title: [Evaluation of the respect of the clinical practice guidelines in maternal transfer for postpartum haemorrhage in 2011: about 84 cases].
abstract: OBJECTIVE
  Guidelines for the management of post-partum haemorrhage (PPH) were defined by the "Collège National des Gynécologues Obstétriciens Français (CNGOF)" since 2004. The aim of this work was to assess whether the management of PPH before and during the transfer was in accordance with national recommendations.
  
  
  METHODS
  This is an observational monocentric prospective study concerning 84 patients transferred for PPH in a referent centre in 2011.
  
  
  RESULTS
  In 62 cases (73.8%), transfusionnal files were found. Time noted PPH for 60 (71.4%) and amount of blood loss in 55 cases (65.5%) were notified. Evacuation of retained placenta was always performed; the broad-spectrum antibiotic prophylaxis covered only 21 cases of intra uterine procedures. Less than 5% of the patients received intravenous sulprostone before the transfer; 72.6% (n=61) of the patients were transfused before transfer 25% of the patients (n=21) had a very high risk of PPH in ante partum and were not addressed to a centre with appropriate medical and technical facilities.
  
  
  CONCLUSIONS
  Thus improvement can be made in the communication between the health care centre during transfer for PPH and the ante partum transfer of patients with high risk of PPH.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France. Electronic address: aude.ricbourg@lrb.aphp.fr.
authors.forename: A
authors.initials: A
authors.lastname: Ricbourg
authors.affiliation: Service de gynécologie-obstétrique, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Frimigacci
authors.affiliation: Département d'anesthésie-réanimation, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Rossignol
authors.affiliation: Département d'anesthésie-réanimation, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Mebazaa
authors.affiliation: Service de gynécologie-obstétrique, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Barranger
mesh_terms: D000328:Adult; D019072:Antibiotic Prophylaxis; D001803:Blood Transfusion; D015232:Dinoprostone / Q000008:administration & dosage / Q000031:analogs & derivatives; D005260:Female; D006176:Gynecology / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009774:Obstetrics / Q000379:methods*; D010360:Patient Transfer / Q000379:methods*; D018457:Placenta, Retained / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011446:Prospective Studies
chemical_list: C016767:sulprostone; D015232:Dinoprostone
keywords: Embolisation; Embolization; Hémorragie du post-partum; Maternal transfer; Postpartum haemorrhage; Recommandations pour la pratique clinique; Recommendations for clinical practice; Transfert interhospitalier