Abstract
Objective: To describe the role of autologous regenerative intraoperative bleeding of recent intra-cavity losses over the ectopic pregnancy ruptured at the Schiphra Hospital of Ouagadougou. Methodology: It has been a cross-sectional descriptive study over a period of 18 months from January 1st 2014 to June 30th 2015 in the obstetrics and gynecology department at the schiphra hospital of Ouagadougou. In our study, we included all pregnant women having received emergency with a diagnosis of broken ectopic pregnancy complicated by a significant array of clinical haemoperitoneum and who have consented to participate in the survey. Results: During the study period, we recorded 322 cases of ectopic pregnancy, among which 106 were broken. Autotransfusion was performed in 59 patients, that is to say 18.3%. The average age of patients was 27 years (18 - 40). The average rate of childbirth was 5.25 (0 - 11). The general condition of the patients was pretty good at 8.5% and poor in 91.5% of cases. The average amount of blood transfused per patient was 935 ml with a range of 400 and 1600 ml. After autotransfusion, 62% of patients had greater improvement in hemoglobin 10 g/dl. Maternal prognosis was marked by a case of fever with a morbidity rate of 1.9% and a death post autotransfusion case fatality rate of 1.9%. Conclusion: In the context of shortage of blood products, autologous transfusion could be an alternative in the treatment of ruptured ectopic pregnancy in developing countries.
Highlights
In developing countries, the prevalence of anemia is very high
The aim of our work is to describe the experience of the obstetrics and gynecology department of the Schiphra Hospital of Ouagadougou in Burkina Faso in the management of broken ectopic pregnancy by the use of this technique very advantageous
The broken ectopic pregnancy accounted for 32.9% of all the EP and auto transfusion rate was 55.7%
Summary
The prevalence of anemia is very high. Among the etiologies of that, many authors cite nutritional causes, infectious causes, traumatic causes, gynecology obstetric causes including haemorrhage and ectopic pregnancy (EP) broken [1] [2]. We are witnessing to a shortage of blood products posing the problem of the treatment of this disease [3]. In these circumstances, the technique of autotransfusion, which is to retrieve, for immediate transfusion, the blood poured into the abdominal cavity, appears as an alternative to traditional transfusion [4]. The aim of our work is to describe the experience of the obstetrics and gynecology department of the Schiphra Hospital of Ouagadougou in Burkina Faso in the management of broken ectopic pregnancy by the use of this technique very advantageous
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