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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Although overall PH rates increased over time predominantly because of increasing rates of planned PH for placental abnormalities, there was a decrease in unplanned emergency postpartum hysterectomies. 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. These findings were also evident in studies conducted in America and Pakistan [17, 18, 19].

This increases the likelihood of coagulation and prevents bleeds. This was a prospective and descriptive survey of the epidemiological aspects and prognosis of immediate post-partum haemorrhage. Chaouki [21] in his series reported a higher proportion The exemption for medical fees is an opportunity for them to receive free treatment.

Our results confirm a national statistic that reported a high proportion of marriage among young girls [13].

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This proportion is consistent with those reported by previous surveys that showed the third stage bleeding as the main time of post-partum haemorrhage [15, 16]. The lowest-priced brand-new, unused, unopened, undamaged item in its original packaging where packaging is applicable. All patients received an uterotonic drug by intravenous route oxytocinintra muscular oxytocin or methylergometrinor rectal route misoprostol and antibiotics. It was carried out for one year from 1 st.


Outline Masquer le plan. In Africa, jemorragie to previous studies, the incidence varied from 1. This item doesn’t belong on this page. Postpartum hysterectomy is an uncommon yet serious obstetric procedure associated with maternal morbidity and mortality.

The management of this problem is hampered by the lack of blood products and often leads to maternal death. The majority of cases 66 patients bled during the third stage of labour.

Data were collected from individual patient charts and logistics regression models were used to evaluate predictors of adverse events. In adjusted analysis, the risk of requiring massive blood transfusion was increased when PH was performed after vaginal hemorragje or Caesarean section OR A qualified health care provider is required for the management of delivery aiming to prevent complications [14].

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See details for additional description. According to previous studies, the main cause of haemorrhage in Chad is immediate post-partum haemorrhage [6].

Oxytocics given to contract the uterus is the most common prevention and treatment. 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.

IPPH disease prevention through delivery third phase active management was realised in Preventive measures and efficient management can help to improve maternal prognosis. Selon l’OMS les hemorragies obstetricales causent deces chaque annee et restent la premiere cause de mortalite maternelle et la majorite ru ces deces surviennent dans les heures qui suivent l’accouchement.

For complicated cases we did six vascular ligatures, and insertion of B-Lynch 1 case all as recommended by the Society of Obstetricians and Gynecologists of Canada [23] and B Lynch [24]. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen.


Journal de la Recherche Scientifique de l’Université de Lomé

Post-partum haemorrhage is often fatal in our region. Paperback Books in English Henry James. Access to the full text of this article requires a subscription.

Journal page Archives Contents list. RowlingHardcover These treatments aimed to insure uterine retraction and prevent infection. This proportion is less than that noted by Chaouki [21] in his series 5. We recorded pot of post-partum haemorrhage among deliveries giving an incidence of 1.

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Post-partum haemorrhage defined as blood loss after delivery over mls, affects all countries and is the commonest cause of maternal mortality. We recorded cases of immediate post-partum haemorrhage among delivery giving an incidence 1.

As the literature points out, there is, in the different cases studied, a prevalence of 4. As per the Eu 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.

Cultural practices favour early pregnancy and often lead to obstetric complications. We carried out manual removal of a clot from the uterus to check the emptiness of the uterus. This mortality rate is lower than that reported by Dlinga [12]. The main indications for PH were abnormal placentation