Placental Abruption in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Clinical Ant and Therapeutic Aspects about 89 Cases Collected from 1st January 2013 to 31st December 2015Reportar como inadecuado




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Objective: To study epidemiological, clinical ant therapeutic aspects of placental abruption in the service of obstetrics and gynecology of regional hospital center of Ouahigouya. Methods: We conducted a cross-sectional study scheduled for 3 years, from 1st January 2013 to 31st December 2015. Data were collected from patients’ folder, theater register and maternity delivery register. Results: We recorded 5791 deliveries, out of which 89 were placental abruption cases giving a rate of 1.54% of deliveries. The women most affected were whose with age ranging 25 - 30 years 30.33%, the nulliparous women 32.58%, the married women 83.52% and whose with bad antenatal clinic attendance 54.6%. The clinical aspect was most often complete: nil fetal heart rate 82.00%, hypertony uterine 79.90% and vaginal bleeding 74.20% were the most signs found. Spontaneous vaginal delivery has been made in 64.04%. Maternal prognosis was dominated by a morbidity linked by an anemia in 53.90%. Maternal lethality was 2.20%. Fetal newborn-death was 88.80%. Conclusion: Placental abruption represents an obstetrical and medical emergency by its start of brutal installation, its unforeseeable character and its materno-fetal consequences. Only a tacking of risk populations, precocious of diagnosis and a speed management in surgical and medical unit allow improving the prognosis of this disease.

KEYWORDS

Placental Abruption, Rate, Risk Factors, Prognosis, Maternal, Neonatal

Cite this paper

Ouédraogo, I. , Sawadogo, Y. , Kain, D. , Zamane, H. , Sib, S. , Kiemtore, S. , Ouattara, A. , Ouédraogo, A. , Yao, J. , Thieba, B. and Lankoandé, J. 2017 Placental Abruption in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Clinical Ant and Therapeutic Aspects about 89 Cases Collected from 1st January 2013 to 31st December 2015. Open Journal of Obstetrics and Gynecology, 7, 86-94. doi: 10.4236-ojog.2017.71010.





Autor: Issa Ouédraogo1,2*, Yobi Alexis Sawadogo1,3, Dantola Paul Kain1,3, Hyacinthe Zamane1,3, Sansan Rodrigue Sib1,2, Sibraogo Kiemtor

Fuente: http://www.scirp.org/



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