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Research Article | Volume-2 Issue-4 (Jul-Aug, 2024) | Published: 24 Jul, 2024
Influence of Seasonality on the Frequency and Prognosis of Retroplacentary Hematoma at the Gabriel Touré University Hospital in Bamako (Mali)
Sylla Cheickna, Bocoum Amadou, Sanogo Siaka Amara, Koné Jéan Paul, Fané Seydou, Adiawiakoye Adane, Séma Kéita, Kanté Ibrahim, Tégueté Ibrahima, Traoré Youssouf
Abstract

This was a cross-sectional, retrospective study on the influence of seasonality on the frequency and prognosis of HRP at the Gabriel Touré University Hospital from January 1, 2020 to December 31, 2022, i.e. a duration of 3 years. This study allowed us to identify over a period of 3 years, 595 cases of HRP out of a total of 9447 deliveries, i.e. a frequency of 6.2%, with an increase in cases of HRP during the rainy season to 43.02%. The main reason for admission was metrorrhagia/pregnancy 83.03%. We found at the end of our study that the rainy season is a risk factor for the occurrence of HRP with a frequency of 43.02% during the rainy season, followed by the hot season at 30.25% and the cold season at 26.72%. Sher's HRP grade IIIA was the most diagnosed type at 76.63% and especially during the rainy season, with more complications of anemia and hemorrhagic shock at 73.61% and 14.96%. Caesarean section was performed in 80.2% of cases. We recorded 42 HRP-related maternal deaths or 7.05%, with a higher number during the rainy season at 59.52%. The fetal prognosis was poor with 89.06% fetal mortality. Retroplacental hematoma is a relatively common obstetric pathology. The rainy season would have an impact on its occurrence, but also on the maternal and fetal prognosis in our context.

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