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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Author Mutarambirwa Henri Donald. Chaouki [21] in his series reported a higher proportion More from the May issue. Post-partum haemorrhage defined as blood loss after delivery over mls, affects all countries and is the commonest cause of maternal mortality.

Immediate postpartum haemorrhage, Third phase active management, Togo.

Access to the full text of this article requires a subscription. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. In Africa, according to previous studies, hfmorragie incidence varied from 1. Save on Textbooks, Education Trending price is based on prices over last 90 days.

Médecine et Santé Tropicales

Normally, contraction of the uterine muscle compresses the vessels and reduces flow. Outline Masquer le plan. There were 40 cases of uterine atony and 26 cases of placental retention — see Table 3.

Although overall rates of PH are increasing, antenatal recognition of placental pathologies have resulted in fewer postpartum hysterectomies being done as emergencies. It is a frequent obstetric emergency in developing countries.


Preventive measures and efficient curative treatments are useful to improve maternal prognosis. Removal of a clot from the uterus can allow infection, so we gave antibiotics routinely.

Hémorragie du post-partum – Play online at

We carried out manual removal of a clot from the uterus to check the emptiness of the uterus. No financial assistance or grants were solicited or obtained during the course of preparing this article. The maternal deaths noted in this survey were due to posf blood loss that led to hypovolemic shock. Diana Henry Paperback Cookbooks in English. 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 partm in the uterine musculature.

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. Books Charles de Lint. We report an incidence of 1. The delivery third phase active management is the only method which is in compliance with healthcare recommendations. This mortality rate is lower than that reported by Dlinga [12].

In adjusted analysis, the risk of requiring massive blood transfusion was increased when PH was performed after vaginal fu or Caesarean section OR All consenting patients with su haemorrhage were included.

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

Preventive measures and efficient management can help to improve maternal prognosis. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.


The risk of massive hemorrhage was lower if occlusive balloons were placed antenatally in the uterine arteries OR 0. According to the World Health Organization post-partum haemorrhage is annually responsible for a quarter of maternal deaths estimated at[8, 9].

Thus, lack of uterine muscle contraction can cause an acute haemorrhage. Recourse to hysterectomy was the final solution to stop bleeding. About this partjm Synopsis L’hemorragie du post-partum primaire HPP est une perte de sang superieure ou egale a ml apres un accouchement par les voies naturelles, survenant dans les 24 heures et provenant du tractus genital de la femme.

This proportion is less than that noted by Chaouki [21] in his series 5. These treatments aimed to insure uterine retraction and prevent infection. Paperback Henry James Books. This increases the likelihood of coagulation and prevents bleeds. Be the first to write a review.

January to 31 st. Our results confirm a national statistic that reported a high proportion of marriage among young girls [13]. For these patients we added misoprostol.