Author(s)

Ouattara Adama^1*, Sib Sansan Rodrigue², Tougma Aline Pegwendé¹, Ouédraogo Issa², Zalha Assoumana³, Millogo Traoré Francoise Danielle¹, Ouédraogo Charlemagne Marie¹, Ouédraogo Ali¹, Thieba Bonané Blandine¹

¹Gynecologist Obstetrician at the University Teaching Hospital of Ouagadougou, Ouagadougou, Burkina Faso.
²Gynecologist Obstetrician at the University Teaching Hospital of Ouahigouya, Ouahigouya, Burkina Faso.
³Gynecologist Obstetrician at the Schiphra Hospital of Ouagadougou, Ouagadougou, Burkina Faso.

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 1^st 2014 to June 30^th 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.

Ectopic Pregnancy, Haemoperitoneum, Autotransfusion, Ouagadougou

Adama, O. , Rodrigue, S. , Pegwendé, T. , Issa, O. , Assoumana, Z. , Danielle, M. , Marie, O. , Ali, O. and Blandine, T. (2017) Place of Autologous Intraoperative Blood Transfusion in the Treatment of Broken Ectopic Pregnancy (EP) at the Chiphra Hospital of Ouagadougou, Burkina Faso. Open Journal of Obstetrics and Gynecology, 7, 1035-1043. doi: 10.4236/ojog.2017.710104.