Biomedical subjects
A Mackoumbou
Publications and source records attributed to A Mackoumbou.
[Parasitosis and pregnancy overseas].
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[Parasitosis and pregnancy overseas].
The influence of the parasitic diseases on pregnancy and the influence of pregnancy on the parasitic diseases are both well known concepts. The authors lay special interest on malaria, amebiasis and hookworm disease by giving a description of their effects and by mentioning the risks they may entail; then, they give practical directions intended for their detection and the treatment of their effects. It is, once again, emphasized on the utmost importance of performing antenatal examinations.
[Uterine ruptures overseas].
Obstetrical hysterorrhexis, accident that has been described for a long time, is still of special concern in rural villages where sufficient health care facilities are not available. This accident is always serious, leading to the death of the newborn baby and, too frequently, to the death of the mother. A number, however, could be avoided with a better training of the paramedical staff, so that neither inadequate actions nor uncontrolled use of oxytocics be done. The author advocates to perform a systematic examination of the uterus after every difficult or outlasting delivery or having required either manual or instrumental help. That remains the best way to save the uterus of the mother and sometimes her life itself.
[Retroplacental hematoma overseas].
Abruptio placentae is a rather frequent syndrome in overseas countries. Leading to foetus death most of the time, it often endangers prognosis for the mother's life. Serious complications may be found such as shock due to hypovolaemia, coagulopathy among which process of disseminated intravascular coagulation prevail, organic renal insufficiency that may become unrecoverable because of the cortical atrophy of the kidney. The treatment combines obstetrical means with medical ones. Spontaneous uterine voiding will be tried for, since caesarian operation, often unavoidable, is not free from complication. Rehydration will be carried out by transfusing fresh blood and unfrozen plasma, the amount of which often enormous has to be dealt out in accordance with the central venous pressure.