The aim was to evaluate obstetric emergencies at the Gao hospital. Materials and Methods: This was a descriptive, cross-sectional, analytical, prospective study from January 1 to December 31, 2015, i.e. a period of 12...The aim was to evaluate obstetric emergencies at the Gao hospital. Materials and Methods: This was a descriptive, cross-sectional, analytical, prospective study from January 1 to December 31, 2015, i.e. a period of 12 months. Results: During our study period, we registered 1853 patients among whom were 88 cases of obstetric emergencies, i.e. a frequency of 4.75%. The age group between 15 and 19 years old was the most concerned. Obstetric emergencies are dominated by: placenta previa 20.45%, retroplacental hematoma (RPH) 12.5%, fetal distress (FAS) 12.5%, postpartum hemorrhage (PPH) due to uterine atony 13.63%. Caesarean section was the most used mode of delivery with 70.45%. The maternal death rate was 6.82%. The cause of maternal death was haemorrhage. We say that obstetric emergencies are a public health problem in the world. The conditions of evacuations and the unfavorable socio-economic conditions are the main problems in our context. Conclusion: Urgent care and an improvement in the standard of living of the population are necessary to reduce fetal-maternal mortality.展开更多
The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in th...The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in the gynecology and obstetrics department of the reference health center of Kalaban-Coro (Mali). Results: During the study period we recorded 32 cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage or 29.35%;for a total of 2425 deliveries or a frequency of 1.31%. The main indications for blood transfusion were: postpartum haemorrhage due to tearing of the soft parts in 21.9%;retroplacental hematoma in 18.6%;uterine rupture in 12.5%;and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet transfusion requirements were 59.4%. The blood products requested were: whole blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in obstetrics. The permanent availability of labile blood products improves the prognosis of immediate postpartum haemorrhages.展开更多
文摘The aim was to evaluate obstetric emergencies at the Gao hospital. Materials and Methods: This was a descriptive, cross-sectional, analytical, prospective study from January 1 to December 31, 2015, i.e. a period of 12 months. Results: During our study period, we registered 1853 patients among whom were 88 cases of obstetric emergencies, i.e. a frequency of 4.75%. The age group between 15 and 19 years old was the most concerned. Obstetric emergencies are dominated by: placenta previa 20.45%, retroplacental hematoma (RPH) 12.5%, fetal distress (FAS) 12.5%, postpartum hemorrhage (PPH) due to uterine atony 13.63%. Caesarean section was the most used mode of delivery with 70.45%. The maternal death rate was 6.82%. The cause of maternal death was haemorrhage. We say that obstetric emergencies are a public health problem in the world. The conditions of evacuations and the unfavorable socio-economic conditions are the main problems in our context. Conclusion: Urgent care and an improvement in the standard of living of the population are necessary to reduce fetal-maternal mortality.
文摘The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in the gynecology and obstetrics department of the reference health center of Kalaban-Coro (Mali). Results: During the study period we recorded 32 cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage or 29.35%;for a total of 2425 deliveries or a frequency of 1.31%. The main indications for blood transfusion were: postpartum haemorrhage due to tearing of the soft parts in 21.9%;retroplacental hematoma in 18.6%;uterine rupture in 12.5%;and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet transfusion requirements were 59.4%. The blood products requested were: whole blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in obstetrics. The permanent availability of labile blood products improves the prognosis of immediate postpartum haemorrhages.
