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[Haemorrhage delivery. About 65 cases].

Rim Ben Hmid1, Sonia El Houssaini, Sami Mahjoub

  • 1Service C- Centre de la maternité et de néonatologie de Tunis.

La Tunisie Medicale
|August 19, 2006
PubMed
Summary

Postpartum hemorrhage is a significant public health issue, causing over 30% of maternal deaths in Tunisia. This study analyzed 65 cases to understand its frequency, risk factors, and causes.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health

Context:

  • Postpartum hemorrhage (PPH) represents a critical public health challenge, contributing significantly to maternal mortality in Tunisia.
  • A retrospective study was conducted over four years at the Center of Motherhood and Neonatology of Tunis.
  • The study included 65 cases of PPH, representing a frequency of 1.19% in the observed obstetric population.

Purpose:

  • To investigate the frequency, severity, risk factors, etiologies, and treatment strategies for postpartum hemorrhage.
  • To identify key demographic and clinical factors associated with PPH.
  • To analyze the primary causes of PPH within the studied population.

Summary:

  • The study identified gestational toxemia (35.4%), primiparity (33.8%), advanced maternal age (30.7%), and pre-existent anemia (24.6%) as significant risk factors for PPH.

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  • Uterine atony (63%) and retained placenta (31.2%) were the leading causes of PPH, followed by coagulopathy (9.2%).
  • Average patient age was 31 years with a parity of 2.4, and abnormal labor duration (69.6%) was also noted.

    • Impact:

    • Findings highlight the need for multidisciplinary, systematic, and proactive management of PPH.
    • This research provides crucial data for public health interventions aimed at reducing maternal mortality due to PPH in Tunisia.
    • Understanding risk factors and etiologies can inform targeted prevention and treatment protocols for PPH.