TITLE:
Management of Retroplacental Hematoma at the Gynecology and Obstetrics Department of the Ignace Deen University Hospital in Guinea in 2025
AUTHORS:
Aboubacar Fodé Momo Soumah, Alhassane II Sow, Mamadou Houdy Baldé, Salématou Bangoura, Ibrahima Conté, Telly Sy
KEYWORDS:
Management, Retroplacental Hematoma, Guinea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.5,
May
20,
2026
ABSTRACT: Introduction: Placental abruption (PAU) is a cause of third-trimester bleeding in pregnancy and a major cause of stillbirth. Our study aims to describe the epidemiological, clinical, management, and prognostic characteristics of patients with placental abruption. Methodology: This was a prospective descriptive study conducted in the Obstetrics and Gynecology Department of the Ignace Deen University Hospital over a 7-month period from January 1st to July 31st, 2025. The variables studied were: epidemiology, clinical presentation, management, and prognosis. SPSS 21.0 software was used for the analysis, and the data were presented as proportions, means, and standard deviations. Results: During the study period, 4643 deliveries were carried out, of which 176 cases of HRP, representing a frequency of 3.79%, the median age was 28 years, nulliparous (27.27%), evacuated (68.75%), one hundred fifty-seven (89.20%) had delivered by cesarean section, nineteen (10.80%) by vaginal delivery. The fetal prognosis was marked by a high stillbirth rate (86.36%), and perinatal morbidity was dominated by prematurity in 10.12%. Maternal morbidity was due to anemia (60.79%), one hundred and seventy-three (65.91%) received blood transfusions, and the maternal mortality rate was 3.41%. Conclusion: HRP, a medical-obstetrical emergency par excellence, remains a public health problem; early diagnosis and management would improve the maternal-fetal prognosis.