Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.

In Gabon, the proportion of maternal deaths directly related to Primary PostPartum Haemorrhage (PPPH) is 15 to 25%, despite the different means that the World Health Organization has made available to the providers of Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was t...

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Autores principales:	Nathalie Ledaga Ambounda, Sylvain Honore Woromogo, Felicite-Emma Yagata-Moussa, Liela Agnes Okoyi Ossouka, Vicky Noel Simo Tekem, Eliane Okira Ango, Alain Jepang Kouanang
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bd6fdffb1f3a4602ac0d070a079dc142
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spelling	oai:doaj.org-article:bd6fdffb1f3a4602ac0d070a079dc1422021-12-02T20:14:29ZPrimary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.1932-620310.1371/journal.pone.0257544https://doaj.org/article/bd6fdffb1f3a4602ac0d070a079dc1422021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257544https://doaj.org/toc/1932-6203In Gabon, the proportion of maternal deaths directly related to Primary PostPartum Haemorrhage (PPPH) is 15 to 25%, despite the different means that the World Health Organization has made available to the providers of Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was to determine the prevalence and epidemiological characteristics of Primary PostPartum Haemorrhage to improve its management and reduce the rate of maternal deaths. An analytical retrospective study involved 42,728 records, whose data were collected using a chart collection form on the basis of information contained in partograms and other patient records. Sociodemographic variables were expressed using percentage. The relationship between the etiologies of PPPH and certain characteristics of the women was established using the ORs with their 95% confidence intervals. The difference was significant if p < 0.05. The prevalence of PPPH was 1.6%. Delivery haemorrhages accounted for 65.5% of PPPH. The main factors associated with delivery haemorrhages were pauci parity and multiparity (p = 0.003 and 0.051), post-term (p = 0.042), and birth weight >4,000 g (p = 0.006). Those associated with genital tract injuries were young maternal age (p = 0.008) and multiparity (p = 0.028). The most common etiology was haemorrhage from delivery. Multiparity remains the most common risk factor and the young age of the patients. It is important to improve management through better assessment of blood loss in the primary postpartum period as well as capacity building of health providers on EmONC.Nathalie Ledaga AmboundaSylvain Honore WoromogoFelicite-Emma Yagata-MoussaLiela Agnes Okoyi OssoukaVicky Noel Simo TekemEliane Okira AngoAlain Jepang KouanangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257544 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nathalie Ledaga Ambounda Sylvain Honore Woromogo Felicite-Emma Yagata-Moussa Liela Agnes Okoyi Ossouka Vicky Noel Simo Tekem Eliane Okira Ango Alain Jepang Kouanang Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
description	In Gabon, the proportion of maternal deaths directly related to Primary PostPartum Haemorrhage (PPPH) is 15 to 25%, despite the different means that the World Health Organization has made available to the providers of Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was to determine the prevalence and epidemiological characteristics of Primary PostPartum Haemorrhage to improve its management and reduce the rate of maternal deaths. An analytical retrospective study involved 42,728 records, whose data were collected using a chart collection form on the basis of information contained in partograms and other patient records. Sociodemographic variables were expressed using percentage. The relationship between the etiologies of PPPH and certain characteristics of the women was established using the ORs with their 95% confidence intervals. The difference was significant if p < 0.05. The prevalence of PPPH was 1.6%. Delivery haemorrhages accounted for 65.5% of PPPH. The main factors associated with delivery haemorrhages were pauci parity and multiparity (p = 0.003 and 0.051), post-term (p = 0.042), and birth weight >4,000 g (p = 0.006). Those associated with genital tract injuries were young maternal age (p = 0.008) and multiparity (p = 0.028). The most common etiology was haemorrhage from delivery. Multiparity remains the most common risk factor and the young age of the patients. It is important to improve management through better assessment of blood loss in the primary postpartum period as well as capacity building of health providers on EmONC.
format	article
author	Nathalie Ledaga Ambounda Sylvain Honore Woromogo Felicite-Emma Yagata-Moussa Liela Agnes Okoyi Ossouka Vicky Noel Simo Tekem Eliane Okira Ango Alain Jepang Kouanang
author_facet	Nathalie Ledaga Ambounda Sylvain Honore Woromogo Felicite-Emma Yagata-Moussa Liela Agnes Okoyi Ossouka Vicky Noel Simo Tekem Eliane Okira Ango Alain Jepang Kouanang
author_sort	Nathalie Ledaga Ambounda
title	Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
title_short	Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
title_full	Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
title_fullStr	Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
title_full_unstemmed	Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.
title_sort	primary postpartum haemorrhage at the libreville university hospital centre: epidemiological profile of women.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bd6fdffb1f3a4602ac0d070a079dc142
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Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women.

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