TITLE:
Materno-Fetal Prognosis of Retro-Placental Hematoma at the Centre Hospitalier Universitaire Communautaire
AUTHORS:
N. R. Ngbale, G. R. D. L. Kogboma-Wongo, A. Koirokpi, C. E. Gaunefet, G. D. Kossa Ko Ouakoua, S. Ouapou, D. M. Callot, S. Matoulou-M’bala, A. Sepou
KEYWORDS:
Prognosis, Retro-Placental Hematoma (RPH), Bangui
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.10,
October
13,
2020
ABSTRACT: Introduction: The majority of pregnancies and births go off without
incident even though they all present risks. Retro-placental hematoma (RPH) is an
extreme obstetric emergency. The aim of our study was to assess the maternal-fetal
prognosis of this pathology in our patients. Patients and Methods: This is a retrospective descriptive and analytical study
over 5 years ranging from the period from January 1st, 2015 to December 31st, 2019.
The study’s population
consisted of pregnant women, in the 3rd trimester, who were presented with the retro-placental hematoma during the pregnancy
or childbirth and taken care of in the maternity ward of the Centre Hospitalier
Universitaire Communautaire. Results: During our study period, we recorded 87 cases of retro-placental hematoma, and 40,763 deliveries. The frequency
of retro-placental hematoma was 0.21% at
delivery. The average maternal age was 26.4 years with extremes of 16 and 40 years.
The parity’s average
was 3.8 with extremes of 1 and 13. The mean gestational age at the time of the onset
of the accident was 35.9 amenorrhea weeks (AW) with extremes of 28 and 40 AW. We performed
4 cases of hysterectomy (4.5%). We recorded 8 maternal deaths (9.2%) and 60 newborn
deaths (69%). The causes of maternal death were dominated by afibrinogenemia 62.5%,
followed by renal failure in 25%. Conclusion: Retro-placental hematoma is
a serious pathology during the pregnancy.