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Thromboembolic disease (TED) is a major cause of maternal mortality and severe morbidity. The pregnant woman presents with some anatomical and physiological modifications that expose her to risk of blood clot and thisrisk issignificantly higher when she gives birth by caesarean section. In this light, the health team has a responsibility to ensure that adequate preventive measures are employed to prevent the occurrence of this disease. This was a descriptive and prospective study which was carried out on patients who had undergone a caesarean section in the YGOPH from September to October 2023 and who had given their concern. Patients were recruited from the anaesthetic consultation room, followed up in the theatre, to the recovery room and to the intensive care and obstetric units. Data was collected on Sociodemographic and clinical characteristics as well as the patient’s risk factors, the non-pharmacological and pharmacological measures of prevention and the evolution of the patient. The data was analysed using the software; Epi info and excel and presented in the form of tables, graphs and charts. We recruited a total of 54 women who had a caesarean section between the age ranges of 18 to 42 years with the mean age of 27.8 years. After the assessment of our patients’ risk factors, 5(9%) patients were classified at the low risk level, 49 (91%)patients at the intermediate and no patient at the high risk level. As regards the nonpharmacological methods, we found out that only 3 (5.3%) patients were putting on the compression stockings, 3 (5.6%) patients were deambulated on the 6-8hours post op. Only 14 (25.9%) patients took the normal amount of fluids in 24hours. The only pharmacological measure of prevention was enoxaparin which was systematically prescribed and 46 (85.2%) patientstook the drug but 8 (14.8%) patients could not afford and did not receive the drug. For those that received the drug, there was a disparity as regards the dosage and the duration of prophylaxis as only 3 (5.5%) took the drug for at least 10days as required. Finally, out of the 54 patients, 15 (27.8%) presented with complications. In this study, it was revealed that, the preventive measures of thromboembolic disease in caesarean section at the YGOPH were not optimal and needed to be improved [ABSTRACT FROM AUTHOR]

The anaesthetic consultation is a medical procedure designed to assess anaesthetic and surgical risk. The aim of ourstudy wasto describe the biological work-up of patients attending an anaesthetic consultation forscheduled surgery. This was a longitudinal, descriptive, prospective study covering 4 months. All patients attending an anaesthesia consultation for scheduled surgery at Yaoundé Central Hospital were included. Sampling was consecutive. The informations were collected using a data sheet. Variables included age, sex, indication for surgery, history, biological work-up, ASA classification and anaesthetic technique. Data were analysed using Epi info version 3.5.2 and Microsoft Office Excel 2013. Three hundred and ninety-five patients were included. The majority were male, with a sex ratio of 1.09. The mean age was 35.9 ± 22.4 years. Anaesthesia consultation for neurosurgery was the most frequent (23.3%). Hypertension was the most common comorbidity (38.5%). The Full blood count was the most frequently performed test (99.5%). Biological abnormalities were found in 16.8% (n=355/2109). The main abnormalities were impaired renal function (54.1%) and anaemia (28.4%). Patients were classified as ASA 1 (64.8%). The most indicated anaesthetic technique was general anaesthesia (68.4%). Anaesthetic consultation is essential for assessing the operative risk. The full blood count and hemostasis tests are the most realized biological tests [ABSTRACT FROM AUTHOR]

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