Prise En Charge Des Hmorragies Du TroisiAme Trimestre De La Grossesse Au Centre Hospitalier Et Universitaire De Brazzaville.
Objective: to Identify différent problems encountered in the Management of bleeding the last trimester of pregnancy Methods: This is a retrospective descriptive study over a period of 12 months. This study involved pregnant women with a minimum term of 28 weeks of gestation, with an antepartum haemorrhage of pregnancy. Those with incomplete data, and none obstetric genital bleeding were not included. Results: The frequency was 1.27% of deliveries of 98 patients, 3% had a poor condition upon admission; they consulted for bleeding (57.1%) and / or to the lumbosacral pelvic pain (33.7%); the birthing work was initiated in 47.9% of cases, 63.3% of fetuses were alive at admission. Bleeding causes were placenta previa (56.1%); the retro-placental hematoma (37.5%), uterine rupture (5.1%), and undetermined causes 3%. Blood transfusion was performed in 16.3% of patients; 80.6% received caesarean section; the hystérorraphie was performed in 5.1% of patients. Maternal prognosis was satisfactory in 83.6% of cases; despite a residual anemia in 73.4% of cases and 11% of infectious complications. The fetal prognosis was grim: Prematurity has affected 39.8% of newborns, with 45.9% of low birth weight and 28.7% of stillbirths costs. Conclusion: The Management of the third trimester bleeding is still mixed, if maternal prognosis seems satisfactory, fetal prognosis is uncertain.
