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.

Author: Mezirr Ketaur
Country: Moldova, Republic of
Language: English (Spanish)
Genre: Life
Published (Last): 2 May 2007
Pages: 431
PDF File Size: 18.60 Mb
ePub File Size: 16.84 Mb
ISBN: 944-6-97835-891-7
Downloads: 5277
Price: Free* [*Free Regsitration Required]
Uploader: Goltiran

The use of uterotonics for high-risk pregnancies is not a method in accordance with international healthcare recommendations. Signs and symptoms may initially include: The Cochrane Database of Systematic Reviews 2: The Cochrane Database of Systematic Reviews 1: Personal posr regarding our website’s visitors, including their identity, is confidential. The Journal of Reproductive Medicine. Oxytocin helps the uterus to contract quickly and the contractions to last for longer.

The Cochrane Database of Systematic Reviews 5: The Cochrane Database of Systematic Reviews 8: In the developing world about 1.

In other projects Wikimedia Commons. D ICD – 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. Access to the PDF text. A Cochrane review suggests that patum management use of uterotonic drugs, cord clamping and controlled cord traction during the third stage of labour reduces severe bleeding and anemia. 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.

More research is needed to find the cost effectiveness of using carbetocin.

Postpartum bleeding – Wikipedia

As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data. 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.


Another method of active management which is not recommended now is fundal pressure. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy. Protocols to manage postpartum bleeding are recommended to ensure the rapid giving of blood products when needed.

The IPPH diagnostics would be improved if a loinclothes weigh-in was realised in all the maternity wards. This page was last edited on 21 Octoberat A non-pneumatic anti-shock garment NASG.

Archived from the original on American Journal of Obstetrics and Gynecology. The delivery third phase active management is the only method which is in compliance with healthcare recommendations. In some countries, such as Japan, methylergometrine and other herbal remedies are given following the hemlrragie of the placenta to prevent severe bleeding more than a day after the birth.

This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. Intravenous fluids, non-pneumatic anti-shock garmentblood transfusionsergotaminetranexamic acid [2] [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.

More research is needed to answer this question.

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

Poor contraction of the uterusnot all the placenta removedtear of the uteruspoor blood clotting [2]. More research would be useful in determining the best doses of ergometrine, [16] [ needs update ] and syntocinon. Gestational thrombocytopenia Pregnancy-induced hypercoagulability. Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.


Views Read Edit View history. The Cochrane Database of Systematic Reviews 3: Uterine massage is a simple first line treatment as it helps the uterus to contract to reduce bleeding.

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. Digestive system Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy.

Complications of labour and delivery. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. IPPH disease prevention through delivery third phase active management was realised in Other risk factors include obesityfever during pregnancy, bleeding before delivery, and heart pkst.

Surgery may be used if medical management fails or oartum case of cervical lacerations or tear or uterine rupture. Contact Help Who are we? The Cochrane Database of Systematic Reviews 4: However, there is not enough evidence to suggest that these methods are effective.

Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine partuj Uterine rupture Vasa praevia.

Postpartum bleeding

The Cochrane Database of Systematic Reviews 9: Immediate postpartum haemorrhage, Third phase active management, Togo. Oxytocin is typically used right after the delivery of the baby to prevent PPH. 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. From Wikipedia, the free encyclopedia.