TITLE:
Epidemiological and Therapeutic Aspects of Proctological Pathologies in Pregnant and Postpartum Women at the Reference Health Center of Commune IV of Bamako District
AUTHORS:
Seydou Mariko, Amaguiré Saye, Dessé Diarra, Sirima Diarra, Mariam Tangara, Brahima Dembélé, Fanta Doumbia, Moussa Samaké, Abdou Guiré, Yéli Dianessi, Abdoul Razakou Dicko, Amadou Bocoum, Youssouf Traoré, Adégné Togo
KEYWORDS:
Anal Pathologies, Delivery, Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.4,
April
27,
2023
ABSTRACT: Introduction: Painful proctological conditions that are far less pleasant can mar
pregnancy and childbirth. In Mali,
few studies have been carried out on proctological pathologies in pregnant
women and in the postpartum period. Objective: To determine the frequency
and identify the risk factors of anal pathologies during pregnancy and in the
postpartum period in the obstetric gynecology department of the Centre de Santé
de Référence de la comme IV du District de Bamako. Mali. Methods and Materials: Our observational study, a cross-sectional cohort survey over a period of nine
(09) months from January 1, 2020 to September 30, 2020, was conducted in the
obstetrics and gynecology department of the Health Center of Reference of Type
IV of the District of Bamako. Results: The frequency of anal pathologies
during pregnancy and in the post partum period was 24% (36/150). The different
anal pathologies found were anal fissures, hemorrhoidal disease, anal
incontinence and multiple anal pathologies
with respectively 10%; 6.67%; 5.33%; 2%. Chronic constipation (p = 0.003), a newborn weight
> 3500 g (p = 0.000) to the occurrence of hemorrhoidal disease. For anal
fissures, risk
factors were noted such as (weight of the newborn > 3500 g (p = 0.002) and
duration of fetal expulsion > 20 minutes (p = 0.000). Finally, a newborn
weight > 3500 g (p = 0.000) and a maternal age of up to 30 years (p = 0.001)
were associated with the occurrence of anal incontinence. Conclusion: Our
study shows that anal pathologies affecting women's intimacy are frequent
during pregnancy and in the postpartum period and are part of the many taboos
difficult to address in our society.