Konan N’guessan, Gérard Okon, Privat Yéret Guié, Simplice Danho Anongba

Abstract


Background: Congenital malformation is responsible for spontaneous abortion, the birth of a child born dead or a child with disabilities that can lead to long-term disability and have a detrimental impact on the individual, his family and society. The etiologies are diverse. The discovery in our maternity is not rare. The absence and high cost of these prenatal diagnostic are a brake on the detection of congenital malformations. It is these various malformations diagnosed in the ante natal and at birth in our service that we describe in this work which aims to make their panorama.

Methods: The purpose of this cross-sectional and descriptive study curried out between 1 January 2003 and 31 December 2013 (10 years) was to describe the various congenital malformations observed at the maternity of the Gynecology and Obstetrics ward of the Treichville University Hospital Center and to identify the socio-demographic characteristics of mothers. This study concerned all women who had given birth at the Treichville University Hospital Center and whose child had a malformation.

Results: During the period, 151 parturients gave birth to at least one child with a congenital malformation and among 30,698 newborns, 161 newborns (0.52%) had a malformation. Pregnant women were between 20 and 30 years old (66%), were primiparous in 46.4% of the cases, and 41.7% were housewives. The malformations were isolated in 101 newborns (62.4%), multiple in 60 newborns (37.6%), and dominated by those of the osteoarticular system and the nervous system. Fetal malformations had a poor prognosis in 77 cases (48%) and the fetus was stillborn in 44 cases (27%).

Conclusions: Congenital malformations are a reality at the maternity clinic at Treichville. In our countries, the ultrasound stays a fundamental element for the congenital diagnosis of the malformations. A good training of the doctors in prenatal diagnosis is also necessary to make of good diagnoses who will allow a better care of new-born.


Keywords


Congenital malformation, Prenatal diagnosis, Treichville university hospital center

Full Text:

PDF

References


OMSAnomalies congénitales. Available form; www.who.int/mediacentre/factsheets/fs370/fr.

Benachi A, Parat S, Alvarez L. Prenatal diagnosis: From screening to fetal medicine National Committee of Childhood, Paris; 2011:27.

Coulibaly-Zerbo F, Amorissani-Folquet M, Kacou-Kakou A. Epidemiological study of birth defects Black African Medicine. 1997;44(7):409-14.

Longombe N. Epidemiology of congenital malformations related to Lubumbashi (2004-2011). Great Lakes Medical Review. 2013;2(2):152-63.

Goulet O, Hochez JC, Berchel. Incidence of congenital malformations at birth in a maternity Guadeloupe French Archives of Pediatrics. 1986;43(7):507-11.

DE Vigan C, Khoshnood B, A Lhomme Prevalence e prenatal diagnosis of defects in the Paris population: twenty years of monitoring by the register of congenital malformations of Paris J Obstetr Gynecol Reproduct Biol. 2005;34(1)8-16.

Amon-Tanoh-Dick F, Gouli JC, Ngouan- Domoua A, Aka J, Naponkini H. Epidemiology and become immediate malformations of the newborn, the CHU of Yopougon (Abidjan CI). Int Medic Sci. 2006;8(2):7-12.

Mayanda HF, Bobossi H, Malonga H. Congenital malformations observed in the neonatal unit of the hospital and university of Brazzaville Medicine of Black Africa. 1991;38:7.

Camara M. Contribution to the analysis of the problems of diagnosis and management of fetal malformations in gynecology-obstétrique CHU Yopougon Brief in preparation for the CES of Gynecology -Obstétrique, n ° 1044, Abidjan; 2003.

Boussofara R, Labbassi I, Bannour H. Incidence of major congenital malformations in the maternity Mahdia: About 79 cases. Maghreb J Pediatr. 2002;12:4:201-5.

Chaabouni H, Nemsia J, Riou S. Congenital malformations: a Tunisian maternity conducted the survey Maghreb Medical. 1986;129:49-54.

Institute of Health Watch. Available from; www.invs.sante.fr.