Hématome rétroplacentaire

Bohec, Caroline; Collet, M.

doi:10.1016/b978-2-8101-0152-8.00016-x

Cited by 2 publications

(5 citation statements)

References 32 publications

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“…In acute forms, imaging has room only for the detection of cardiac activity or the elimination of placenta previa. It thus finds its place in misleading forms [1]. Our study presented the classic triad of symptoms (vaginal bleeding, uterine hypertonia, absence of BDCF).…”

Section: Diagnostic Aspectsmentioning

confidence: 73%

“…The diagnosis was based on clinical data in 65% of cases. The most common symptom on admission was abnormal fetal heart rate in 77% of cases [1]. These data show the complexity of the clinical forms of placenta abruptio where the diagnosis can only be easy in 1/3 of the cases.…”

Section: Diagnostic Aspectsmentioning

confidence: 84%

“…The placenta abruptio is an acute, paroxysmal accident constituting a real surgical emergency which involves the vital prognosis of the mother and that of the fetus. It is a common condition in our practice, it complicates 0.25% to 0.4% of pregnancies [1]. Thieba et al [2] objectified a prevalence of 9.6 per 1000 deliveries.…”

Section: Problemmentioning

confidence: 96%

“…The therapeutic management should be guided by the severity of the clinical picture, the fetal state in utero, the gestational age at the time of diagnosis, the obstetrical conditions and the time elapsed since the installation of the placenta abruptio. Hysterotomy remains the primary route of delivery [1].…”

Section: Supportmentioning

confidence: 99%

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SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Minko,

Komba,

Obiang

et al. 2023

OJOG

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The placenta abruptio is an extremely serious pathology which involves the maternal-fetal prognosis. We report the case of a 19-year-old patient who consulted for abdominopelvic pain associated with heavy vaginal bleeding on 19SA in a context of arterial hypertension. The symptomatology suddenly worsened with the onset of hemorrhagic shock, which prompted an emergency hysterotomy. The diagnosis of placenta abruptio grade III b of SHER was evoked. Uterine atony was objectified intraoperatively and uterine compression by the B-Lynch technique was performed. The evolution of the patient was favorable after a stay of 5 days in intensive care.

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Section: Diagnostic Aspectsmentioning

confidence: 73%

Section: Diagnostic Aspectsmentioning

confidence: 84%

Section: Problemmentioning

confidence: 96%

Section: Supportmentioning

confidence: 99%

See 2 more Smart Citations

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Minko,

Komba,

Obiang

et al. 2023

OJOG

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“…RPH, and placental insertion anomalies, are the two main etiologies of bleeding in the third trimester of pregnancy [2] [3]. RPH is a major cause of perinatal mortality and morbidity [4].…”

Section: Introductionmentioning

confidence: 99%

Materno-Fetal Prognosis of Retro-Placental Hematoma at the Centre Hospitalier Universitaire Communautaire

Ngbale¹,

Kogboma-Wongo²,

Koirokpi³

et al. 2020

OJOG

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Introduction: The majority of pregnancies and births go off without incident even though they all present risks. Retro-placental hematoma (RPH) is an extreme obstetric emergency. The aim of our study was to assess the maternal-fetal prognosis of this pathology in our patients. Patients and Methods: This is a retrospective descriptive and analytical study over 5 years ranging from the period from January 1st, 2015 to December 31st, 2019. The study's population consisted of pregnant women, in the 3rd trimester, who were presented with the retro-placental hematoma during the pregnancy or childbirth and taken care of in the maternity ward of the Centre Hospitalier Universitaire Communautaire. Results: During our study period, we recorded 87 cases of retro-placental hematoma, and 40,763 deliveries. The frequency of retro-placental hematoma was 0.21% at delivery. The average maternal age was 26.4 years with extremes of 16 and 40 years. The parity's average was 3.8 with extremes of 1 and 13. The mean gestational age at the time of the onset of the accident was 35.9 amenorrhea weeks (AW) with extremes of 28 and 40 AW. We performed 4 cases of hysterectomy (4.5%). We recorded 8 maternal deaths (9.2%) and 60 newborn deaths (69%). The causes of maternal death were dominated by afibrinogenemia 62.5%, followed by renal failure in 25%. Conclusion: Retro-placental hematoma is a serious pathology during the pregnancy.

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Hématome rétroplacentaire

Cited by 2 publications

References 32 publications

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

SHER Grade IIIb Placenta Abruptio Complicating Severe Superimposed Pre-Eclampsia at 19 WA: A Case Report

Materno-Fetal Prognosis of Retro-Placental Hematoma at the Centre Hospitalier Universitaire Communautaire

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