Results of the management of retroplacental hematoma at urban health center of Yopougon Ouassakara

Abstract

Introduction: Retroplacental hematoma is a sudden obstetric emergency that threatens both maternal and fetal prognosis. It is a major emergency in obstetric pathology. The objective of this study was to present the outcomes of the management of retroplacental hematoma in our department. Materials and Methods: This was a cross-sectional descriptive study conducted in the obstetrics and gynecology department of the Yopougon-Ouassakara health facility. It utilized the medical records of patients managed for retroplacental hematoma from January 2023 to December 2024.  Results: The frequency of retroplacental hematoma was 11.67 per 1000 deliveries, or 1.16%. The average age of the patients was 26.98 years, ranging from 17 to 45 years. Most patients were primiparous. SHER grade IIIa was the most frequent in our study. Cesarean section was the most common mode of delivery, 
often associated with hypogastric artery ligation. Maternal anemia and perinatal mortality were the most frequently observed maternal and neonatal complications in our study.  Conclusion: This study highlighted the outcomes of the management of patients with retroplacental hematoma. Cesarean section was the most commonly used mode of delivery, often accompanied by 
hypogastric artery ligation.