Immediate Postpartum Hemorrhage at the Regional Hospital Center (CHR) of Yamoussoukro: Retrospective Studies of Epidemio-Clinical, Therapeutic and Prognostic Aspects about 194 Cases Collected from 2019-2022

Objective: To study the epidemio-clinical, therapeutic and prognostic aspects of immediate postpartum hemorrhage in the gynecology-obstetrics department of the Yamoussoukro CHR. Patients and method: this was a case-control study conducted in the gynecology and obstetrics department of the Yamoussoukro CHR running from January 2019 to December 2022. The study involved 582 deliveries, of which 388 had a normal delivery and 194 cases presented with HPPI in the department and recruited immediately after 2 normal deliveries serving as controls. We determined risk factors, causes of hemorrhage, treatment and maternal prognosis. Results: The prevalence of IPH was 1.22% of deliveries. The most common age group was [20 - 34 years], with 70.10% of cases versus 71.13% of controls. The rate of pupils/students who had HPPI was 14.95 vs. 9.54 among controls. 15.46% of HPPI patients vs. 9.02% of controls came from another health facility. The main causes were uterine atony (75.26%) and retained placenta (66.49%). The transfusion rate was 31.96% in cases vs. 1.03% in controls. Uterine revision was performed in 96.39% of cases vs. 14.95% of controls. The frequency of hysterorrhaphy was 39.53%. The case fatality rate was 11.34%. Conclusion: HPPI remains a real public health problem. Preventing PPH involves controlling risk factors and monitoring pregnancy, delivery and the postpartum period.