Cesarean Delivery in Case of Retroplacental Hematoma in a Reference Health Center in Bamako, Mali

Introduction: Retroplacental hematoma is a significant cause of maternal death in developing countries. The objective of this study was to study the retroplacental hematoma at the reference health center (CSRef) of commune V of the district of Bamako. Patients and Method: This was a cross-sectional study conducted at the gynaecological and obstetrics department of the CSRéf of commune V in the district of Bamako. It involved 117 cases of retroplacental hematoma. Data entry and analysis were carried out on the Epi info software version 6.2. Results: Our study found that the frequency of retroplacental hematoma was 1.44%. The preferred age was 20 to 34 years (76.3%). Large multiparous women were the most affected (38.1%) and 6.2% of patients had a history of HRP. Caesarean section was the most commonly used route of delivery (82.9%) and the fetal prognosis was very poor (64% of fresh stillbirths). Postoperative complications were dominated by anaemia (81.4%). Conclusion: Retroplacental hematoma is a worrying pathology because of its maternal and perinatal morbidity and mortality.