[Systematic controlled placenta birth: analysis of 200 cases recruited at the general hospital of Abobo (Abidjan, Côte d'Ivoire)]. / La délivrance dirigée systématique: analyse d'une série de 200 cas recrutés a l'hôpital général d'Abobo (Abidjan, Côte d'Ivoire).

Haemorrhage of placenta birth is one of the main reasons of maternal mortality in developing countries. The control of this third stage of delivery remains one of the means to stem the scourge. This survey shows that controlled placenta birth is a safe mean to reach this objective: 200 women who had normal vaginal deliveries at the Abobo North hospital were included in the survey. Among them, one hundred women had a controlled placenta birth whereas 100 had a normal one. The analysis of the results showed that: the haemorrhage rates during placenta birth slightly decrease in the group with controlled placenta birth and are clearly lower in the group of patients with risks factors of haemorrhage in 10% of the cases; the delay of placenta birth is twice shorter in the group having a controlled placenta birth than in the group with normal placenta birth; blood loss in the group with controlled placenta birth is three times less important than in the other group. This study speaks in favour of a systematic controlled placenta birth during the third stage of labour as it is already performed elsewhere.