Audit of Management of Immediate Postpartum Hemorrhages in Parakou (Benin)

Abstract

Objective: Identify dysfunctions in the management of IPPHs. Methods: It was an operational research of clinical audit type based on criteria. For each IPPH case, criteria had been broken down into 41 key actions necessary for its management. We considered as dysfunction, any action identified as not meeting 85% of the criteria. Results: The frequency of IPPHs in the unit was 8.07%. The average score of dysfunction was 9 for the management of an IPPH. Dysfunctions were registered at all stages of care. Referrals, emergency and hospitalization were the most affected by dysfunctions. Lack of material resources, drugs and blood contributed to extend the time of initiation of etiological treatment. Conclusion: The analysis of the actions implemented during the process of management of immediate postpartum haemorrhages (IPPHs) helps identify the levers that should be operated to improve the quality of services. The correction of those dysfunctions could help reduce maternal mortality in the medical unit.