Evidence map›Paper›PMID 39506659›Full record

ArticleBMC pregnancy and childbirth2024

Determinants of retroplacental hematoma at the Maradi mother and child health center, Niger: a case‒control study.

Zaratou Ali, Balkissa Issoufou Harouna, Habibatou Idé Amadou, Adamou Sayo Djibo

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Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zaratou AliDepartment of Public Health, Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger. zarata_ali2@yahoo.fr.
Balkissa Issoufou HarounaFaculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger.
Habibatou Idé AmadouMedical and Health Research Center, Niamey, Niger.
Adamou Sayo DjiboDepartment of Public Health, Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRetroplacental 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.

methodsThis 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.

resultsA 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)].

conclusionThis study identified the factors associated with retroplacental hematoma. Prevention requires regular, high-quality prenatal care. Early diagnosis and cesarean section improve maternal-fetal prognosis. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

HematomaPlacenta DiseasesAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansInfant, NewbornNigerParityPregnancyRisk FactorsYoung AdultDeterminantsMaradiNigerRetroplacental hematoma

Identifiers

PMID39506659
PMCPMC11542216

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.