In Gabon, the proportion of maternal deaths directly related to Primary PostPartum Haemorrhage (PPPH) is 15 to 25%, despite the different means that the World Health Organization has made available to the providers of Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was to determine the prevalence and epidemiological characteristics of Primary PostPartum Haemorrhage to improve its management and reduce the rate of maternal deaths. An analytical retrospective study involved 42,728 records, whose data were collected using a chart collection form on the basis of information contained in partograms and other patient records. Sociodemographic variables were expressed using percentage. The relationship between the etiologies of PPPH and certain characteristics of the women was established using the ORs with their 95% confidence intervals. The difference was significant if p < 0.05. The prevalence of PPPH was 1.6%. Delivery haemorrhages accounted for 65.5% of PPPH. The main factors associated with delivery haemorrhages were pauci parity and multiparity (p = 0.003 and 0.051), post-term (p = 0.042), and birth weight >4,000 g (p = 0.006). Those associated with genital tract injuries were young maternal age (p = 0.008) and multiparity (p = 0.028). The most common etiology was haemorrhage from delivery. Multiparity remains the most common risk factor and the young age of the patients. It is important to improve management through better assessment of blood loss in the primary postpartum period as well as capacity building of health providers on EmONC.

中文翻译：

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利伯维尔大学医院中心的原发性产后出血：女性的流行病学特征。

在加蓬，与原发性产后出血 (PPPH) 直接相关的孕产妇死亡比例为 15% 至 25%，尽管世界卫生组织已向产科和新生儿紧急护理 (EmONC) 的提供者提供了不同的方法。本研究的目的是确定原发性产后出血的患病率和流行病学特征，以改善其管理并降低孕产妇死亡率。一项分析性回顾性研究涉及 42,728 条记录，其数据是根据产程图和其他患者记录中包含的信息使用图表收集表收集的。社会人口学变量用百分比表示。使用具有 95% 置信区间的 OR 建立 PPPH 病因与女性某些特征之间的关系。如果 p < 0.05，则差异是显着的。PPPH 的患病率为 1.6%。分娩出血占 PPPH 的 65.5%。与分娩出血相关的主要因素是少胎次和多胎次 (p = 0.003 和 0.051)、过期 (p = 0.042) 和出生体重 >4,000 g (p = 0.006)。与生殖道损伤相关的是年轻产妇 (p = 0.008) 和多产 (p = 0.028)。最常见的病因是分娩时出血。多产仍然是最常见的危险因素和患者的年轻年龄。