Hematome Retro Placentaire Aspects Epidemiologiques Cliniques, Therapeutiques Et Pronostiques Au Centre Hospitalier National a Propos De 97 Cas

Abdelkader, Fatimetou; Abdelkader, N.; Malek, Marieme Vall

doi:10.21474/ijar01/10211

Cited by 3 publications

(8 citation statements)

References 12 publications

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“…The patient we are presenting had placenta abruptio grade IIIB. This observation is the same for Abdelkader [9] who noted 86.5% grade III of SHER. On admission, 83.1% of patients presented with SHER grade 3, i.e.…”

Section: Pathological Anatomy and Classification Of Shersupporting

confidence: 83%

“…The patient benefited from hospitalization in intensive care in view of the worsening of her state of health but also in accordance with the management of cases of severe pre-eclampsia in our structure. Our management was similar to that of Abdelkader [9] in whom a caesarean section was performed in 90.72% of cases. However, the management of uterine atony has been made by hysterectomies for hemostasis after failure of medical and surgical means of conservation.…”

Section: Supportsupporting

confidence: 59%

“…Perinatal mortality was around 60% in relation to the severity of the clinical picture but also the importance of the low birth weight rate. Maternal prognosis was favorable in 80.41% of patients in Abdelkader's study [9], while he deplored 5.5% of deaths. It presented 74.22% stillbirths for 25.77% of living children.…”

Section: Pronostic Aspectsmentioning

confidence: 90%

“…Our study presented the classic triad of symptoms (vaginal bleeding, uterine hypertonia, absence of BDCF). Abdelkader [9] had evoked the diagnosis clinically in 97.9% of cases and fortuitously in 12.7% of cases. The classic triad was also found in several series (2.4).…”

Section: Diagnostic Aspectsmentioning

confidence: 99%

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SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Minko,

Komba,

Obiang

et al. 2023

OJOG

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The placenta abruptio is an extremely serious pathology which involves the maternal-fetal prognosis. We report the case of a 19-year-old patient who consulted for abdominopelvic pain associated with heavy vaginal bleeding on 19SA in a context of arterial hypertension. The symptomatology suddenly worsened with the onset of hemorrhagic shock, which prompted an emergency hysterotomy. The diagnosis of placenta abruptio grade III b of SHER was evoked. Uterine atony was objectified intraoperatively and uterine compression by the B-Lynch technique was performed. The evolution of the patient was favorable after a stay of 5 days in intensive care.

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Section: Pathological Anatomy and Classification Of Shersupporting

confidence: 83%

Section: Supportsupporting

confidence: 59%

Section: Pronostic Aspectsmentioning

confidence: 90%

Section: Diagnostic Aspectsmentioning

confidence: 99%

See 2 more Smart Citations

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Minko,

Komba,

Obiang

et al. 2023

OJOG

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“…Different authors [16] [17] have assessed the role of maternal age in the occurrence of PRH differently. According to the literature, the risk between maternal age and RPH was linked only by parity [17]. Patients' professional occupations may constitute an obstacle to access to care.…”

Section: Epidemiological Characteristicsmentioning

confidence: 99%

Retro Placental Hematoma: Maternal and Fetal Prognosis at the Maternity of the University Hospital of Bouake

Yaya,

Estelle,

Michele

et al. 2024

OJOG

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Introduction: Retroplacental haematoma (RPH) is a very serious complication of pregnancy, with life-threatening consequences for both the mother and foetus. The aim of this study is to determine the incidence and epidemiological characteristics of patients with retroplacental haematoma (RPH) and describe the maternal-foetal complications at Bouaké University Hospital. Methods: This was a cross-sectional prospective, descriptive and analytical study carried out at Bouaké University Hospital over a period of 3 years, from January 1, 2019 to December 31, 2021. All parturients with RPH whose delivery took place at the hospital were included in the study. Data were entered and analysed using EPI INFO software version 7.2.2.6. Results: We recorded 2,0959 deliveries, including 202 cases of RPH, representing an incidence of 0.96%. The 21 to 35 age group accounted for 64.4%, multigestas and large multigestas accounted for 58.5% and multiparas accounted for 41.6%. The main signs on clinical examination were metrorrhagia (100%), arterial hypertension (84.6%) and cervical cerclage (79.7%). Preeclampsia accounted for 50% of per-gestational pathologies. Maternal mortality was 12.9%. Morbidity was dominated by anaemia in 64.1%, followed by disseminated intravascular coagulation (DIC) in 21.8%, and the factors associated with this maternal prognosis were multiple gestations, multiparity, Sher grade IIIb and the occurrence of complications such as DIC, shock, renal complications and HELLP syndrome. Neonatal mortality was

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Determinants of Retroplacental Hematoma at the Maradi Mother and Child Health Center, Niger: a case‒control

Ali.

2024

Preprint

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Introduction Retroplacental hematoma is a paroxysmal accident that threatens maternal and fetal prognosis. It is a major emergency in obstetric pathology. The objective of this study was to identify the factors associated with retroplacental hematoma at the Maradi Mother and Child Health Center in 2022. Methods This was a case‒control cross-sectional analytical study that used patient records for the year 2022 from September 20 to October 20, 2023. The presence of retroplacental hematoma was the outcome variable and was measured by a case (yes) or control (no) response. The exposure variables included sociodemographic characteristics, obstetric characteristics, care, progression of patients and neonatal characteristics. Pearson's chi-square tests at the 5% significance level were used to analyze differences between categorical variables. All variables that had a bilateral p value <0.05 in the bivariate analysis were introduced into the binary logistic regression model to identify factors associated with retroplacental hematoma. Results A total of 246 cases of retroplacental hematoma were recorded out of 4731 deliveries recorded during the study period, for an estimated frequency of 5.20%. The mean age of the patients was 29.41 ± 6.94 years. Factors associated with retroplacental hematoma included pauci-multiparity (2 more children) [adjusted odds ratio (ORA): 1.57, 95% confidence interval (CI) (1.01-2.23)], fewer than 4 antenatal visits [AOR: 10.70, 95% CI (1.14-99.74)], blood transfusion [AOR: 2.01, 95% CI (1.11-3.60)], a newborn birth weight less than 2500 grams [AOR: 1.92, 95% CI (1.53-2.42)] and fetal mortality in utero [AOR: 13.20, 95% CI (1.86-93.70)]. Conclusion: This study identified the factors associated with retroplacental hematoma. Prevention requires regular, high-quality prenatal care. Early diagnosis and cesarean section improve maternal–fetal prognosis.

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Hematome Retro Placentaire Aspects Epidemiologiques Cliniques, Therapeutiques Et Pronostiques Au Centre Hospitalier National a Propos De 97 Cas

Cited by 3 publications

References 12 publications

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Retro Placental Hematoma: Maternal and Fetal Prognosis at the Maternity of the University Hospital of Bouake

Determinants of Retroplacental Hematoma at the Maradi Mother and Child Health Center, Niger: a case‒control

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