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Master Thesis

L'hématome rétro-placentaire : état des lieux au CHU de Grenoble

Abstract : Objectives. Describe the epidemiological, clinical aspects and maternal and fetal immediate outcomes of placental abruption (PA). Materials and methods. Retrospective, observational study of cases of women whose pregnancies were complicated by PA in a level III maternity, between 2007 and 2014. Results. Fifty-two women suffered from PA during the study period, providing a 0,25% incidence. The average age was 30,25 years old, and 40,38% of the women were primiparas. The average gestationnal age of PA was 32 weeks of amenorrhea (WA) and 2,5 days ; 75% PA occured before 37 WA. There were 15,09% of intra-uterine fetal deaths. The most common clinical signs was vaginal bleeding (67,31%), abnormal fetal heart rate (71,05%). The average bleeding volume was 766,67ml, and the transfusion rate was 26,92%. The average birth weight was 1900,40g, and 71,15% of the newborns were males. Conclusion. Placental abruption is a major cause of maternal and fetal morbidity and mortality. Risk factors and complications found are consistent with the litterature, despite varying proportions.
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Submitted on : Thursday, July 28, 2016 - 12:57:01 PM
Last modification on : Wednesday, July 15, 2020 - 9:38:04 AM
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  • HAL Id : dumas-01349693, version 1


Manuéla Granito-Martinez. L'hématome rétro-placentaire : état des lieux au CHU de Grenoble. Gynécologie et obstétrique. 2016. ⟨dumas-01349693⟩



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