Ecra A Touré, Horo A, Fanny M, Ouattara H, Adjoussou S, Koné M
Centre hospitalier universitaire de Yopougon BP 816 Abidjan 08, Côte d'Ivoire.
Bull Soc Pathol Exot. 2008 Feb;101(1):43-6.
Haemorrhage of placenta birth is one of the main reasons of maternal mortality in developing countries. The control of this third stage of delivery remains one of the means to stem the scourge. This survey shows that controlled placenta birth is a safe mean to reach this objective: 200 women who had normal vaginal deliveries at the Abobo North hospital were included in the survey. Among them, one hundred women had a controlled placenta birth whereas 100 had a normal one. The analysis of the results showed that: the haemorrhage rates during placenta birth slightly decrease in the group with controlled placenta birth and are clearly lower in the group of patients with risks factors of haemorrhage in 10% of the cases; the delay of placenta birth is twice shorter in the group having a controlled placenta birth than in the group with normal placenta birth; blood loss in the group with controlled placenta birth is three times less important than in the other group. This study speaks in favour of a systematic controlled placenta birth during the third stage of labour as it is already performed elsewhere.
胎盘娩出时出血是发展中国家孕产妇死亡的主要原因之一。控制分娩第三产程仍然是遏制这一灾祸的手段之一。这项调查表明，控制性胎盘娩出是实现这一目标的一种安全方法：阿博博北区医院200名经阴道正常分娩的妇女被纳入调查。其中，100名妇女进行了控制性胎盘娩出，而100名进行了正常胎盘娩出。结果分析表明：控制性胎盘娩出组胎盘娩出时的出血率略有下降，在10%的有出血危险因素的患者组中明显更低；控制性胎盘娩出组的胎盘娩出延迟时间比正常胎盘娩出组短两倍；控制性胎盘娩出组的失血量比另一组少三倍。这项研究支持在产程第三阶段进行系统性的控制性胎盘娩出，就像在其他地方已经实施的那样。
