Request PDF on ResearchGate | On Nov 11, , L. Sentilhes and others published Hémorragie du post-partum: recommandations pour la. pendant la grossesse, l’avortement, l’accouchement et lors du post-partum Un saignement excessif après l’accouchement (hémorragie du post-partum ou. La prophylaxie de l’hémorragie du post-partum (HPP) est un objectif majeur étant donné sa prévalence et ses conséquences sur la morbidité et la mortalité.
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There were 40 cases of uterine atony and 26 cases of placental retention — see Table 3. Like Armide and al , these treatments were instituted as the two first steps of the treatment.
Copyright South Sudan Medical Journal. Dlinga  noted previously an incidence of 1. The objectives of our study were to assess the incidence of and indications for PH and to identify predictors of massive hemorrhage and coagulopathy. Chaouki  in his series reported a higher proportion Over a year study period, there were 76 live births and 67 postpartum hysterectomies for an overall incidence of 0.
Six cases of intra-uterine death were recorded which can cause clotting problems. The most important and major finding in our study was that the commonest cause of post-partum haemorrhage was uterine atony, which is loss of tone in the uterine musculature.
As the literature points out, there is, in the different cases studied, a prevalence of 4. We recorded cases of immediate post-partum haemorrhage among delivery giving an incidence 1. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.
Journal de la Recherche Scientifique de l’Université de Lomé
Our results confirm a national statistic that reported a high proportion of marriage among young girls .
Manual removal of the placenta was associated in three cases.
Surgical treatment was carried out in 40 posr, mostly suturing of genital tract lesions 32 patients. The main indications for PH were abnormal placentation You may thus request that your data, should it be inaccurate, parrum, unclear, hemorargie, not be used or stored, be corrected, clarified, updated or deleted.
The management was medical uterotonic drug, fluid replacement and blood transfusionobstetric manual removal of placenta or clotand surgical suture of lesions, vascular ligature and hysterectomy. Best Selling in Textbooks, Education See all. Toutes les quatre minutes, une femme meurt de suite de l’HPP. The average age of the women was The majority of these deaths are related to pregnancy complications that are inadequately managed because of a lack of access to emergency health care.
No ratings or reviews yet. Cultural practices favour early pregnancy and often lead to obstetric complications.
CIM Chapitre 15 : Grossesse, accouchement et post-partum — Wikipédia
Multiparity and some factors like uterine distention macrosomia, hydramnios, multiple pregnancies dh uterine myoma are recognized as risk factor of post-partum haemorrhage [6, 12]. Access to the text HTML. These high maternal and associated neonatal mortality rates persist despite considerable efforts from the World Health Organization, governments, development partners, and others [1,2,3].
Cet ouvrage apportera une contribution aux chercheurs et etudiants en medecine et a tous ceux qui se battent pour eviter aux femmes le drame de mourir en donnant la vie Before including a patient in our survey her consent was obtained after explaining to her the need for the survey. Preventive measures and efficient management can help to improve maternal prognosis. The risk of massive hemorrhage was lower if occlusive balloons were placed antenatally in the uterine arteries OR 0.
Hémorragie du post-partum – Play online at
This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo.
The management of this problem is hampered by the lack of blood products and often leads to maternal death. This increases the likelihood of coagulation and prevents bleeds. Removal of a clot from the uterus hemrragie allow infection, so we gave antibiotics routinely. These deaths were due to massive haemorrhage exacerbated by the lack of blood available to transfuse. The delivery third phase active management is the only method which is in compliance hemirragie healthcare recommendations. Post-partum haemorrhage defined as blood loss after delivery over mls, affects all countries and is the commonest cause of maternal mortality.