Hemorrhages in the First Trimester of Pregnancy: Etiological Aspect and Management at the Maternity Ward of the Ignace Deen National Hospital of the University Hospital of Conakry
Aims: Hemorrhages in the first trimester of pregnancy
constitute a public health problem in developing countries with
maternal mortality which is still very high. This is the most common reason for
consultation in early pregnancy. The objectives of this study were to describe
the sociodemographic characteristics of the patients, identify the etiologies,
describe the management and evaluate the maternal prognosis in patients
presenting with hemorrhage in the first trimester of pregnancy.Methods: This was a descriptive-type prospective study lasting 12 months from
January 1 to December 31, 2020, carried out at the maternity ward of Ignace
Deen National Hospital.Results: During the study period, we recorded 163 cases of hemorrhage in the
first trimester of pregnancy out of 5478 deliveries, i.e. a frequency of 2.97%.The main
incriminated etiologies were spontaneous abortion (46.62%), ectopic pregnancy
(28.22%), hydatidiform mole (16.56%), threatened abortion (5.52%) and pregnancy
stopped (3.06%). The socio-demographic profile of the patients was that of a
woman in the age group of 26 - 30
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