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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Carbetocin compared with oxytocin produced a reduction in women who needed uterine massage and further uterotonic drugs for women having caesarean sections.

Acta Obstetricia et Gynecologica Scandinavica. The Cochrane Database hemofragie Systematic Reviews 3: 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.

Access to the PDF text. Views Read Edit View history. More research is needed to find the cost effectiveness of using carbetocin. American Journal of Obstetrics and Gynecology. The World Health Organization recommends the use of a device called the non-pneumatic anti-shock garment NASG for use in delivery activities outside of a hospital setting, the aim being to improve shock in a mother with obstetrical bleeding long enough to reach a hospital.

Oxytocin is typically used right after the delivery of the baby to prevent PPH. Syntocinon alone lowers the risk of PPH. Other risk factors include obesityfever during pregnancy, bleeding before delivery, and heart disease.


However, there is not enough evidence to suggest that these methods are effective. Protocols to manage postpartum bleeding are recommended to ensure the rapid giving of blood products when partuum. The use of uterotonics for high-risk pregnancies partu not a method in accordance with international healthcare recommendations. The haemorrhage underestimation was globally important.

A non-pneumatic anti-shock garment NASG. 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. Hemorragje method of active management which is not recommended now is fundal pressure.

Postpartum bleeding

A review into this method found no research and advises controlled cord traction because fundal pressure can cause the mother unnecessary pain. The Journal of Obstetrics and Gynaecology Research.

Immediate postpartum haemorrhage, Third phase active management, Togo. Methods used may include uterine artery ligation, ovarian artery ligation, internal iliac artery ligation, selective arterial embolization, B-lynch suture, and hysterectomy.

Loss of lots of blood after childbirthincreased heart ratefeeling faint upon standingincreased breath rate [1] [2]. Causes of postpartum hemorrhage are uterine atonytraumaretained placenta or placental abnormalitiesand coagulopathycommonly referred to as the “four Ts”: More research would be useful in determining the best doses of ergometrine, [16] [ needs update ] and syntocinon.

In the uterus, balloon tamponade can alleviate or stop postpartum hemorrhage. In some countries, such as Japan, methylergometrine and other herbal remedies are given following the delivery of the placenta to prevent severe bleeding more than a day after the birth. Active management of the third stage is a method of shortening the stage between when the baby is born and when the placenta hemorravie delivered.


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. Surgery may be used if medical management fails or in case of cervical lacerations or tear or uterine rupture.

International Journal of Fertility and Women’s Medicine. In the developing world about 1.

Postpartum bleeding – Wikipedia

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. A textbook of postpartum hemorrhage: Intravenous oxytocin is the drug of choice for postpartum hemorrhage. This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo.

This page was last edited on 21 Octoberat The Cochrane Database of Systematic Reviews 5: You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.

Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.