TITLE:
Epidemiology and Prognosis of Retroplacental Hematoma in a Maternity Ward at a Regional Hospital Center in Southern Senegal
AUTHORS:
Babacar Biaye, Omar Gassama, Mame Diarra Ndiaye Gueye, Moussa Diallo, Aminata Niass, Mor Cisse, Alassane Diouf, Jean Charles Moreau
KEYWORDS:
Retro-Placental Hematoma, Mortality, Kolda
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.2,
February
2,
2019
ABSTRACT: Objectives: To study the epidemiological profile and the prognosis of the
retro-placental hematoma (HRP) at the maternity ward at Kolda Regional Hospital
Center. Materials and methods: This was a retrospective descriptive
cross-sectional study conducted over a period of 11 years: from January 1st,
2006 to December 31st, 2016, at Kolda Regional Hospital Center. It included
all patients admitted for HRP during this period. The studied parameters
concerned sociodemographic characteristics, gynecological obstetrical history;
clinical, therapeutic and prognostic data (non-inclusion or exclusion criteria).
The data were collected from medical records, the delivery room and the surgery room
registers using a collection sheet developed for this purpose. The statistical
analysis of the variables studied was done with the software Epi-info 3.5. For
the qualitative variables, we calculated the frequencies and for the
quantitative variables, we studied the distributions. Results: During
the study period, 15,343 were recorded deliveries and we carried out the diagnosis of HRP in
301 patients (1.97%). The average age of the patients was 24 years with an
average parity of 4.8 deliveries. Almost all the patients (87.5%) were
evacuated and half had delivered by caesarean section. Maternal and fetal
deaths were 7% and 72.1%, respectively. Uterine atony accounted for 21.2% of
complications. One third of the cases of uterine atony had resulted in a
hysterectomy. The average duration of hospitalization was 6 days. Conclusion: The retro-placental hematoma is a serious medico-obstetric emergency. It is
burdened with high maternal and fetal morbidity and mortality in developing
countries.