Prématurité modérée 34–37SA : description des causes et conséquences néonatales immédiates dans une maternité de niveau 2

Valery, S.; Picone, Olivier; Coatantiec, Y.; Frati, A.; Labrousse, César; Ayoubi, Jean Marc

doi:10.1016/j.gyobfe.2015.06.009

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…In our study, the use of the curette was found in 72.4% of patients: destruction of the uterine mucosa by the curette can lead to partial adhesion or incomplete detachment of the placenta, thereby exposing to postpartum haemorrhage [25]. We agreed with other authors that preterm delivery was a risk factor for postpartum haemorrhage [26] [27], and [28]. Prematurity is highly susceptible to lead to retention of the placenta, complicated by bleeding at delivery [29].…”

Section: Discussionsupporting

confidence: 87%

Primary Post-Partum Haemorrhage Following Vaginal Deliveries at the Douala General Hospital: Prevalence, Causes and Risk Factors

Nana¹,

Tchounzou²,

Mangala³

et al. 2021

OJOG

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Background: Postpartum haemorrhage is one of the leading causes of maternal morbidity and mortality worldwide. It occurs predominantly in developing countries due to poorly developed infrastructures and lack of skilled birth attendants. Objective: To identify the prevalence, causes and risk factors of primary postpartum haemorrhage following vaginal deliveries in a referral hospital (Douala General Hospital-Cameroon). Methods: This was a descriptive and analytical study carried in the Douala General Hospital (DGH) for which socio-demographic, clinical, obstetric and post-partum data were collected using a pre-tested questionnaire. Descriptive statistics, multivariate analysis and logistic regression allowed us to present and discuss our results, with a 95% confidence interval (CI) and p value < 0.05. Results: The prevalence of Primary Postpartum Haemorrhage was 1.33%. Quantification of bleeding was reported in only 13.15% of cases. The main causes were: uterine atony (36.18%), placental retention (25.65%), cervical tears (12.50%), perineal tears (10.52%) and cervico-vaginal tears (08.52%). The risk factors were: age between 19 -35 years aOR = 4.52; 95% CI = 2.65 -7.98; p = 0.021); unemployment (aOR = 4.74; 95% CI = 2.91 -6.02; p = 0.001); being multigravida (aOR = 9.21; 95% CI = 6.43 -12.48; p = 0.035); history of abortion (aOR = 5.11; 95% CI = 2.05 -7.29; p = 0.004); preterm delivery (aOR = 6.88; 95% CI = 2.72 -9.06; p = 0.002); duration of labour > 12 hours (aOR = 4.05; 95% CI = 2.46 -7.98; p = 0.003) and macrosomia (aOR = 3.27; 95% CI = 1.03 -5.68; p = 0.041). Conclusion: Primary postpartum haemorrhage remains a poorly assessed obstetric complication in the maternity ward of the Douala

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Section: Discussionsupporting

confidence: 87%

Primary Post-Partum Haemorrhage Following Vaginal Deliveries at the Douala General Hospital: Prevalence, Causes and Risk Factors

Nana¹,

Tchounzou²,

Mangala³

et al. 2021

OJOG

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“…Ces complications expliquent une grande partie des naissances prématurées comme l'ont retrouvé d'autres auteurs mais dans des proportions moins importantes : Cissé 29,8% (Cissé, 1998) (Gueye, 2011Valery, 2015.…”

Section: Données Sur La Grossesseunclassified

Evaluation De La Prematurite Superieure Ou Egale A 32 Semaine D’amenorhée A L’hopital Regional De Ziguinchor Au Sud Du Senegal (Afrique De L’ouest)

