[Sheehan syndrome in the Republic of XXXX . 19 cases].

@entity1 @entity3556 @entity5535 @entity4614 @entity3456 @entity2588
From February 1983 to December 1985, the authors investigated 19 african @entity1 with @entity4614 in Niamey (Republic of @entity3456 ). A 15 points diagnostic score was systematically used. Two signs were indispensable for the diagnosis: post-partum agalactia (or severe @entity5535 ) and @entity2588 . At least 9 points score was found for every case. Eighteen @entity1 lived along a major road in Niamey and in Dosso departments. The prevalence of this disease is probably important but many cases were not diagnosed since there was no medical examination. @entity4614 was predominantly diagnosed among Fulani @entity1 . Young @entity1 (mean age: 26 years) in intensive sexual life, primiparous (8/9) or multiparous (11/19) were concerned. Emergence circumstances of signs were: childbirth at home (18/19), severe @entity3556 at placental birth (14/19), rare transfusions (2/19). The @entity1 of a mother with @entity4614 had a poor prognosis: 9 deaths among 11 deliveries for multiparous, 7/8 for monoparous. The @entity1 were stillborn or more often dead during the first months. Deaths were in relation to absence of maternal lactation. For the primiparous, then infertile @entity1 because of @entity4614 , the repudiation becomes often the only social way of life. Lasting hormonotherapy was not available because 18/19 @entity1 were very poor. Prevention is not possible before long, especially in primiparous, because of: the mentality: the first delivery at home with the mother is the traditional habit; the importance of the required measures.
