TITLE:
Haemorrhages in the Last Trimester of Pregnancy: Epidemiological, Clinical, Therapeutic and Prognostic Aspects in a Level II Maternity Unit in Conakry (Guinea)
AUTHORS:
Massa Keita, Ibrahima Tangaly Diallo, Alhassane II Sow, Hadiatou Diallo, Ibrahima Sory Baldé, Telly Sy
KEYWORDS:
Pregnancy, Hemorrhage, Last Trimester, HRP, PP, RU, Management, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.9,
September
26,
2025
ABSTRACT: Introduction: The objective of this study was to contribute to the study of hemorrhages in the last trimester of pregnancy at the maternity ward of the Coyah Prefectural Hospital. Methodology: This was a prospective descriptive study lasting one (1) year from January 1, 2021 to December 31, 2021. Results: During this study period, 4151 deliveries were recorded, including 225 cases of third-trimester hemorrhage, or 5.42%. The epidemiological profile was that of a woman in the age group of 25 - 29 years from the rural area (82.67%), married (76.89%), not in school (73.78%) evacuated (63.56%). Retroplacental hematoma was the primary cause of these hemorrhages with 52% of cases. The mode of delivery was dominated by the upper route with a rate of 88%. Anemia (43.56%) followed by hemorrhagic shock (13.78%) were the most frequent maternal complications with maternal and fetal lethality which were 1.78% and 50.67%. Conclusion: Last trimester hemorrhage remains one of the main emergencies in obstetric practice. It represents a significant cause of maternal and fetal mortality in developing countries. Early, multidisciplinary management with close collaboration between obstetricians, pediatricians, anesthesiologists, intensive care specialists, and biologists would improve maternal-fetal prognosis.