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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Save on Textbooks, Education Trending price is based on prices over last 90 days. The majority of these deaths are yemorragie to pregnancy complications that are inadequately managed because of a lack of access to emergency health care.

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This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. Author Mutarambirwa Henri Donald. The objectives of our study were to assess the incidence of and indications for PH and to identify predictors of massive hemorrhage and coagulopathy. Removal of a clot from the uterus can allow infection, so we gave antibiotics routinely. Manual removal of clot from hemoragie was systematically done beforehand.

Best Selling in Textbooks, Education See all. 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.

Partmu increases the likelihood of coagulation and prevents bleeds. 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. The exemption for medical fees is an opportunity for them to receive free treatment.


Postpartum hysterectomy is an uncommon yet serious obstetric procedure associated with maternal morbidity and mortality. Access to the full text of this article requires a subscription. Personal information regarding our website’s visitors, including their identity, is confidential. Post-partum haemorrhage is the most common cause of maternal mortality. The main indications for PH were abnormal placentation Before including a patient in our survey her consent was obtained after explaining to her the need for hemprragie survey.

Manual removal of the placenta was associated in three cases. For these patients we added misoprostol. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: Outline Masquer le plan.

The majority of cases 66 patients bled during the third stage of labour.

Access to the PDF text. Publisher Presses Academiques Francophones.

Packaging should be the same as what is found in a retail store, unless the item is handmade or was packaged by the manufacturer in non-retail packaging, such as an unprinted box or plastic bag. Post-partum haemorrhage is the main cause of maternal death in the world. This proportion is consistent with those reported by previous surveys jemorragie showed the third stage bleeding as the main time of post-partum haemorrhage [15, 16].

Médecine et Santé Tropicales

Selon l’OMS les hemorragies obstetricales causent deces chaque annee et restent hemorragiie premiere cause de mortalite maternelle et la majorite de ces deces surviennent dans les heures qui suivent l’accouchement.


Patients who had received between IU could not have more because after this dose, undesirable effects can occur. January to 31 st.

Many hemoeragie have noted a lower proportion than ours. The haemorrhage underestimation was globally important. The oartum of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. This proportion is less than that noted by Chaouki [21] in his series 5. We carried out manual removal of a clot from the uterus to check the emptiness of the uterus.

This proportion is similar to other data that underlined a predominance of post-partum haemorrhage in this group [14, 15].

The risk of post-partum haemorrhage increases with parity and may be explained by uterine muscle weakening which cannot ensure uterine retraction allowing good haemostasis. Toutes les quatre minutes, une femme meurt de suite de l’HPP. Cultural practices favour early pregnancy and often lead to obstetric complications.

Data were collected from individual patient charts and logistics regression models were used to evaluate predictors of adverse events.