Author(s)

Issa Ouédraogo^1,2*, Yobi Alexis Sawadogo^1,3, Dantola Paul Kain^1,3, Hyacinthe Zamane^1,3, Sansan Rodrigue Sib^1,2, Sibraogo Kiemtore^1,3, Adama Ouattara^1,3, Ali Ouédraogo^1,3, Justin Payirwendé Yao², Blandine Thieba^1,3, Jean Lankoandé^1,3

¹Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
²Department of Obstetrics and Gynecology, Teaching Hospital in Ouahigouya, Ouahigouya, Burkina Faso.
³Unity of Training and Research in Health Sciences (UFR/SDS), University of Ouagadougou, Ouagadougou, Burkina Faso.

Objective: To study epidemiological, clinical ant therapeutic aspects of placental abruption in the service of obstetrics and gynecology of regional hospital center of Ouahigouya. Methods: We conducted a cross-sectional study scheduled for 3 years, from 1st January 2013 to 31^st December 2015. Data were collected from patients’ folder, theater register and maternity delivery register. Results: We recorded 5791 deliveries, out of which 89 were placental abruption cases giving a rate of 1.54% of deliveries. The women most affected were whose with age ranging 25 - 30 years (30.33%), the nulliparous women (32.58%), the married women (83.52%) and whose with bad antenatal clinic attendance (54.6%). The clinical aspect was most often complete: nil fetal heart rate (82.00%), hypertony uterine (79.90%) and vaginal bleeding (74.20%) were the most signs found. Spontaneous vaginal delivery has been made in 64.04%. Maternal prognosis was dominated by a morbidity linked by an anemia in 53.90%. Maternal lethality was 2.20%. Fetal newborn-death was 88.80%. Conclusion: Placental abruption represents an obstetrical and medical emergency by its start of brutal installation, its unforeseeable character and its materno-fetal consequences. Only a tacking of risk populations, precocious of diagnosis and a speed management in surgical and medical unit allow improving the prognosis of this disease.

Placental Abruption, Rate, Risk Factors, Prognosis, Maternal, Neonatal

Ouédraogo, I. , Sawadogo, Y. , Kain, D. , Zamane, H. , Sib, S. , Kiemtore, S. , Ouattara, A. , Ouédraogo, A. , Yao, J. , Thieba, B. and Lankoandé, J. (2017) Placental Abruption in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Clinical Ant and Therapeutic Aspects about 89 Cases Collected from 1^st January 2013 to 31^st December 2015. Open Journal of Obstetrics and Gynecology, 7, 86-94. doi: 10.4236/ojog.2017.71010.