Prévention et prise en charge de l'hémorragie du post-partum au CHU Sylvanus Olympio de Lomé au Togo

Immediate postpartum haemorrhage (IPPH) is the first factor of maternal death worldwide, and particularly in emergent countries. The purpose of this study is to mesure the IPPH disease prevention and care procedures in Togo. This observational study, which was made by a unique investigator, took place in the academic general hospital Sylvanus Olympio of Togo. The prospective collection was based on 300 obstetrical files and six interviews of medical professionals between July 1st and July 19th of 2013. IPPH disease prevention through delivery third phase active management was realised in 95.6% of all the cases studied. The use of uterotonics for high-risk pregnancies is not a method in accordance with international healthcare recommendations. As the literature points out, there is, in the different cases studied, a prevalence of 4.7% of IPPH. The haemorrhage underestimation was globally important. The delivery third phase active management is the only method which is in compliance with healthcare recommendations. The IPPH diagnostics would be improved if a loinclothes weigh-in was realised in all the maternity wards.