Birindwa Etienne Kajibwami, Sindayirwanya Jean-Baptiste, Harerimana Salvatore
Université Catholique de Bukavu, Bugabo 02, Avenue de la Mission, Commune de Kadutu Bukavu, République Démocratique du Congo.
Université du Burundi, Avenue de l'Unesco numéro 2, BP 1550 Bujumbura, Burundi.
Pan Afr Med J. 2020 Apr 9;35:111. doi: 10.11604/pamj.2020.35.111.20413. eCollection 2020.
The purpose of this study is to evaluate the post-discharge prognosis of pregnant women with vaginal bleeding during the first trimester, admitted to the Emergency Maternity at the Kamenge University Hospital (CHUK), according to patients age, amount of bleeding and ultrasound results. We conducted a retrospective descriptive and analytical study of 239 medical records of patients hospitalized over a period of six years from January 2012 to December 2017. In this study, the prognosis of pregnant women with first-trimester metrorrhagia hospitalized at the CHUK was bad; the majority of them (65.7%) had miscarriage. Amount of bleeding, maternal age below 20 years, or well above or equal to 35 years, were significant risk factors but much more ultrasound detection of trophoblastic detachment. It would be interesting to perform a prospective study to detect the causes of these metrorrhagias and to determine late pregnancy complications.
本研究的目的是根据患者年龄、出血量和超声检查结果，评估在卡门格大学医院（CHUK）急诊产科收治的孕早期阴道出血孕妇出院后的预后情况。我们对2012年1月至2017年12月期间六年内住院的239例患者的病历进行了回顾性描述性和分析性研究。在本研究中，在CHUK住院的孕早期子宫出血孕妇的预后较差；其中大多数（65.7%）发生了流产。出血量、20岁以下或远高于或等于35岁的产妇年龄是显著的危险因素，但更重要的是超声检测到滋养层分离。进行前瞻性研究以检测这些子宫出血的原因并确定晚期妊娠并发症将是很有意义的。
