- Academic Editor
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Background: Postpartum hemorrhage (PPH) is the most common cause of
maternal mortality in low-and middle-incomes countries (LMICs). It is treated
surgically when first line treatments fail. The goal of the sutdy is to report
the results of surgical management of PPH at a University Hospital in the Capital
of Côte d’Ivoire from 2015–2017. Methods: This was a retrospective
study of all cases of PPH surgically managed at the university hospital of Cocody
over two years. We did not include cases of maternal soft tissue injuries such as
cervical, vaginal, vulvar and perineal lacerations. We studied the
sociodemographic characteristics, surgical method performed and outcome of 54
cases who were operated on for PPH. Surgical management was either Radical
Uterine Surgery (RUS): postpartum hysterectomy or Conservatice Uterine Surgery
(CUS): hysterography, tsirulnikov triple ligation and bilateral hypogastric
artery ligation (BHAL). No embolization was performed because it is not available
in our country. Data were analyzed using Stata 13.1 software 2013, StataCorp,
College Station-Texas, USA. Results: Of 23,730 deliveries there were 971
cases of PPH (4.1%) 54 of which (5.6% of PPH cases) were managed surgically. Of
these, 34 were after cesarean and 20 after vaginal delivery. The mean age was 30
years and the mean parity was 3. Referred patients after PPH comprised 75.9% of
cases. The average time elapsed from delivery to postpartum surgery was 133
minutes