Postpartum hemorrhage at Yaoundé University Hospital, Cameroon

Abstract

Postpartum hemorrhage (PPH) is one of the leading causes of pregnancy-related mortality, accounting for up to 38% of maternal deaths [1,2]. The case fatality rate ranges from 1%-5% in many studies [1][2][3].A retrospective cross-sectional study was conducted at the University Hospital Center, Yaoundé, Cameroon after receiving Ethical Committee approval. The files of patients seen between January 1, 2005 and December 31, 2009 were included in the study and reviewed. Informed consent from the patients was not required. A total of 10 302 deliveries were registered, including 419 cases of PPH. Of the PPH cases, 76 (18.1%) were excluded: 73 files were not found, 2 files were wet and therefore illegible, and 1 file was empty. A total of 343 files from women who had experienced early PPHdefined as PPH occurring within the first 24 hours following deliverywere identified. For every case of PHH, 2 consecutive patients without PPH who delivered after the PPH patient were selected as controls (686 women). Data were collected on sociodemographic characteristics, clinical and obstetric history, management, and maternal outcome in both groups of patients. Epi Info version 3.5.1 (CDC, Atlanta, GA, USA) was used for data analysis. Odds ratios and 95% confidence intervals were used to assess the effect of potential risk factors on the occurrence of PPH. P b 0.05 was considered statistically significant.

Misoprostol as an adjunct to oxytocin can reduce postpartum-haemorrhage: a propensity score–matched retrospective chart review in Bamenda-Cameroon, 2015–2016

“…The reported overall incidence of PPH of 2.9% in this study was much lower than regional estimates of PPH of 25.7% in Africa [26]. It was also slightly lower than the 4.1% incidence of PPH found in the Yaounde University Teaching Hospital in Cameroon [27] which is a similar tertiary hospital like the Regional Hospital Bamenda. These differences may be due to differences in study settings (community vs. facility based), differences in labour care, but also the role of misoprostol in reducing PPH in our hospital.…”

Morbi-Mortality Linked to Unsafe Abortions—Difficulties in Accessing Safe Abortions in Cameroon: Meta-Analysis and Systematic Review

“…It occurred in about 40% of abortion cases. This rate is higher than the proportion of postpartum hemorrhages of 4.1% found by Tebeu et al in a series of 10,302 recent deliveries at the Yaoundé University Teaching Hospital [41]. For example, unsafe abortions increase the risk of pregnancy-related heavy bleeding by about 10 times.…”

Morbidity and Mortality Linked to Unsafe Abortions in Cameroon—Difficulties in Accessing Safe Abortions: Systematic Review and Meta-Analysis. A Study Proposal

“…Provisory report (Word and PPT) Writing of final report per 100,000 live births in 2018 [5]. The proportion of postpartum hemorrhage of 4.1% was found by Tebeu et al in a series of 10,302 deliveries at the Yaoundé University Teaching Hospital [15]. Infection was found in 17% of cases and increased up to 42% in one study [16].…”