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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In the developing world about 1. A non-pneumatic anti-shock garment NASG. Protocols to manage postpartum bleeding are recommended to ensure the rapid giving of blood products when needed. Giving oxytocin partm a solution of saline into the umbilical vein is a method of administering the drugs directly to the placental bed and uterus.

Archived from the original on Oxytocin is typically used right after the delivery of the baby to prevent PPH.

This page was last edited on 21 Octoberat Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Danforth’s obstetrics and gynecology 10th ed. The Cochrane Database of Systematic Reviews 8: 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.

Intravenous oxytocin is the drug of choice for postpartum hemorrhage. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties. Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Uterine massage is a simple first line treatment as it helps the uterus to contract to reduce bleeding.


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.

The IPPH diagnostics would be improved if a loinclothes weigh-in was realised in all the maternity wards. Carbetocin compared with oxytocin produced a reduction in women who needed uterine massage and further uterotonic drugs for women having caesarean sections.

Postpartum bleeding

Methods used may include uterine artery ligation, ovarian artery ligation, internal iliac artery ligation, selective arterial embolization, B-lynch suture, and hysterectomy. More research is needed to answer this question. By using this site, you agree to the Terms of Use and Privacy Policy. 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. A Cochrane review suggests that active management use of uterotonic drugs, cord clamping and controlled cord traction during the third stage of labour reduces severe bleeding and anemia.

Causes of postpartum hemorrhage are uterine atonytraumaretained placenta or placental abnormalitiesand coagulopathycommonly referred to as the “four Ts”: Intravenous fluids, non-pneumatic anti-shock garmentblood transfusionsergotaminetranexamic acid [2] [3].

However, there is not enough evidence to suggest that these methods are effective. International Journal of Fertility and Women’s Medicine.

If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Loss of lots of blood after childbirthincreased heart ratefeeling faint upon standingincreased breath rate [1] [2]. In other projects Wikimedia Commons. Pathology of pregnancychildbirth and the puerperium O— Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.

Methods of measuring blood loss associated with childbirth vary, complicating comparison of prevalence rates.


Breastfeeding difficulties Low milk supply Cracked nipples Breast engorgement Childbirth-related posttraumatic stress disorder Diastasis symphysis pubis Postpartum bleeding Peripartum cardiomyopathy Postpartum depression Postpartum psychosis Postpartum thyroiditis Puerperal fever Puerperal mastitis.

D ICD – The Journal of Obstetrics and Gynaecology Research.

Postpartum bleeding – Wikipedia

Poor contraction of the uterusnot all the placenta removedtear of the uteruspoor blood clotting [2]. Oxytocin helps the uterus to contract quickly and the contractions to last for longer. The difficulty using oxytocin is that 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.

Top of the page – Article Hemorrragie. A textbook of postpartum hemorrhage: The haemorrhage underestimation was globally important. Complications of labour and delivery. This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo.

Prospective evaluation of effectiveness”. 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.

Access to the PDF text. American Journal of Obstetrics and Gynecology. Gestational thrombocytopenia Pregnancy-induced hypercoagulability. In the uterus, balloon tamponade can alleviate or stop postpartum hemorrhage.

American Society of Hematology.

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. A review into this method partkm no research and advises controlled cord traction because fundal pressure can cause the mother unnecessary pain.