Niokhor

Bintou

Thiam

et al. 2017

ESJ

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Introduction: Prematurity is one of the leading causes of neonatal death in Africa. The objective of this work was to assess the preterm birth at the pediatric service of the regional hospital of Ziguinchor. Material and methods: This was a prospective, descriptive and analytical study of the case of hospitalized newborns whose age was between 32 SA to 36SA + 6 days. The study was conducted from May 21, 2013 to May 21, 2014. We included all premature infants at age ≥ 32SA.Those presenting a malformation were not included. We studied maternal socio-demographic, obstetric and neonatal parameters. Results: We have identified 140 newborns out of a total of 342 Preterm births and 2292 maternity births, a prevalence of 40.9% compared to preterm infants and 6.10% in relation to all births. 51.4 percent of mothers came from urban areas, 63.5 percent were between 20 and 34 years of age, not attending school in 45.7 percent, married in 72.9 percent and without work in 94.3 percent. The average gestures represented 3.09 . Arterial European Scientific Journal December 2017 edition Vol.13, No.36 ISSN: 1857 -7881 (Print) e -ISSN 1857 326 hypertension was the most common medical condition (67.7%). The followup was done by a midwife (82.1%) and 23.5% had received at least 4 NPC. Eclampsia and pre-eclampsia (48.9%) and RPM (42.8%) were common obstetric pathologies. The delivery was by caesarian (51.4%), hospital (92.1%), cephalic presentation (80%), with an average weight of 1816.79 g. An RCIU (16.4%), an RPM (61.9%). At birth, a DR (16.4%) was noted due to MMH (43.7%) and transitory tachypnea (50%). Asphyxia was reported in 3.5%. During hospitalization (6.7 days on average), 6.4% had RD caused by infection (77.7%). Other complications were infection (64.4%), hypoglycemia (28.5%), digestive hemorrhage (7.01%). The fatality rate was 7.9% due to infection (63.3%), DR (18%), haemorrhage (9%). The anthropometric measurements at the exit: P 1887.9g, T: 38.3cm, PC: 30.9cm; at 1 month P: 2387.1g, T: 46.6cm, PC: 32.8cm; at 30 months P: 12.1kg, T: 89.5cm, PC: 48.4cm. Conclusion: Moderate preterm birth accounts for almost half of the cases of prematurity in our series. Their optimal management would go through a better obstetric-neonatal collaboration but above all by the installation of kangaroo mother units Keywords: Prematurity, moderate, epidemiology, prognosis RésuméIntroduction : La prématurité est l'une des principales causes de décès néonataux en Afrique. L'objectif était de faire le bilan de la prématurité ≥ à 32 SA dans le service de pédiatrie de l'hôpital régional de Ziguinchor. Matériel et Méthodes : Il s'agissait d'une étude prospective, descriptive et analytique de dossier de nouveau-nés hospitalisés dont l'âge était compris entre 32 SA à 36SA + 6jours. L'étude s'est déroulée du 21 Mai 2013 au 21 Mai 2014. Nous avons inclus tous les nouveau-nés prématurés dont l'âge était ≥ à 32SA, n'ont pas été inclus ceux qui présentaient une malformation. Nous avons étudié les paramètres sociodémographiques maternels, obstétricaux...

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“…Le RCIU et la PE sont tous deux dus à une hypoperfusion placentaire et affectent plus de 15% des grossesses (10% pour le RCIU et quatre à sept % pour la PE). Enfin, la prématurité affecte plus de 7% des naissances en France et est en constante augmentation (Valery et al 2015). L'environnement maternel au sens large peut affecter la fonction placentaire et les échanges entre la mère et le foetus et il est bien établi que le tabagisme est une cause majeure de RCIU et de prématurité (Mund et al 2013 ;Banderali et al 2015).…”

Section: Pollution Atmosphérique Et Grossesseunclassified

Exposition aux gaz d’échappement diesel durant la gestation : quelles conséquences sur le développement foeto-placentaire ? Apport des modèles animaux

Valentino¹,

Tarrade²,

Chavatte‐Palmer³

2016

bavf

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La pollution atmosphérique est un problème majeur pour la santé humaine, causant 3,7 millions de décès prématurés en 2012 dans le monde. Les personnes âgées, les enfants ou les asthmatiques sont les cibles des messages de prévention lors de pics de pollution alors que les femmes enceintes sont le plus souvent négligées. Pourtant, les études épidémiologiques et les travaux sur les modèles animaux indiquent que la pollution atmosphérique et ses composants peuvent perturber la fonction placentaire, réduire la croissance foetale et induire un stress oxydant et une inflammation. A long terme, ces effets peuvent participer à l'augmentation des risques de maladies métaboliques chez l'adulte. Il est donc important d'inclure les femmes enceintes dans les messages de prévention lors de pics de pollution atmosphérique et de continuer la recherche sur les effets à long terme grâce au recours aux modèles animaux.

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Prématurité modérée 34–37SA : description des causes et conséquences néonatales immédiates dans une maternité de niveau 2

Cited by 6 publications

References 29 publications

Primary Post-Partum Haemorrhage Following Vaginal Deliveries at the Douala General Hospital: Prevalence, Causes and Risk Factors

Primary Post-Partum Haemorrhage Following Vaginal Deliveries at the Douala General Hospital: Prevalence, Causes and Risk Factors

Evaluation De La Prematurite Superieure Ou Egale A 32 Semaine D’amenorhée A L’hopital Regional De Ziguinchor Au Sud Du Senegal (Afrique De L’ouest)

Exposition aux gaz d’échappement diesel durant la gestation : quelles conséquences sur le développement foeto-placentaire ? Apport des modèles animaux

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