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M A Fekih

Publications and source records attributed to M A Fekih.

12 recordsLinked to original sources
PubMed1995

[Placenta accreta. Ten cases].

A retrospective analysis of 10 cases of placenta accreta observed from 1983 to 1993, all confirmed histologically, were reviewed at the Gynaecology-Obstetric B ward of the Charles Nicolle Hospital in Tunis. The incidence of this placental anomaly is 1 for 7,139 births. The condition is usually discovered due to excessive bleeding at delivery. In 10 cases, hysterectomy was required for haemostasis. There were 3 maternal deaths. The insertion of the placenta on a uterin scar is highly suggestive of placenta accreta. The increase in the incidence of this pathology over the last years is probably related to the increase in the number of cesarean sections. When observed, hysterectomy provides the best chances of survival.

Adult↗
PubMed1994

[Uterine ruptures. 32 cases].

On the basis of qqq 32 cases of rupture of the uterus observed over a 5-year period at the Monastir University hospital (Tunisia), the authors recall the high incidence of this obstetrical emergency: 1 incident per 548 deliveries. The usual aetiological factors were present: multiparity, caesarean scar, mechanical dystocia, oxytocic dystocia and obstetric manoeuvres. The foeto-maternal prognosis is poor with a maternal mortality rate of 3.13% and a perinatal mortality rate of 46.9%. Treatment should be conservative whenever possible. The authors attempt to define a prophylactic approach on the basis of the aetiological context.

Adult↗
PubMed1993

[HELLP syndrome. Epidemiological, nosological and prognostic aspects].

The authors report a prospective and controlled study of hellp syndrome in two groups of patients: normal and preeclamptic. Hellp syndrome was seen only in the pre-eclamptic group (19.3 per cent). Maternal prognosis was poor when Hellp syndrome was confirmed. Several maternal complications were seen: severe hypertension, subarachnoid hemorrhage, coagulation disorders and renal failure. Maternal mortality was high (16.7 per cent). Hellp syndrome does not worsen fetal prognosis, which is already compromised by pre-eclampsia.

Adult↗
PubMed1993

[Fetal prognosis in breech delivery. Statistical study of 543 cases].

The authors report a retrospective study of 543 breech deliveries during a 4-year period (1987-90). The cesarean section rate was 18.4 per cent, and perinatal mortality 3.68 per cent. Poor prognostic factors were: multiparity, large fetus, cord prolapse, second stage of labour lasting more than 30 mins and obstetric manoeuvres. Prenatal care and obstetric evaluation before labour may improve fetal prognosis.

Adult↗
PubMed1992

[Pelvic hydatid cyst and pregnancy. Four cases].

The association of pelvic hydatid cyst with pregnancy is rare. We collected 4 cases between 1981-1990. Our incidence is of 1/30000 deliveries. The diagnosis was suggested in 3 cases by the patient's country of origin and previous history of extra-pelvic hydatid disease. It is confirmed by ultrasonography, which is still the first choice examination. During the 3 pregnancies managed to term, we did not find any modification in the cyst. One patient had vaginal delivery twice; however complications, sometimes fatal, are reported in the literature. The time for surgery and the mode of delivery are discussed because of the rarity of this association.

Adult↗
PubMed1992

[Factors influencing the length of hospitalization after a cesarean. Statistical study on 645 cesareans].

The duration of hospitalization after a caesarean section is still a current topic, but it remains very scarcely documented. We have undertaken a research through a statistical analysis of the factors influencing the duration of hospitalization after a caesarean. The results are collated with the literature. Our retrospective study concerned 645 cesareans performed at the gyn. obst. department at Charles-Nicolle Hospital between June 1989 and May 1990. The average length of hospitalization after a caesarean was of 4.7 (+/- 2.2 days). The age of the patient, the type of incision, the state of the child or the antibiotherapy have no influence on the length of hospitalization after a caesarean. However, the latter increases significantly with the following factors: un married mothers, multiparity, medical maternal previous history, and per and post operative complications.

Adolescent↗
PubMed1992

[Problems posed by the delivery of twin pregnancies].

The authors present a retrospective study of 249 deliveries of twin pregnancies collected between 1987 and 1990. The incidence of twin pregnancies is 1.6%. Delivery is premature in 28.1% of cases and that of low birth weight is 51.7%. In 13.2% of cases, delivery was Cesarean and the Apgar score was significantly higher for the first twin than for second. Perinatal mortality was 7.2 percent. The authors compare these findings with those reported elsewhere in the literature.

Apgar Score↗
PubMed1991

[Therapeutic efficiency of iodine 131 in autonomous thyroid adenoma and toxic multinodular goiter. Apropos of 59 cases].

Our study dealt with 81 patients treated by iodine 131 for autonomous goiter. We have followed 59 patients during about a year. The global therapeutic efficiency is of 73% and the risk of hypothyroidism is very weak. The administration of a high activity (greater than 15 mCi) of iodine allows to get a faster recovery, a better therapeutic efficiency and permits to reduce the number of cures (therefore, to reduce the irradiation of the patient), nevertheless, the risk of hypothyroidism is very slight. The advantages of metabolic radiotherapy (low cost, facility of administration, efficiency) make it preferable to surgery, above all with patients that are more than 40 years old, for whom the radiation risk is practically null (hereditary diseases, cancer).

Adenoma↗
PubMedDate not supplied

[Evaluation of the method of delivery in breech presentation].

The authors report a retrospective study based upon 543 breech deliveries at term, collected between 1987 and 1990. The cesarean section rate was 18.4 per cent. It was prophylactic in 56 cases. When the possibility of vaginal delivery was accepted, cesarean section was performed in 9 per cent of cases. Fetal mortality and morbidity were higher with vaginal delivery. However, maternal morbidity was greater in the cesarean section group. Study of the literature shows that the increase in cesarean section rate in recent years is not the only factor responsible for improved fetal prognosis. It is therefore important to restrain this increase and find the optimum percentage rate.

Breech Presentation↗
PubMedDate not supplied

[Characteristics of pregnancy and delivery in women with heart diseases].

The authors report 78 cases of pregnancy in women with heart disease during a 4 year period (1985-1988). Heart disease involved a rheumatic valve lesion in 90 per cent of cases. Heart disease was properly monitored in these patients (74.5 per cent) but the pregnancy in only 50 per cent of cases. These patients gave birth to 78 newborn infants. Labour was premature in 15.38 per cent of cases. Labour was of short duration: less than 6 hours (73 per cent of cases). There was only delivery by cesarean section. Bleeding at the time of delivery was common (12.4 per cent of cases). There were two maternal deaths during the post-partum period (2.56 per cent). Essential risks to the newborn included low birth weight (17.5 per cent) and prematurity (15.38 per cent). Neonatal mortality was 2.5 per cent.

Adult↗