pendant la grossesse, l’avortement, l’accouchement et lors du post-partum Un saignement excessif après l’accouchement (hémorragie du post-partum ou. Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than ml or 1, ml of blood within the first 24 hours following. L’hémorragie du post-partum immédiat (HPPI) constitue la première cause de mortalité maternelle dans le monde et plus particulièrement dans les pays en voie.

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However, there is not enough evidence to suggest that these methods are effective.

Postpartum bleeding

International Journal of Fertility and Women’s Medicine. An International Hemoeragie of Obstetrics and Gynaecology. In other projects Wikimedia Commons. The difficulty using oxytocin is psot it needs to be kept below a certain temperature which requires resources such as fridges which are not always available particularly in low-resourced settings.

Immediate postpartum haemorrhage, Third phase active management, Togo. The Journal of Obstetrics and Gynaecology Research. Protocols to manage postpartum bleeding are recommended to ensure the rapid giving of blood products when needed.

A review into this method found no research and advises controlled cord traction because fundal pressure can cause the mother unnecessary pain. Danforth’s obstetrics and gynecology 10th ed. The effects on the baby of early cord clamping was discussed in another review which found that delayed cord clamping improved iron stores longer term in the infants. The Cochrane Database of Systematic Reviews 8: Pathology of pregnancychildbirth and the puerperium O— Loss of lots of blood after childbirthincreased heart ratefeeling faint upon standingincreased breath rate [1] [2].

American Journal of Obstetrics and Gynecology. By using this site, you agree to the Terms of Use and Privacy Policy.

The Cochrane Database of Systematic Reviews 9: In the developing world about 1. Oxytocin is typically used right after the delivery of the baby to prevent PPH. In the active management group more women returned to hospital with bleeding after discharge, and there was also a reduction in birthweight due to infants having a lower blood volume.


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D ICD – The use of uterotonics for high-risk pregnancies is not a method in accordance with international healthcare recommendations.

The Cochrane Database of Systematic Reviews 1: From Pagtum, the free encyclopedia. Surgery may be used if medical management fails or in case of cervical lacerations or tear or uterine rupture.

Another Cochrane review looking at the timing of the giving oxytocin as part of the active management found similar benefits with giving it before or after the expulsion of the placenta. Access to the PDF text. Methods used may include uterine artery ligation, ovarian artery ligation, internal iliac artery ligation, selective arterial embolization, B-lynch suture, and hysterectomy.

Prevention involves decreasing known risk factors including procedures associated with the condition, if possible, and giving the medication oxytocin to stimulate the uterus to contract shortly after the baby is born. The Cochrane Database of Systematic Hemorragiie 3: Giving oxytocin in a solution of saline into the umbilical vein is a method of administering the drugs directly to the placental bed and uterus. The most common cause is poor contraction of the uterus following childbirth.

hemorrahie Depending on the source, primary postpartum bleeding is defined as blood loss in excess of ml following vaginal delivery or ml following caesarean section in the first 24 hours following birth. Other risk factors include obesityfever during pregnancy, bleeding before delivery, and heart disease.

Acta Obstetricia et Gynecologica Scandinavica. A textbook of postpartum hemorrhage: Oxytocin helps the uterus to contract quickly and the contractions to last for longer. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea nigra Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules and plaques of pregnancy PUPPP Striae gravidarum.


Archived from the original on Active management of the third stage is a method of shortening the stage between when the baby is born and when the placenta is delivered. Nipple stimulation and breastfeeding triggers the release of natural oxytocin in the body, therefore it is thought that encouraging the baby to suckle soon after birth may reduce the risk of PPH for the mother. This observational study, which was made by posh unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo.

Postpartum bleeding – Wikipedia

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Retrieved from ” https: Complications of labour and delivery. Immediate postpartum haemorrhage IPPH is the first factor of maternal death worldwide, and particularly in emergent countries.

Intravenous fluids, non-pneumatic anti-shock garmentblood transfusionsergotaminetranexamic acid [2] [3]. The Cochrane Database of Systematic Reviews 2: This page was last edited on 21 Octoberat Tranexamic acida clot stabilizing medication, may also be used to reduce bleeding and blood transfusions in low-risk women, [25] however evidence as of was not strong.

Another method of active management which is not recommended now is fundal pressure. The Journal of Reproductive Medicine.

The Cochrane Database of Systematic Reviews 5: