Gestational diabetes is one of the most widespread complications pregnancy posing a serious clinical and public health challenge. Globally, 16.5% pregnancies are affected by gestational diabetes, this percentage expected to rise as obesity pandemic spreads. It has severe short-term long-term negative effects on both mother child, which emphasizes importance identifying risk factors for taking s...

Introduction: Hypotrophy is a public health problem in developing countries. Its etiology multifactorial and it may be associated with high morbidity mortality. The objective of this study was to describe the epidemiological, clinical evolutionary profile hypotrophic newborns at term. Methodology: prospective, descriptive analytical conducted neonatology department MCUH N'Djamena from 01/06/201...

Abstract Introduction The influence of risk factors on the development defaecatory problems is difficult to ascertain due heterogeneity published evidence. An understanding impact these important in selecting targets for disease prevention. Methods Risk chronic constipation and faecal incontinence were anonymously evaluated using a Delphi technique with 50 experts from Pelvic Floor Society betw...

Background. To assess fasting C-peptide and insulin indices using homeostatic model assessment (HOMA) in gestational diabetes mellitus (GDM). Methods. Gestational (n = 64, age: 27.02 ± 0.53 years, BMI: 26.3 0.5 kg/m2; mean SEM) normal glucose tolerance NGT 56, 26.11 0.55 24.4 0.4 screened according to WHO 2013 criteria. Glucose was measured by oxidase method whereas ELISA. HOMA-IR, HOMA-B HOMA-...

Background: Spontaneous abortion (SA) is one of the most common unfavourable reproductive outcomes among women around world, making maternal health promotion a major challenge. The aim current study was to identify potential predictors associated with SA and recognized need for providing home-based post-abortion care counselling lower post complications.Methods: A hospital-based cross-sectional...

Background: Birth weight is a major determinant of child’s health and nutrition. There are various factors which determine birth like maternal age, parity, socio economic status etc. A new born weighing less than 2.5 kg classified as low (LBW) baby. Low can be prevented by improving socio-economic the community, antenatal care also providing proper education. Methods: record-based study was car...

Background: Meconium is a sterile, thick, black-green, odourless material that results from accumulation of debris in fetal intestine during the third month gestation. The risk factors for meconium-stained amniotic fluid (MSAF) are both maternal and fetal. MSAF associated with higher rate caesarean delivery, increased need neonatal resuscitation meconium aspiration syndrome. This observational ...

We aimed to assess the parathyroid hormone (PTH) concentration in pregnant women at beginning of pregnancy (1st trimester) and within days before delivery (3rd evaluate its determinants. From September 2014 through December 2015 a cross-sectional study, 204 1st trimester 203 3rd were recruited. Blood samples collected measure PTH circulating 25-hydroxy-vitamin D (25(OH)D) concentrations. Lifest...

Background: PPH is the most common cause of maternal death worldwide. Risk factors for include grand multiparity and multiple gestation. However, may occur in women without identifiable clinical or historical risk factors. It therefore recommended that active management third stage labour be offered to all during childbirth, whenever a skilled provider assisting with delivery. The aim our study...

Menopause is associated with cognitive decline, and previous parity can increase or delay the trajectory of cognitive aging. Furthermore, parity enables the hippocampus to respond to estrogens in middle age. The present study investigated how previous parity and estrogens influence cognition, neurogenesis, and neuronal activation in response to memory retrieval in the hippocampus of middle-aged...