Abstract
Introduction: pregnancy and childbirth pose significant risks to the woman. Among these, the most common are post-partum hemorrhage. Objective: Determine the risk factors of patients with delivery postpartum and establish the maternal prognosis. Patients and methods: Our study was realized in the University Clinic of Gynecology and Obstetrics (CUGO) of CNHU-HKM (Benin). This was a cross-sectional, retrospective descriptive study conducted over 36 months. All patients admitted and who experienced delivery hemorrhage were included. Sampling was comprehensive. Data were processed and analyzed using the EPI DATA version 3.1 software. Anonymity and confidentiality of data were rigorously respected. Results: 179 cases of delivery hemorrhage were identified to be 40.59 % of admissions during the study period. The mean age was 26.60 years, ranging from 17 years to 45 years. The predominant age group was the 25 to 29 years. The women retailers were the most affected in 41.34%. The cohabiting women represented 51.40 % and the married, 45.25 %. The paucigestous were most numerous with 59.78 %, followed by multigravida 21.23 %. The pauciparous predominated with 61.45 %. Of reported cases, 16.20% had a history of miscarriage and 15.08% had a history of induced miscarriage. 94.97 % of the cases were referred women and 86.59 % had not had all the elements of the refocused prenatal visit. Women wore a single fetal pregnancy in 96.64 % of cases and a twin pregnancy in 03.35 % of cases. 48 women or 26.82% had at least one complication. The case fatality rate was 0.05 %. Conclusion: Delivery hemorrhage remains a public health problem.
Highlights
Pregnancy and childbirth pose significant risks to the woman
The risk factors identified in our study for delivery hemorrhage were the age group 25 to 29 years, low socioeconomic level (41.34%), paucigestity, the pauciparity, reference, history of curettage, of caesarean section, of delivery hemorrhage, of miscarriage and the lack of antenatal refocused consultations
MAMANI in Tunisia in 2004 had found a predominance of delivery hemorrhage in women aged from 21 to30 years, 57.14%; the average age was equal to 30.97 years, ranging from 20 to 41 years [7]
Summary
Our study was realized in the University Clinic of Gynecology and Obstetrics (CUGO) of CNHU-HKM (Benin).
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