Gestational diabetes is a public health problem that requires special monitoring given the divertit of factors involved. The specific objectives of this study are: to describe the epidemiological profile of pregnant women in order to identify the particularities of those who develop gestational diabetes; and then calculate the relative risk of gestational diabetes in pregnant women.
Nine Teen (19) pregnant women were being investigated at the Kimbanseke maternity hospital in the eastern part of the city of Kinshasa. Data are collected through interviews and observations. These data concerned socio-demographic characteristics, paraclinical examinations (blood glucose), family, medical, gynaecological and obstetric history as well as dietary habits.
Seven (7) pregnant women had developed gestational diabetes, an incidence rate of 36.84%. Regarding history: the risk of gestational diabetes increases with lack of occupation (1.61 times); in the first and second trimester of pregnancy (1.60 times) and with large mass (1.15 times). This risk is higher if the pregnant person has a history of diabetes (2.76 times); hyperglycemia (2.28 times); if the pregnant woman has had surgery for ovarian cyst (2.13 times) and if she had given birth with malformation with malformation in the past (1.50 times). For pregnant women with glycosuria (5.40 times); angina infection (3.73 times); if high blood pressure (2.76 times); in case of genital infection (1.81 times); obesity (1.62 times); if fasting blood glucose is high (1,15 times). As for treatment habits: the risk is 8.25 times higher for pregnant women taking insulin; and 5.41 times more for pregnant women on diet.
We conclude that the risk of gestational diabetes increases with sociodemographic profile, medical, surgical, obstetric history, and treatment habits.
Introduction: Severe anemia is a major cause of morbidity and mortality in children. An epidemiological analysis would make it possible to estimate the related measures in order to fight effectively against their causes.Methods: The present retrospective descriptive study focuses on severe anemia in children under five years from January to December 2019. Sickle cell patients and children suffering from neoplasia were excluded from this study. All admissions from January to December 2019 and deaths, which met the selection criteria were listed.Results: Out of a total of 2,050 hospitalized children, 413 were admitted for severe anemia (20.1%), and 15.7% of deaths, i.e., a specific mortality of 31.6 p. 1000. Regarding the cause of severe anemia, malaria remains predominant in both sexes with 61.1% / 188 girls, respectively; and 52.9% / 225 boys. The study notes that anemia is much more common in the 2 – 5 years age group - 47.2%. At 88% of these children the outcome was favorable in their sex, also when the child lived in downtown Kabinda, ie 89.1%; also for the 2 - 5 year bracket, i.e. 90.3%.Conclusion: The implementation of the policy of free antimalarial drugs, the use of mosquito nets and awareness raising on basic hygiene measures must be effective. Strengthening these measures at the onset of the rainy seasons would prevent outbreaks of anemia.