Department of Public Health, Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger.
Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger.
BMC Pregnancy Childbirth. 2024 Nov 6;24(1):724. doi: 10.1186/s12884-024-06927-9.
Retroplacental hematoma is a paroxysmal accident that threatens maternal and fetal prognosis. It is a major emergency in obstetric pathology. The objective of this study was to identify the factors associated with retroplacental hematomas at the Maradi Mother and Child Health Center in 2022.
This was a case‒control cross-sectional analytical study that used patient records for the year 2022 from September 20 to October 20, 2023. The presence of a retropl placental hematoma was the outcome variable and was measured by a case (yes) or control (no) response. The exposure variables included sociodemographic characteristics, obstetric characteristics, care, progression of patients and neonatal characteristics. Pearson's chi-square tests at the 5% significance level were used to analyze differences between categorical variables. All variables that had a bilateral p value < 0.05 in the bivariate analysis were introduced into the binary logistic regression model to identify factors associated with retroplacental hematoma.
A total of 246 cases of retroplacental hematoma were recorded out of 4731 deliveries recorded during the study period, for an estimated frequency of 5.20%. The mean age of the patients was 29.41 ± 6.94 years. Factors associated with retroplacental hematoma included multiple parity [adjusted odds ratio (ORA): 0.38, 95% confidence interval (CI) (0.24-0.61)], fewer than 4 antenatal visits [AOR: 10.70, 95% CI (1.14-99.74)], blood transfusion [AOR: 2.01, 95% CI (1.11-3.60)], a newborn birth weight less than 2500 g [AOR: 1.92, 95% CI (1.53-2.42)] and fetal mortality in utero [AOR: 13.20, 95% CI (1.86-93.70)].
This study identified the factors associated with retroplacental hematoma. Prevention requires regular, high-quality prenatal care. Early diagnosis and cesarean section improve maternal-fetal prognosis.
Not applicable.
胎盘后血肿是一种威胁母婴预后的突发事故。它是产科病理学中的一个主要急症。本研究的目的是确定 2022 年马里迪母婴保健中心胎盘后血肿的相关因素。
这是一项病例对照的横断面分析研究，使用了 2023 年 9 月 20 日至 10 月 20 日的 2022 年患者记录。胎盘后血肿的存在是结局变量，通过病例（是）或对照（否）反应来衡量。暴露变量包括社会人口统计学特征、产科特征、护理、患者进展和新生儿特征。使用双侧 p 值<0.05 的 Pearson 卡方检验分析分类变量之间的差异。在双变量分析中双侧 p 值<0.05 的所有变量均被引入二项逻辑回归模型，以确定与胎盘后血肿相关的因素。
在研究期间记录的 4731 次分娩中，共记录了 246 例胎盘后血肿，估计发生率为 5.20%。患者的平均年龄为 29.41±6.94 岁。与胎盘后血肿相关的因素包括多胎产次[调整后的优势比（OR）：0.38，95%置信区间（CI）（0.24-0.61)]、少于 4 次产前检查[AOR：10.70，95%CI（1.14-99.74)]、输血[AOR：2.01，95%CI（1.11-3.60)]、新生儿出生体重<2500g[AOR：1.92，95%CI（1.53-2.42)]和胎儿宫内死亡[AOR：13.20，95%CI（1.86-93.70)]。
本研究确定了与胎盘后血肿相关的因素。预防需要定期、高质量的产前保健。早期诊断和剖宫产可以改善母婴预后。
不适用。
