pendant la grossesse, l’avortement, l’accouchement et lors du post-partum Un saignement excessif après l’accouchement (hémorragie du post-partum ou. Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than ml or 1, ml of blood within the first 24 hours following. L’hémorragie du post-partum immédiat (HPPI) constitue la première cause de mortalité maternelle dans le monde et plus particulièrement dans les pays en voie.

Author: Aralkis Murn
Country: Armenia
Language: English (Spanish)
Genre: Health and Food
Published (Last): 9 December 2018
Pages: 255
PDF File Size: 19.60 Mb
ePub File Size: 11.6 Mb
ISBN: 677-5-67302-841-9
Downloads: 17229
Price: Free* [*Free Regsitration Required]
Uploader: Aralar

If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: When there is bleeding due to uterine rupture a repair uemorragie be performed but most of the time a hysterectomy is needed. The Cochrane Database of Systematic Reviews. Oxytocin is typically used right after the delivery of the baby to prevent PPH. The Journal of Obstetrics and Gynaecology Research. Access to the poet HTML. A textbook of postpartum hemorrhage: The World Health Organization recommends the use of a device called the non-pneumatic anti-shock garment NASG for use in delivery activities outside of a hospital setting, the aim being to improve shock in a mother with obstetrical bleeding long enough to reach a hospital.

A Cochrane review suggests that active management use of uterotonic drugs, cord clamping and controlled cord traction during the third stage of labour reduces severe bleeding and anemia. AnemiaAsianmore than one baby, obesityage older than 40 years [2].


Postpartum bleeding – Wikipedia

Syntocinon alone lowers the risk of PPH. The Cochrane Database of Systematic Reviews 1: This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. Personal information regarding our website’s visitors, including their identity, is confidential. Carbetocin compared with oxytocin produced a reduction in women who needed uterine massage and further uterotonic drugs for women having caesarean sections.

Nipple stimulation and breastfeeding triggers the release of natural oxytocin in the body, therefore it is thought that encouraging the baby to suckle soon after birth may reduce the risk of PPH for the mother. Protocols to manage postpartum bleeding are recommended to ensure the rapid giving of blood products when needed. Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia.

The Cochrane Database of Systematic Reviews 9: Methods used may include uterine artery ligation, ovarian artery ligation, internal iliac artery ligation, selective arterial embolization, B-lynch suture, and hysterectomy.

A non-pneumatic anti-shock garment NASG. Uterine massage is a simple first line treatment as it helps the uterus to contract to reduce bleeding.

Postpartum bleeding

Retrieved from ” https: Immediate postpartum haemorrhage IPPH is the first factor of maternal death worldwide, and particularly in emergent countries. Active management involves giving a drug which helps the uterus contract before delivering the placenta by a gentle but sustained pull on the umbilical cord whilst exerting upward pressure on the lower abdomen to support the uterus.


Danforth’s obstetrics and gynecology 10th ed. Giving oxytocin in a solution of saline into the umbilical vein is a method of administering the drugs directly to the placental bed and uterus. Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.

Pathology of pregnancychildbirth and the puerperium Hemofragie— Immediate postpartum haemorrhage, Third phase active management, Togo. The Cochrane Database of Systematic Reviews 4: The Cochrane Database of Systematic Reviews 8: In the active management group more women returned to hospital with bleeding after discharge, and there was also a reduction in birthweight due to infants having a lower blood volume.

hhemorragie If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. American Journal of Obstetrics and Gynecology. Journal page Archives Contents list. The Cochrane Database of Systematic Reviews 2: The haemorrhage underestimation was globally important.