Hématome rétroplacentaire : terrain et facteurs pronostiques revisités à propos d’une série de 171 cas en Guyane francaise

Gueneuc, Alexandra; Carles, Gabriel; Lemonnier, M.; Dallah, F.; Jolivet, Anne; Dreyfus, Michel

doi:10.1016/j.jgyn.2015.04.003

Cited by 6 publications

(7 citation statements)

References 33 publications

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“…African series have found rates similar to that of our study (1.5%): 1.55% in Cocody [1], others higher (6%) such as Thiam [2]. This high incidence, contrasting with that of developed countries: 0.78% in Strasbourg [3], 0.49% in the United…”

Section: Discussionsupporting

confidence: 87%

“…Our rates for metrorrhagia are identical to those of Nayama 89.9% [10] and Saulieres 78% [11], and higher than those of Gueneuc 60% [3] and Tikkannen 70% [12].…”

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologysupporting

confidence: 80%

“…The average hemoglobin level according to Gueneuc [3] was 9.3 g/dl (8.2 g/dl for our series) with extremes ranging from 1.2 g/dl to 14.4 g/dl. The prevalence of anemia, often multifactorial, is significant in our population, and it increases the risk of placental abruption from 1.9 to 2.45 [14] [15].…”

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologymentioning

confidence: 56%

“…Abdominal pain and/or contractures were noted in 51% and 43% of cases according to Tikkannen [12] and Guennec [3], whereas the classic clinical form was observed by Bohec in 1 out of 3 cases [13].…”

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologymentioning

confidence: 99%

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Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

Ngom¹,

Edouard²,

Fatou³

et al. 2022

OJOG

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Objective: To describe the epidemiological, clinical and prognostic factors and assess treatment of placental abruption in the obstetrics gynecology department of the Dakar Principal Hospital. Patients and Method: We carried out a retrospective observational study of 130 successive cases of placental abruption, which occurred from January 2015 to December 2017 at the Level 3 Maternity Unit of the Dakar Principal Hospital. Data were collected from noncomputerized obstetric records and analyzed using Excel and Epi info software. Results: There were 130 cases of placental abruption, that is a prevalence of 1.5%. The average age of onset of placental abruption was 30 years. The history of hypertension concerned 32.3% of patients, the average gestational age of 32.5 weeks at the time of diagnosis, grade 3 of Sher was found in 48.5% of cases. The outcome of the pregnancy was a caesarean section in 79.2% of cases, the average weight of newborns was 2058 g. The management of the complications required a blood transfusion and intensive care. A haemostasis hysterectomy was performed in 6.2% of cases. Stillbirth rate was 53.7% and maternal mortality was zero. Discussion and Conclusion: Placental abruption, a severe complication of pregnancy, is associated with high perinatal morbidity and mortality linked to the severity of the clinical picture, despite an improved maternal prognosis.

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Section: Discussionsupporting

confidence: 87%

“…Our rates for metrorrhagia are identical to those of Nayama 89.9% [10] and Saulieres 78% [11], and higher than those of Gueneuc 60% [3] and Tikkannen 70% [12].…”

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologysupporting

confidence: 80%

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologymentioning

confidence: 56%

Section: P M Ngom Et Al Open Journal Of Obstetrics and Gynecologymentioning

confidence: 99%

See 2 more Smart Citations

Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

Ngom¹,

Edouard²,

Fatou³

et al. 2022

OJOG

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“…Placental abruption (PA) is the complete or partial separation of a normally implanted placenta before delivery, which causes vaginal bleeding in the second half of the pregnancy. Prevalence of PA varies between 0.4% and 1% (1). Although several risk factors are proposed to act in the development of PA, the etiopathogenesis appears multifactorial and is still not well understood.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Perinatal Mortality Associated with Placental Abruption: Single Center Experience with 200 subjects

Yılmaz¹

2019

Erciyes Med J

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Objective: Despite recent advances in prenatal diagnostic techniques, placental abruption (PA) remains one of the most significant causes of maternal morbidity and perinatal mortality. The purpose of the present study is to summarize the current knowledge concerning PA and to present maternal and fetal outcomes of the patients admitted to our clinic who underwent cesarean delivery for PA. Materials and Methods: All the consecutive patients enrolled in our clinic and diagnosed with PA between January 2015 and December 2018 were enrolled in this retrospective study. Data regarding demographics, operation details, and the postoperative course included blood transfusions, development of maternal and fetal complications, and laboratory measurements were collected from the electronic institutional database. Results: A total of 200 patients were recruited in this retrospective study. No maternal death was observed during the inhospital course. Uterine rupture developed in 6 (3%) subjects, severe hemorrhage occurred in 28 subjects (14%), and fetal and neonatal mortality was observed in 10 (5%) subjects. Logistic regression analyses indicated that fibrinogen levels prior to delivery (p=0.039), gestational age (p=0.005), smoking (p=0.044), and maternal systolic blood pressure (p=0.013) were independent predictors for fetal and neonatal mortality. Conclusion: The maternal and perinatal mortality observed in our study population is favorable as compared to previous results. Fibrinogen levels prior to delivery, gestational age, smoking, and maternal systolic blood pressure were independently predictive for fetal and neonatal mortality in subjects with PA.

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About the need to address pediatric health inequalities in French Guiana : a scoping review

Osei

Basurko

Vignier

et al. 2022

Archives de Pédiatrie

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Hématome rétroplacentaire : terrain et facteurs pronostiques revisités à propos d’une série de 171 cas en Guyane francaise

Cited by 6 publications

References 33 publications

Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

Management and Maternal-Fetal Prognosis of Placental Abruption: A Retrospective Study of 130 Cases

Predictors of Perinatal Mortality Associated with Placental Abruption: Single Center Experience with 200 subjects

About the need to address pediatric health inequalities in French Guiana : a scoping review

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