Mortality of Immediate Postpartum Hemorrahges in the University Clinic of Anesthesia and Intensive Care at the National University Hospital Hubert Koutoukou Maga (CNHU-HKM) of Cotonou-Benin

Author(s): Hounkpè Pierre Claver, Aboukari Baoua Mahamadou, Houénon Martin Semevo, Oke Luc, Chobli Martin

Introduction

Obstetric hemorrhage remains the leading cause of maternal mortality worldwide, both in developed and resource-limited developing countries. The aim of this study was to determine the etiologies of immediate postpartum hemorrhages in relation to the mortality.

Materials and methods

This was a descriptive and analytical retrospective study on immediate postpartum hemorrhage (PPH) in the intensive care unit of the National University Hospital Hubert Koutoukou Maga(CNHU-HKM) of Cotonou.

Results

A total of 37 cases of immediate PPH were collected during the study period. The mean age of the patients was 25 years with a predominance of the age group of 20-30 years. The main etiologies were uterine atony, coagulopathy, soft tissue tears, uterine rupture and placental retention. Mortality was heavy at 37.87%.

Conclusion

The development and implementation of an adequate management protocol will significantly reduce this mortality.