Epidemiological and Therapeutic Aspects of Proctological Pathologies in Pregnant and Postpartum Women at the Reference Health Center of Commune IV of Bamako District  

作　　者：Seydou Mariko Amaguiré Saye Dessé Diarra Sirima Diarra Mariam Tangara Brahima Dembélé Fanta Doumbia Moussa Samaké Abdou Guiré Yéli Dianessi Abdoul Razakou Dicko Amadou Bocoum Youssouf Traoré Adégné Togo Seydou Mariko;Amaguiré Saye;Dessé Diarra;Sirima Diarra;Mariam Tangara;Brahima Dembélé;Fanta Doumbia;Moussa Samaké;Abdou Guiré;Yéli Dianessi;Abdoul Razakou Dicko;Amadou Bocoum;Youssouf Traoré;Adégné Togo(Gynecology Department of Mali Bamako Hospital, Bamako, Mali;Department of Gynecology and Obstetrics, Reference Health Center of Commune IV, Bamako, Mali;Department of General Surgery, Centre de Santé de Référence de la commune IV, Bamako, Mali;Department of Public Health, Centre de Santé de Référence de la commune IV, Bamako, Mali;Department of Gynecology and Obstetrics, Center Hospitalier Universitaire (CHU) Gabriel TOURE Bamako, Bamako, Mali)

机构地区：[1]Gynecology Department of Mali Bamako Hospital, Bamako, Mali [2]Department of Gynecology and Obstetrics, Reference Health Center of Commune IV, Bamako, Mali [3]Department of General Surgery, Centre de Santé de Référence de la commune IV, Bamako, Mali [4]Department of Public Health, Centre de Santé de Référence de la commune IV, Bamako, Mali [5]Department of Gynecology and Obstetrics, Center Hospitalier Universitaire (CHU) Gabriel TOURE Bamako, Bamako, Mali

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第4期752-766,共8页妇产科期刊（英文）

摘　　要：Introduction: Painful proctological conditions that are far less pleasant can mar pregnancy and childbirth. In Mali, few studies have been carried out on proctological pathologies in pregnant women and in the postpartum period. Objective: To determine the frequency and identify the risk factors of anal pathologies during pregnancy and in the postpartum period in the obstetric gynecology department of the Centre de Santé de Référence de la comme IV du District de Bamako. Mali. Methods and Materials: Our observational study, a cross-sectional cohort survey over a period of nine (09) months from January 1, 2020 to September 30, 2020, was conducted in the obstetrics and gynecology department of the Health Center of Reference of Type IV of the District of Bamako. Results: The frequency of anal pathologies during pregnancy and in the post partum period was 24% (36/150). The different anal pathologies found were anal fissures, hemorrhoidal disease, anal incontinence and multiple anal pathologies with respectively 10%;6.67%;5.33%;2%. Chronic constipation (p = 0.003), a newborn weight > 3500 g (p = 0.000) to the occurrence of hemorrhoidal disease. For anal fissures, risk factors were noted such as (weight of the newborn > 3500 g (p = 0.002) and duration of fetal expulsion > 20 minutes (p = 0.000). Finally, a newborn weight > 3500 g (p = 0.000) and a maternal age of up to 30 years (p = 0.001) were associated with the occurrence of anal incontinence. Conclusion: Our study shows that anal pathologies affecting women's intimacy are frequent during pregnancy and in the postpartum period and are part of the many taboos difficult to address in our society.Introduction: Painful proctological conditions that are far less pleasant can mar pregnancy and childbirth. In Mali, few studies have been carried out on proctological pathologies in pregnant women and in the postpartum period. Objective: To determine the frequency and identify the risk factors of anal pathologies during pregnancy and in the postpartum period in the obstetric gynecology department of the Centre de Santé de Référence de la comme IV du District de Bamako. Mali. Methods and Materials: Our observational study, a cross-sectional cohort survey over a period of nine (09) months from January 1, 2020 to September 30, 2020, was conducted in the obstetrics and gynecology department of the Health Center of Reference of Type IV of the District of Bamako. Results: The frequency of anal pathologies during pregnancy and in the post partum period was 24% (36/150). The different anal pathologies found were anal fissures, hemorrhoidal disease, anal incontinence and multiple anal pathologies with respectively 10%;6.67%;5.33%;2%. Chronic constipation (p = 0.003), a newborn weight > 3500 g (p = 0.000) to the occurrence of hemorrhoidal disease. For anal fissures, risk factors were noted such as (weight of the newborn > 3500 g (p = 0.002) and duration of fetal expulsion > 20 minutes (p = 0.000). Finally, a newborn weight > 3500 g (p = 0.000) and a maternal age of up to 30 years (p = 0.001) were associated with the occurrence of anal incontinence. Conclusion: Our study shows that anal pathologies affecting women's intimacy are frequent during pregnancy and in the postpartum period and are part of the many taboos difficult to address in our society.

关 键 词：Anal Pathologies Delivery Pregnancy 

分 类 号：R71[医药卫生—妇产科学]