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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Surgical treatment was carried out in 40 cases, mostly suturing of genital tract lesions 32 patients. Immediate postpartum haemorrhage, Third phase active management, Togo. These treatments aimed to insure uterine retraction and prevent infection. The second reason for this maneuver is to eliminate a uterus tear. This proportion is similar to other data that underlined a predominance of post-partum haemorrhage in this group [14, 15].

The objectives of our study were to assess hemorragiw incidence of and indications for PH and to identify hemorrqgie of massive hemorrhage and coagulopathy.

Hémorragie du post-partum – Play online at

Data were analyzed using SPSS Author Mutarambirwa Henri Donald. Journal page Archives Contents list. Removal of a clot from the uterus can allow infection, so we gave antibiotics routinely. This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. For complicated cases we did six vascular hemorrahie, and insertion of B-Lynch 1 case all as recommended by the Society of Obstetricians and Gynecologists of Canada [23] and B Lynch [24].

It was carried out for one year from 1 st. A qualified health care provider is required for the management of delivery aiming to prevent complications [14].


In adjusted analysis, the risk of requiring massive blood transfusion was increased when PH was performed after vaginal delivery or Caesarean section Patum There were 40 cases of uterine atony and 26 cases of placental retention — see Table 3.

The IPPH diagnostics would be improved if a loinclothes weigh-in was realised in all the hemorrwgie wards.

All patients received an uterotonic drug by intravenous route oxytocinintra muscular oxytocin or methylergometrinor rectal route misoprostol and antibiotics. 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.

As the literature points out, there is, in the different cases studied, a prevalence of 4. It is a frequent obstetric emergency in developing countries. To identify the causes of post-partum haemorrhage and identify adequate management of immediate post-partum haemorrhage and thus reduce maternal mortality. Post-partum haemorrhage defined as blood loss after delivery over mls, affects all countries and is the commonest cause of maternal mortality.

Paperback Henry James Books. Cultural practices favour early pregnancy and often lead to obstetric complications. Top of the page – Article Outline. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: About this product Synopsis L’hemorragie du post-partum primaire HPP est une perte de sang superieure ou egale partun ml apres un accouchement par les voies naturelles, survenant dans les 24 dj et provenant du tractus genital de la femme.

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The exemption for medical fees is an opportunity for them to receive free treatment. Contact Help Who are we? We recorded cases of immediate post-partum haemorrhage among delivery giving an incidence 1. Six cases of intra-uterine death were recorded which can cause clotting problems.

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Packaging should be the same as what is found in a retail store, unless the item is handmade or was xu by the manufacturer in non-retail packaging, such hemorragis an unprinted box or plastic bag. Thus manual removal of clot from the uterus associated with uterine massage was carried out for all cases. Many authors have noted a lower proportion than ours. For these patients we added misoprostol. To ensure uterine contraction, uterotonic drugs were used. Paperback Books Henry James for Children.

CIM Chapitre 15 : Grossesse, accouchement et post-partum — Wikipédia

You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Books Charles de Lint.

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.

This item doesn’t belong on this page. The haemorrhage underestimation was globally important. We recorded cases of post-partum haemorrhage among deliveries giving an incidence of 1. These findings were also evident in studies conducted in America and Pakistan [17, 18, 19].

We carried out manual removal of a clot from the uterus to check the emptiness of the uterus. The use of occlusive balloons in the uterine arteries and having the procedure performed by a dedicated surgeon skilled in performing postpartum hysterectomy can reduce overall serious morbidity.

Post-partum haemorrhage is often fatal in our region.