Introduction. High-risk pregnancies require quality obstetric care to reduce maternal, perinatal and neonatal morbidity and mortality rates. Evaluating their prevalence is necessary to strengthen treatment strategies. Material and method. Out of a total of 2371 pregnant women, 115 had a high-risk pregnancy at the Kintambo maternity ward in Kinshasa. The data collected in their files covers a period of six years. Their analyzes focus on sociodemographic characteristics, obstetric, medical and surgical histories as well as the outcomes of their pregnancies. Results. The prevalence of high-risk pregnancies is 4.85%. Several high-risk pregnancies resulted in cesarean deliveries 48.7%; abortions 47.0%; premature births 30.4%; stillbirths 15.7% and early neonatal deaths 6.1%. History such as late and multiple gestation, high multiparity (> 6), high blood pressure, third trimester hemorrhages, deliveries of low weight children and macrosomia are among other factors exacerbating the risk of pregnancy in these women giving birth. Conclusion. High-risk pregnancies represent significant prevalence in maternity wards in low-income countries, associated with various factors. Their outcomes are unfavorable and diverse.
The quality of obstetrical care in maternity hospitals in most developing countries is a problem in improving the health of mothers and newborns.
The maternity hospital at the Kokolo central military hospital in Kinshasa is no exception to this reality. A prospective survey on participatory observation among the midwives of the said maternity during the follow-up of labor of delivery of 50 parturients. The results of this study underwent statistical analysis with the 5% F-Snédecor test.
Our results show that no midwifery intervention won 100% in its execution (physical preparation, physical examination, follow-up of labor and immediate postpartum). Statistically the difference is significant from the point of view of physical examination, and not significant from the point of view of physical preparation and obstetrical parameters (dilation, uterine revision obliteration and others).
The application in the Démocratic Republic of Congo (DRC) of to approaches (competency-based approach: ABA and objective-based approach OBA in the teaching of health sciences requires stadardization for the effectiveness of professional practice. The purpose of this study is to compare professional practice during hospital wound care. The medical technical institue of Kisantu and that of Kintandu in central Kongo served as a framework for this study. Thirty fourth-year learners respectively fifteenper school were followed during the internship. The parametric analysis based on the calculation of the mean reveals numerically superior results among learners in ABA compared to those in OBA. The difference in the highest averages among learners from two schools on different stages of the technique is 14.3 percent (ABA) against 13.6 percent (OBA). In view of this result, there is a need to generalize the competency-based approach in all nursing schools of the effectiveness of professional practice.
The lack of hygiene in public markets in rural areas is often linked to poor management of the waste produced there. This waste makes the environment unhealthy and pollutes the various consumer products sold, hence the source of illnesses. This study is carried out in the city of Kabinda province of Lomami in the Democratic Republic of Congo (DRC). The Yakasongo market west of Kabinda was the center of investigation. Eighty-four (84) vendors were questioned. Data analysis was done using SPSS 22 software. The Chi-square test was used to verify the relationship between vendor perceptions of hygiene and the occurrence of diseases. The epidemiological odds ratio index to determine the degree of exposure to diseases. The results show that there is a statistically significant relationship between the perception of market hygiene and exposure to diseases. This exposure varies between 2 and 9.75 plus or minus 10 times more when the perception of hygiene is negative.
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.
This study is the subject of the problem of the abuse of liquor and its impact on the health of the population particularly in the occurrence of cardiovascular diseases among consumers.
The main objective is to contribute to the reduction of mobility and mortality associated with excessive consumption of alcohol. This study is carried out in the Democratic Republic of Congo, in the vile town of Masina in Kinshasa. The study has resorted to taking the blood pressure in 115 regular consumers of alcoholic bossons people.
The end result mounts a prevalence of 15.3% of alcohol consumption (excluding liqueurs) with an average of six bottles per day and a likelihood accumulation of alcohol in the order of the body: 30% (if it is Primus, Skol and Nkoy); Mutzig and 33% and 39% Doppel (pourTurbo King). These consumers have symptoms of hypertension in 20% of cases; and heart disease in 27.8% of cases (14% idiopathic frequent heart palpitations spontaneous vertigo 7.8%; 6% of hypotension).
The birth of twins among the Songye people is at the origin of a particular rite considered necessary to ensure their growth and a stable life in the family. This rite is a special time of the design point of view of pregnancy, childbirth, newborn meal output motherhood, life in the courtyard or family and the enthronement of these children in the community. This study is carried out in the Democratic Republic of Congo (DRC), in the province of Lomami territory of Lubao, Tshofa sector. The survey method supported by the unstructured interview technique in an approach to oral tradition provided the framework for the necessary information.
This study conducted from 02 March to 2 May 2013 in Kinshasa, particularly in Kinshasa Provincial General Hospital, identified the determinants of quality nursing shortage. The poor reception of patients; the late arrival of nurses in the service; non-compliance with aseptic technique and the care coinage are determining the basis of insufficient quality nursing care.