Publications des scientifiques de l'IRD

Tort J., Traoré M., Hounkpatin B., Bodin C., Rozenberg P., Dumont Alexandre. (2016). Initial management of postpartum hemorrhage : a cohort study in Benin and Mali. In : Kouanda S. (ed.), Kabra R. (ed.), Dumont Alexandre (ed.). Maternal and neonatal helath in Africa at MDG end : availabiliy of and access to maternal health services, and outcomes of intervention strategies. International Journal of Gynecology and Obstetrics, 135 (No spécial S1), p. S84-S88. ISSN 0020-7292.

Titre du document
Initial management of postpartum hemorrhage : a cohort study in Benin and Mali
Année de publication
2016
Type de document
Article référencé dans le Web of Science WOS:000398387500016
Auteurs
Tort J., Traoré M., Hounkpatin B., Bodin C., Rozenberg P., Dumont Alexandre
In
Kouanda S. (ed.), Kabra R. (ed.), Dumont Alexandre (ed.), Maternal and neonatal helath in Africa at MDG end : availabiliy of and access to maternal health services, and outcomes of intervention strategies
Source
International Journal of Gynecology and Obstetrics, 2016, 135 (No spécial S1), p. S84-S88 ISSN 0020-7292
Objective: To determine the components of initial management associated with a decreased risk of severe postpartum hemorrhage (PPH) in Benin and Mali. Methods: A cohort study was conducted between May 2013 and September 2014 that included all women who delivered vaginally in seven participating centers and who presented excessive bleeding after birth. Severe PPH was defined as PPH that required surgical treatment (vascular ligature and/or hysterectomy), and/or blood transfusion, and/or transfer to an intensive care unit, and/or an outcome of maternal death. Logistic regression was used to identify the components of initial PPH management that were associated with severe PPH, adjusting for case mix. Results: A total of 223 women presented a primary PPH presumably caused by uterine atony. Among those, 88 (39.5%) had severe PPH. Nearly one-third of women (30.4%) had a late injection of oxytocin (N10 minutes) after PPH diagnosis or no injection. Oxytocin injection within 10 minutes after the PPH diagnosis was significantly associated with a decreased risk of severe PPH (adjusted OR=0.3; 95% CI, 0.14–0.77). Conclusion: Decrease in the delays in oxytocin administration is a key determinant to improve maternal outcomes related to PPH in this context.
Plan de classement
Santé : généralités [050]
Localisation
Fonds IRD [F B010069016]
Identifiant IRD
fdi:010069016
Contact