ABSTRACT
We proposed to undertake a study on the epidemiology, clinical, hormonal and evaluative profiles of 40 observations of antehypophysary failure of Sheehan postpotrum-syndrom assessed between 1980 and 1994. The occurance of hemorrhagic delivery is relatively early [29 years average], but the diagnosis was done 7years and half later [ranges going from 2 to 20 years]. Child delivery took place at home in 92% cases. The abondant hemorrhagy was found in 38 patients. The absence of this hemorrhagy in 2 of our patients leads to the hypothesis of lymphocytary hypophysite of poetpaetum. In case of the immediate post-partum the agalactia and the absence of recouvering are constant signs. In the mouths following the child-delivery, the clinical report of SHEEHAN syndrome did not show any particularities, compared to the classic form. In the absence of a dynamic hormonal explorations, we can not discuss neither the importance of hormonal deficiency, norther their repartition. The short term development under substitutive treatment, in good with ponderal advantage and with resumption of normal physical activities. At long term, an adherence failure to treatment was noticed in 6 patients