%0 Journal Article
%T Management of Immediate Postpartum Hemorrhage at the University Hospital Center of the Sino-Central African Friendship
%A Roch MˇŻbetid-Degana
%A Gilles-Davy Kossa-Ko-Ouakoua
%A Geniva Gracelia Vanciane MˇŻbetid-Degana
%A Gamaliel Kerebi
%A Sandrine Sana-Ozako
%A Durant Poutou-Piri
%A Samuel Gondje
%A Appolinaire Hepatraud
%A Eug¨¨ne Serdouma
%A Antoine Doui-Doumgba
%J Open Journal of Obstetrics and Gynecology
%P 1783-1790
%@ 2160-8806
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojog.2023.1311151
%X <strong>Introduction</strong><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"><strong>:</strong> Immediate postpartum hemorrhages constitute a frequent maternal complication
and remain at the forefront of maternal death in our countries. </span><b><span style=\"font-family:Verdana;\">Objective:</span></b><span style=\"font-family:Verdana;\"> Contribute to improving the management of immediate postpartum hemorrhage in our
context with a view to reducing maternal mortality. </span><b><span style=\"font-family:Verdana;\">Patients and Methods</span></b><span style=\"font-family:Verdana;\">:
We conducted a retrospective descriptive and analytical study over a period of 12
months from January 1</span><sup><span style=\"font-family:Verdana;\">st</span></sup><span style=\"font-family:Verdana;\"> to December 31</span><sup><span style=\"font-family:Verdana;\">st</span></sup><span style=\"font-family:Verdana;\"> 2020. </span><b><span style=\"font-family:Verdana;\">Results:</span></b></span><b><span style=\"font-family:&quot;\"> </span></b><span style=\"font-family:Verdana;\">We collected a total of 109 files on a total of 4360
deliveries.</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">The frequency
of postpartum haemorrhages was of the order of 2.5%. The most represented age group
was between 20 and 24 years old. Pauciparas represented the majority of our study
population. 64.5% of patients were uneducated.</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">These hemorrhages occurred in patients who often gave
birth outside the department with 63.8%. The main causes of postpartum hemorrhage
were cervical tears (51.2%) and partial placental retention (30.7%).</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">The majority of these deliveries
(48.8%) were carried out by midwives followed by assistant midwives (33</span><span style=\"font-family:Verdana;\">.</span><span style=\"font-family:Verdana;\">2%). Active management of the
third period of delivery was systematic and immediate followed by the valve examination
completed by the infusion of oxytocin in case of uterine atony, tranexamic acid
ans misoprostol intrarectally. In the event of persistent hemorrhage, suture of
the cervical lesions, ligation of the cervical vessels or even laparotomy either
for the selective ligation of the blood vessels or for the hysterectomy for hemostasis
were practiced. We do not have a Nalador, nor a Bakry balloon, nor an Interventional
Radiology
%K Haemorrhage
%K Postpartum Immediate
%K University Hospital Center of the Sino-Central African Friendship
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129068