pendant la grossesse, l’avortement, l’accouchement et lors du post-partum Un saignement excessif après l’accouchement (hémorragie du post-partum ou. Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than ml or 1, ml of blood within the first 24 hours following. L’hémorragie du post-partum immédiat (HPPI) constitue la première cause de mortalité maternelle dans le monde et plus particulièrement dans les pays en voie.

Author: Mazugore Goltigami
Country: Senegal
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 16 February 2012
Pages: 389
PDF File Size: 12.33 Mb
ePub File Size: 19.73 Mb
ISBN: 688-7-64706-278-9
Downloads: 74122
Price: Free* [*Free Regsitration Required]
Uploader: Mazuk

Immediate postpartum haemorrhage, Third phase active management, Togo. A non-pneumatic anti-shock garment NASG. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: D ICD – Immediate postpartum haemorrhage IPPH is the first factor of maternal death worldwide, and particularly in emergent countries.

Retrieved from ” https: Pathology of pregnancychildbirth and the puerperium O— The difficulty using oxytocin is that partu needs to be kept below a certain temperature which requires resources such as fridges which are not always available particularly in low-resourced settings. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.

Postpartum bleeding

American Society of Hematology. Access to the PDF text.

As the literature points out, there is, in the different cases studied, a prevalence of 4. Active management of the third stage is a method of shortening the stage between when the baby is born and when the placenta is delivered. Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia.


You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. The Cochrane Database of Systematic Reviews 4: Gestational thrombocytopenia Pregnancy-induced hypercoagulability.

American Journal of Obstetrics and Gynecology. The Cochrane Database of Systematic Reviews 5: The most common cause is poor contraction of the uterus following childbirth. Uterine massage is a simple first line treatment as it helps the uterus to contract to reduce bleeding. In the developing world about 1.

Postpartum bleeding – Wikipedia

Syntocinon alone lowers the risk of PPH. Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.

Intravenous oxytocin is the drug of choice for postpartum hemorrhage. Surgery may be used if medical management fails or in case of cervical lacerations or tear or uterine rupture.

Another Cochrane review looking at the timing of the giving oxytocin as part of the active management found similar benefits with giving it before or after the expulsion of the placenta. Acta Obstetricia et Gynecologica Scandinavica.

More research would be useful in determining the best doses of ergometrine, [16] [ needs update ] and syntocinon.

Prevention involves decreasing known risk factors including procedures associated with the condition, if possible, and giving the medication oxytocin to stimulate the uterus to contract shortly after the baby is born. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.


Hemordagie system Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy. A Cochrane review suggests that active management use of uterotonic drugs, cord clamping and controlled cord traction during the third stage of labour reduces severe bleeding and anemia.

International Journal of Fertility and Women’s Medicine. The World Health Organization recommends the use of a device called the non-pneumatic anti-shock garment NASG for use in delivery activities outside of a hospital setting, the aim being to improve shock in a mother with obstetrical bleeding long enough to reach a hospital. Other risk factors include obesityfever during pregnancy, bleeding before delivery, and heart disease.

The Cochrane Database of Systematic Reviews 8: Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Archived from the original on This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. Poor contraction of the uterusnot all the placenta removedtear of the uteruspoor blood clotting [2].

You can move this window by clicking on the headline.