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Management of Acute Postpartum Hemorrhage in Senegal

  • High-risk Gestation and Prenatal Medicine (E Norwitz, Section Editor)
  • Published:
Current Obstetrics and Gynecology Reports Aims and scope Submit manuscript

Abstract

In Senegal, maternal mortality is 222.9 per 100,000 live births. Acute postpartum hemorrhage (PPH) complicates 3.1 % of all births, 44.2 % of direct causes of maternal deaths, and 33.6 % of all maternal deaths. Major causes include uterine atony, trauma, coagulation disorders, and total or partial retention of the placenta. A newer technique to address acute postpartum hemorrhage is the use of the condom balloon catheter. In Senegal, prevention means following the World Health Organization (WHO) recommendation of active management of the third stage of labor for all women in labor. This practice necessitates close collaboration of a multidisciplinary team comprising obstetricians, midwives, anesthetists, radiologists, and biologists. Obstetric care should be conducted simultaneously with resuscitation.

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References

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  1. Mortalité maternelle en 2005. Estimations établies par l’OMS, l’UNICEF, le FNUAP et la Banque mondiale. Genève: Organisation mondiale de la Santé; 2007.

    Google Scholar 

  2. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367(9516):1066–74.

    Article  PubMed  Google Scholar 

  3. Campbell OM, Graham WJ. Lancet Maternal Survival Series Steering Group. Strategies for reducing maternal mortality: getting on with what works. Lancet. 2006;368(9543):1284–99.

    Article  PubMed  Google Scholar 

  4. World Health Organization. World Health Organization multicountry survey on maternal and newborn health. Geneva: WHO; 2012.

    Google Scholar 

  5. WHO. Recommendations for the prevention and treatment of postpartum haemorrhage. WHO guidelines approved by the Guidelines Review Committee. Geneva: WHO; 2012. WHO recommendations on PPH.

    Google Scholar 

  6. AbouZahr C. Global burden of maternal death and disability. Br Med Bull. 2003;67:1–11.

    Article  PubMed  Google Scholar 

  7. Evaluation des SONU au Sénégal 2012–2013. MSAS – UNFPA – OMS – UNICEF – CEFOREP. 2014. p. 153. Senegalese national reproductive health data and the most recent reference.

    Google Scholar 

  8. Téguété I et al. Hémorragies du post-partum au Mali : fréquences, causes, facteurs de risque et pronostic. Mises à jour en Gynécologie et Obstétrique. Collège National des Gynécologues et Obstétriciens Français. 2014. p. 261–84.

    Google Scholar 

  9. Nana SN. Hémorragie du post-partum immédiat à propos de 104 cas à la Clinique Gynécologique et Obstétricale de l’hôpital Aristide Le Dantec. Dakar: Mémoire d’Obstétrique et de Gynécologie Médicale et Chirurgicale, Université Cheikh Anta Diop; 2010. p. n°274. They are the most recent hospital studies on PPH in Senegal.

    Google Scholar 

  10. Wiam EH. Les hémorragies du post-partum immédiat à l’Hôpital Principal de Dakar: Aspects épidémiologiques, cliniques, biologiques, pronostiques et thérapeutiques. Dakar: Mémoire d’Obstétrique et de Gynécologie Médicale et Chirurgicale, Université Cheikh Anta Diop; 2015. p. n°1013. They are the most recent hospital studies on PPH in Senegal.

    Google Scholar 

  11. Pambou O, Ekoundzola JR, Yoca G, et al. Les hémorragies graves de la délivrance au CHU de Brazzaville. Médecine d’Afrique Noire. 1996;43(7):418–22.

    Google Scholar 

  12. Aguessy B, Alihonou E, De souza J et al. Les hémorragies de la délivrance : étude statistique et étiologique (à propos de 151 cas recensés en 5 ans). Publications Médicales Africaines, n°121, p: 8–11

  13. Akpadza K, Tete V, Agboli K, et al. Hémorragie de la délivrance à la Clinique de Gynécologie-Obstétrique du CHU-Tokoin à Lomé (Togo) de 1998–2000. Médecine d’Afrique Noire. 2004;51(1):11–4.

    Google Scholar 

  14. Goffinet F, Benifla JL, Pons JC. Hémorragies de la délivrance : prise en charge en France et intérêt des prostaglandines. J Gynecol Obstet Biol Reprod (en ligne). Disponible sur http://pro.gyneweb.fr/Sources/congres/jta/98/divers/hem-del.htm ».

  15. Soubra SH, Kalapalatha K, Guntupalli MD. Critical illness in pregnancy: an overview. Crit Care Med. 2005;33:10S248–55.

    Article  Google Scholar 

  16. Ducloy-Bouthors A-S, Provost-Hélou N, Pougeoise M, Tournoys A, Ducloy J-C, Sicot J, et al. Prise en charge d’une hémorragie du post-partum. Réanimation. 2007;16:373–9.

    Article  Google Scholar 

  17. Fenomanana M-S, Riel M, Rakotomena S-D, et al. Les facteurs de risque de mortalité par hémorragies du post-partum à la Maternité de Befelatanana -CHU Antananarivo, Madagascar. Rev Anest Réa Méd Urg, Juillet-Août. 2009;1(3):4–7.

    Google Scholar 

  18. Goffinet F. Hémorragies obstétricales du post-partum. In: Traité d’Obstétrique. Paris: Flammarion; 2003. p. 932–45.

    Google Scholar 

  19. Prevention of postpartum haemorrage initiative (POPPHI). La prévention de l’hémorragie du post-partum : La gestion active de la troisième période de l’accouchement-Formation d’accoucheurs qualifiés. Seattle: PATH; 2008.

    Google Scholar 

  20. Prevention of postpartum haemorrage initiative (POPPHI). Prévention et traitement immédiat de l’hémorragie du postpartum : utilisation rationnelle des utérotoniques. Seattle: PATH; 2009. p. 20.

    Google Scholar 

  21. World Health Organization. Managing postpartum haemorrage. Genève: WHO; 2006. p. 236. http://www.who.int/making_pregnancy_safer/documents/2_9241546662/en/index.html.

    Google Scholar 

  22. Dreyfus M, Beucher G, Mignon A, Langer B. Prise en charge obstétricale initiale en cas d’hémorragie du post-partum. J Gynecol Obstet Biol Reprod. 2004;33 suppl(8):4S57–64.

    Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Cheikh Anta Diop University of Dakar, Dakar, Senegal

    M. M. Niang, M. E. Faye Dieme, M. Mbaye, C. T. Cisse & J. C. Moreau

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  1. M. M. Niang
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  2. M. E. Faye Dieme
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  3. M. Mbaye
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  4. C. T. Cisse
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  5. J. C. Moreau
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Correspondence to M. M. Niang.

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M. M. Niang, M. E. Faye Dieme, M. Mbaye, C. T. Cisse, and J. C. Moreau declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on High-Risk Gestation and Prenatal Medicine

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Niang, M.M., Dieme, M.E.F., Mbaye, M. et al. Management of Acute Postpartum Hemorrhage in Senegal. Curr Obstet Gynecol Rep 5, 239–243 (2016). https://doi.org/10.1007/s13669-016-0166-y

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  • DOI: https://doi.org/10.1007/s13669-016-0166-y

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