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Hystérectomies Obstétricales d’Urgence pour Rupture Utérine au CHU Point G (Bamako) : Expérience de 10 Ans
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kanté, Ibrahim Traoré, Mamadou Sima, Mamadou Coulibaly, Abderhamane Cherif Théra, Tiounkani Daou, Saada Zouhair Kouma, Aminata Fané, Seydou Om, Traoré Traoré, Youssouf |
| Copyright Year | 2020 |
| Abstract | ABSTRACT Aim. To describe the epidemio-clinical, therapeutic and prognostic aspects of emergency hysterectomies for uterine rupture in Bamako. Patients and methods. Our study took place in the obstetrical department of CHU point G. It was a cross-sectional study from 01/01/2007 to 12/31/2016. All the patients who underwent hemostasis hysterectomy for uterine rupture during this period were included. Data analysis and processing was done with Word 2013 and SPSS 12.0 software. Results. We had 16,033 admissions during our study period, and performed 64 cases of hysterectomies (0.4%). 42 operations (65.6%) were performed in 2017. There was no medical transport service in 89.1% of cases. The contraceptive rate was low (15.6%). The main contributory factors were an inter-reproductive interval less than two years: (59.4%) and inadequate antenatal care (56.2%). The direct cause of uterine rupture was incorrect use of ocytocin in 100% of cases. In nearly all cases, uterine rupture was complete (98.4%). Total hysterectomy performed was done in 56.3% of cases. Blood transfusion was done in 12.5% of cases. There was statistically significant relation between inter-reproductive interval, fetal presentations, misuse of oxytocics and site of uterine rupture. Conclusion. Hemostasis hysterectomy is common in our department. There is a need of reorganization of obstetrical services. RESUME But. Decrire les aspects epidemio-cliniques, therapeutiques et pronostiques des hysterectomies d'urgence pour rupture uterine dans a Bamako. Patientes et Methodes. Notre etude s'est deroulee dans ledit service. C'etait une etude transversale du 01er /1/ 2007 au 31/12/ 2016. Toutes les patientes qui ont subi une hysterectomie d'hemostase pour rupture uterine durant cette periode etait dans notre etude. L'analyse et le traitement des donnees ont ete faits avec les logiciels Word 2013 et SPSS 12.0. Le test utilise : Khi2 et P : 0,05. Resultats. Nous avons eu 16033 admissions pendant notre etude, et realise 64 cas d'hysterectomies : 0,4%. 65,6% ont ete realisees en 2017. Le transport etait non medicalise dans 89,1% des cas. Le taux de contraception etait faible (15,6%). Les facteurs principaux favorisants etaient l'intervalle inter-genesique inferieur a 2 ans (59,4%) et les consultations prenatales de mauvaise qualite (56,2%). La cause directe de la rupture uterine etait l'utilisation incorrecte de l'ocytocique dans 100% des cas. Presque toutes les ruptures uterines etaient completes (98,4%). L'hysterectomie totale realisee a ete effectuee dans 56,3% des cas. Seulement 12,5% des patientes ont ete transfusees. Il existait une relation statistiquement significatve entre l'intervalle inter genesique, les presentations des fœtus, l'utilisation abusive d'ocytocique et le siege de la rupture uterine. Conclusion. L'hysterectomie d'hemostase est frequente dans notre service d'ou la necessite d'une reorganisation des soins obstetricaux. |
| File Format | PDF HTM / HTML |
| Volume Number | 21 |
| Alternate Webpage(s) | http://www.hsd-fmsb.org/index.php/hsd/article/download/1837/pdf_878 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
