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ObstetricsinCameroon has made significant progress over the years, but there are still challenges to overcome to improve the care of pregnant women and reduce the risks associated with childbirth. The latter can be done vaginally or by cesarean section. We report the case of a high-risk pregnancy forwhich an extra-peritoneal cesarean section performed with a good maternal and neonatal prognosis. This was a 27-year-old patient G4P2011, with no known chronic disease, with a history of spontaneous miscarriage at 09 weeks of amenorrhea and fetal death in utero (FDIU) at 37 weeks of amenorrhea in the context of severe intrauterine growth restriction (IUGR). She was followed from the 16th week of amenorrhea for tuberculosis, malaria and severe anemia. Electronic and ultrasound maternal-fetal monitoring made it possible to carry the pregnancy to a full term of 37 weeks. An extra-peritoneal cesarean section underspinal anesthesia was performed with favorable outcomesforthe mother and child. It is therefore essential for health professionalsin Cameroon to be trained in lower-risk obstetric techniques to promote a holistic approach to maternal health, to ensure quality care and reduce risks associated with childbirth. [ABSTRACT FROM AUTHOR]

Cervical pregnancyis an extremely rare entity of ectopicpregnancyassociatedwithsignificantmorbidity and mortality. We report the observation of a 45-year-old patient whodeliveredtwice by caesarean section, had a previous curettage and presentedwith a cervical pregnancydiagnosedat 7 weeks of amenorrhoea. The management withinour structure called for radical surgicaltreatmentgiven the patient's profile. [ABSTRACT FROM AUTHOR]

Intrauterine fetal death is a frequent problem in obstetric practice with a high prevalence in developing countries, and particularly in Africa. The objectives of this study were to calculate the frequency, describe the sociodemographic characteristics, describe the management and the prognosis of women with intra uterine fetal death at the Gyneco-Obstetrics and Pediatrics Hospital in Yaounde. This was a descriptive prospective study from January 1st to April 30th, 2021 concerning 42 cases at the maternity of the the Yaounde Gyneco-Obstetrics and Pediatrics Hospital. A pretested questionnaire was used. Our main variables of study were the sociodemographic data, the obstetrical history and the management of the situation as well as the maternal prognosis. We included 42 patients. The frequency of intrauterine fetal death was 5.9%, It mainly concerned young aged from 20 to 30 years old (57.1%) with a mean age of 29 ± 6.4 years, single (85,7%), nulliparous in almost half of cases (42.9%), living in urban areas (73.8%) and having a higher level of education (47.6%). Vaginal delivery (78.6 %) was the most common following spontaneous induction of labor (57.1%). The frequency of cesarean sections was 21.4% mainly indicated for maternal emergency. All of the women had received antibiotic therapy. However, none received psychological counseling. The frequency of maternal complications was 21.4%, dominated by disseminated intravascular coagulation (11.9%). No case of maternal death has been recorded. Intrauterine foetal death is common in our series and its management is dominated by induction of labor, antibiotic propylaxis and vaginal delivery. Disseminated intravascular coagulation is the main complication observed. [ABSTRACT FROM AUTHOR]