Discours Victorine en Anglais

Mr.
President of the Jury,
Members of the Jury,
Distinguished Guests,
Dear Parents,
Fellow Students,
Good Morning!
Today is a memorable day for me, a day when I must defend my work, which crowns my three
years of academic training in the field of nursing, specializing in midwifery.
Mr. President of the Jury,
We express our gratitude to everyone who, in one way or another, contributed to the
realization of this modest work that we are defending today. We would like to especially thank
Assistant HURUMA NGUYU Mathieu, our supervisor, for accepting, despite his numerous
responsibilities and commitments, to guide our work. To our parents... and to all those who
helped us but whose names are not mentioned here, may they find in this writing an expression
of our deep gratitude.
Our work is titled "Knowledge on the Management of Postpartum Hemorrhage Among Women
in Labor in the Uvira Zone: A Case Study of the Uvira General Referral Hospital, Kasega CEPAC
General Hospital, Blessed Eugenie Picco Kalundu Health Center, and Sainte-Marie Health
Center."
The objective of our study was to examine epidemiologically and technically postpartum
hemorrhages at the Uvira General Referral Hospital, Kasega CEPAC General Hospital, Blessed
Eugenie Picco Kalundu Health Center, and Sainte-Marie Health Center.
Our research problem was shaped by several questions, including:
 What is the frequency of postpartum hemorrhage (PPH) at the Uvira General Referral
Hospital, Kasega CEPAC General Hospital, Blessed Eugenie Picco Kalundu Health Center,
and Sainte-Marie Health Center?
 What are the warning signs of postpartum hemorrhage?
 What are the mechanisms for its management?
To address these questions, we formulated the following hypotheses:
 The frequency of postpartum hemorrhage would be high at the Uvira General Referral
Hospital, Kasega CEPAC General Hospital, and the Mario Vannucci Hospital.
 High blood pressure would be a warning sign of PPH.
 The management of postpartum hemorrhage would involve the administration of
uterotonics coupled with addressing the underlying lesions.
Mr. President of the Jury,
Members of the Jury,
Distinguished Guests,
Dear Parents,
Fellow Students.
In carrying out our research, we used historical, deductive, and analytical methods, supported
by interview techniques, survey questionnaires, and document reviews.
Aside from the introduction and conclusion, the structure of this work was divided into two
main parts:
The first part covered the literature review, itself divided into two chapters:
 The first chapter discussed the general aspects of childbirth, and
 The second chapter focused on the different stages of childbirth.
The second part dealt with the personal work of our study, consisting of three chapters:
 Materials and Methods,

 Presentation of the Study Results, and
 Discussion of the Results.
1. Postpartum hemorrhage is frequent in the health facilities included in our study, and its
prognosis remains concerning.
Indeed, out of the four health facilities surveyed, 13 out of 15 healthcare professionals (86.7%)
reported having treated patients with postpartum hemorrhage involving blood loss exceeding
500 ml, while 2 professionals (13.3%) reported treating patients with blood loss exceeding 1000
ml within 24 hours after delivery. According to WHO data, 99% of postpartum hemorrhages
occur in developing countries, and 42% of deaths due to postpartum hemorrhage are recorded
in Africa alone. One of the reasons explaining this concerning prognosis is the insufficient
readiness of health facilities to manage complications and the availability of qualified personnel
to perform the necessary interventions. The more concerning the prognosis, the greater the
need for blood transfusions.
2. The warning signs of PPH in the health facilities surveyed.
In our study, we found that out of the 15 health facilities targeted, 2 (13.3%) reported receiving
patients with fever, 12 (80%) reported patients with lower abdominal pain, and 1 (6.7%)
reported a patient with foul-smelling vaginal discharge. At this level, we can conclude that the
warning signs of PPH depend on the patient's condition at the time of delivery and the quality
of prenatal care before delivery.
3. The mechanisms for managing PPH cases in the health facilities surveyed.
Among the four health facilities included in our study, for a sample of 15 healthcare
professionals, 6 (40%) applied uterine massage as a management mechanism, 3 (20%)
administered isotonic crystalloid solutions for fluid resuscitation, and another 6 (40%)
employed the GATPA protocol.
Thus, all our initial hypotheses were verified and confirmed.
THANK YOU!

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Mr.

President of the Jury,

Members of the Jury,

Mr. President of the Jury,

To address these questions, we formulated the following hypotheses:

Mr. President of the Jury,

Members of the Jury,

 Materials and Methods,

2. The warning signs of PPH in the health facilities surveyed.

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