Iodine deficiency disorders and infertility in northeast Zaïre.
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Biomedical subjects
Publications and source records attributed to A O Longombe.
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Uterine ruptures with their deplorable sequelae constitute a major obstetrical problem in the rural areas of Africa. The maternal and perinatal mortality remain high as a result, mainly due to the lack of early and adequate care for these patients. Grande-multiparity is one of the major predisposing factors. Prevention must necessarily include the availability of family planning advice, improved organization of and access to maternal care, and good supervision during delivery and the post-partum period. The general improvement of the overall socio-economic condition is a pre-condition to the improvement of access to care.
Penile cancer is a malignant tumour which we rarely encounter in rural Zaïre because circumcision is practised in several tribes at early age. We describe in 5 patients, penile cancer all from the same ethnic group (Hema, Nilotic ethnic group) living both in Zaïre and Uganda. In this tribe circumcision is not a routine surgical act. Delayed consultation and subsequent treatment are often seen. It is emphasized again that the lack of circumcision and living in poor hygienic circumstances are predisposing factors for squamous cell carcinoma (SCC) of the penis.
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In a retrospective study in rural Zaire, 10.2% of all deliveries were conducted by cesarean section. Common indications were contracted pelvis and uterine dysfunction (37%) and previous cesarean delivery (32%). Compared with normal delivery, mortality was higher after cesarean section. Cesarean section should only be performed by well-trained personnel and when vaginal delivery is deemed inappropriate.
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