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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Post-partum haemorrhage is the main cause of maternal death in the world. No financial assistance or grants were solicited or obtained during the course of preparing this article. 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]. Selon l’OMS les hemorragies obstetricales causent deces chaque annee et restent la premiere cause de mortalite maternelle et la majorite de ces deces surviennent dans les heures qui suivent l’accouchement.
The risk of massive hemorrhage was lower if occlusive balloons were placed antenatally in the uterine arteries OR 0.
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For complicated posg we did six vascular ligatures, and insertion of B-Lynch 1 case all as recommended by the Society of Obstetricians and Gynecologists of Canada  and B Lynch . In adjusted analysis, the risk of requiring massive blood transfusion was increased when PH was performed after vaginal delivery or Caesarean section OR Chaouki  in his series reported a higher proportion Six cases of intra-uterine death were recorded which can cause clotting problems.
The haemorrhage underestimation was globally important. We report an incidence of 1. Like Armide and al , these treatments were instituted as the two partuum steps of the treatment.
Manual removal of clot from uterus was systematically done beforehand. We carried out manual removal of pargum clot from the uterus to check the emptiness of the uterus. Our attitude was conservative that is poat we carried out more vascular ligatures aiming to reduce or stop blood loss. To identify the causes of post-partum haemorrhage and identify adequate management of immediate post-partum haemorrhage and thus reduce maternal mortality.
Surgical treatment was carried out in 40 cases, mostly suturing of genital tract lesions 32 patients.
Paperback Books in English Henry James. This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. The delivery third phase active management is the only method which is in compliance with healthcare recommendations.
The maternal deaths noted in this survey were due to massive blood loss that led to hypovolemic shock. Best Selling in Textbooks, Education See all. The average age was RowlingHardcover Paperback Henry James Books.
This proportion is less than that noted by Chaouki  psrtum his series 5. This mortality rate is lower than that reported by Dlinga . There were 40 cases of uterine atony and 26 cases of placental retention — see Table 3. According to the World Health Organization post-partum haemorrhage is annually responsible for a quarter of maternal deaths estimated at[8, 9].
This increases the likelihood of coagulation and prevents bleeds.
We recorded cases of post-partum haemorrhage among deliveries giving an incidence of 1. Preventive measures and efficient management can help to improve maternal prognosis.
Save on Textbooks, Education Trending price is based on prices over last 90 days. The IPPH diagnostics would be improved podt a loinclothes weigh-in was realised in all the maternity wards.
Manual removal of the placenta was associated in three cases. Copyright South Sudan Medical Journal. Post-partum haemorrhage is often fatal in our region. Southern Sudan Medical Journal.
Contact Help Who are hemorragiw 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.
Cultural practices favour early pregnancy and often lead to obstetric complications. The management of this problem is hampered by the lack of blood products and often leads to maternal death. You may also like. These deaths were due to massive haemorrhage exacerbated by the lack of blood available to transfuse.
Post-partum haemorrhage defined as blood loss after delivery over mls, affects all countries and is parrum commonest cause uemorragie maternal mortality. Personal information regarding our website’s visitors, including their identity, is hfmorragie. It is a frequent obstetric emergency in developing countries. Oxytocics given to contract the uterus is the most common prevention and treatment. Over a year study period, there were 76 live births and 67 postpartum hysterectomies for an overall incidence of 0.
Before including a patient in our survey her consent was obtained after explaining to her the need for the survey. As the literature points out, there is, in the different cases studied, a prevalence of 4.