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Abstract

Objectives To study maternal morbidity related to abruptiio placentae (HRP) and its management during delivery. Methodology It was a retrospective study held during one year in the Obstetrics and Gynecology Clinic at the University Teaching Hospital le Dantec of Dakar. From the 69 records of patients who had been faced abruptio placentae, the sociodemograhical and clinical characteristics were studied as well as the treatment applied Results The mean age of the patients was 28.82_+ 6.63 years and the mean parity was 4 _+3 children. At all, 59.4% of the patients were received in emergency care coming from the suburbs and 28.8% had done 3 prenatal consultations. Hypertension prior to pregnancy was seen in 17.1% cases and 20% of the patients presented toxemia. Caesarean section was performed in 11.6% and 88.4% of the patients had vagina delivery. Maternal morbidity was mainly related to haemorrhage and anaemia in 83.3%. Blood transfusion was performed in 56.62%. One hysterectomy due to haemorrhage was done and one patient had hemodialyse for kidney weakness. Lethality linked to abruptiio placentae was 8 maternal deaths leading to o proportion of 11.5%. The leading causes of death were haemorrhage (5 cases) and coagulopathy (3 cases). Conclusion Abruptio placentae is an obstetrical pathology which compromises maternal and foetal prognosis. Appropriate therapies of which caesarean section even if foetal death is diagnosed could improve the prognosis.