Identification des facteurs de risque de complications maternelles et fœtales chez des patientes atteintes de syndrome drépanocytaire majeur : à propos de 198 cas
Résumé
Identification of risk factors for maternal and fetal complications in women with major sickle cell syndromes: review of 198 cases
Pregnancy in women with major sickle cell syndromes is marked by an increased risk of maternal and fetal complications. The aim of our study was to identify possible risk factors for these complications. For this purpose we performed a retrospective study involving 198 cases. We were interested in medical history of these patients and at their hemoglobin levels during pregnancy in order to search a link between these criteria and the occurrence of complications during pregnancy. Our outcomes showed that there is a significant impact of medical history on the occurrence of complications during pregnancy, and also of a hemoglobin level below 8 gr/dl during pregnancy. These results could contribute to preventive and early care in order to reduce morbidity and mortality rates in this population.
Pregnancy in women with major sickle cell syndromes is marked by an increased risk of maternal and fetal complications. The aim of our study was to identify possible risk factors for these complications. For this purpose we performed a retrospective study involving 198 cases. We were interested in medical history of these patients and at their hemoglobin levels during pregnancy in order to search a link between these criteria and the occurrence of complications during pregnancy. Our outcomes showed that there is a significant impact of medical history on the occurrence of complications during pregnancy, and also of a hemoglobin level below 8 gr/dl during pregnancy. These results could contribute to preventive and early care in order to reduce morbidity and mortality rates in this population.
La grossesse des femmes atteintes de syndrome drépanocytaire majeur est marquée par un haut risque de complications maternelles et fœtales. L'objectif de notre étude était d'identifier d'éventuels facteurs de risques de ces complications. Pour cela nous avons donc effectués une étude rétrospective portant sur 198 dossiers. Nous nous sommes intéressés aux antécédents de ces patientes, et à leur taux d'hémoglobine pendant la grossesse, afin de rechercher un lien entre ces critères et la survenue de complications pendant la grossesse. Nos résultats ont montré qu'il y a un impact significatif des antécédents sur la survenue de complications pendant la grossesse, ainsi que d'un taux d'hémoglobine inférieur à 8 gr/dl pendant la grossesse. Ces résultats pourraient contribuer à une prise en charge préventive précoce de ces patientes dans le but de diminuer le taux de morbidité et de mortalité chez ces patientes.
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