Management of Acute Postpartum Hemorrhage in Senegal

In Senegal, maternal mortality is 222.9 per 100,000 live births. Acute postpartum hemorrhage (PPH) complicates 3.1 % of all births, 44.2 % of direct causes of maternal deaths, and 33.6 % of all maternal deaths. Major causes include uterine atony, trauma, coagulation disorders, and total or partial retention of the placenta. A newer technique to address acute postpartum hemorrhage is the use of the condom balloon catheter. In Senegal, prevention means following the World Health Organization (WHO) recommendation of active management of the third stage of labor for all women in labor. This practice necessitates close collaboration of a multidisciplinary team comprising obstetricians, midwives, anesthetists, radiologists, and biologists. Obstetric care should be conducted simultaneously with resuscitation.