@article{fdi:010069016,
  title = {{I}nitial management of postpartum hemorrhage : a cohort study in {B}enin and {M}ali},
  author = {{T}ort, {J}. and {T}raor{\'e}, {M}. and {H}ounkpatin, {B}. and {B}odin, {C}. and {R}ozenberg, {P}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o determine the components of initial management associated with a decreased risk of severe postpartum hemorrhage ({PPH}) in {B}enin and {M}ali. {M}ethods: {A} cohort study was conducted between {M}ay 2013 and {S}eptember 2014 that included all women who delivered vaginally in seven participating centers and who presented excessive bleeding after birth. {S}evere {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. {L}ogistic regression was used to identify the components of initial {PPH} management that were associated with severe {PPH}, adjusting for case mix. {R}esults: {A} total of 223 women presented a primary {PPH} presumably caused by uterine atony. {A}mong those, 88 (39.5%) had severe {PPH}. {N}early one-third of women (30.4%) had a late injection of oxytocin ({N}10 minutes) after {PPH} diagnosis or no injection. {O}xytocin 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). {C}onclusion: {D}ecrease in the delays in oxytocin administration is a key determinant to improve maternal outcomes related to {PPH} in this context.},
  keywords = {{BENIN} ; {MALI}},
  booktitle = {{M}aternal and neonatal helath in {A}frica at {MDG} end : availabiliy of and access to maternal health services, and outcomes of intervention strategies},
  journal = {{I}nternational {J}ournal of {G}ynecology and {O}bstetrics},
  volume = {135},
  numero = {{N}o sp{\'e}cial {S}1},
  pages = {{S}84--{S}88},
  ISSN = {0020-7292},
  year = {2016},
  DOI = {10.1016/j.ijgo.2016.08.016},
  URL = {https://www.documentation.ird.fr/hor/fdi:010069016},
}