A study of maternal and perinatal outcome in patients of postpartum hemorrhage in a tertiary care hospital, Gujarat
Keywords:Atonicity, Maternal outcome, Perinatal outcome, PPH
Background: Postpartum hemorrhage (PPH) is significant factor for maternal mortality. Prevalence of PPH is 6.0% worldwide and highest prevalence was noted in Africa which is almost 10.1%. In India, maternal hemorrhage is the very common factor for maternal mortality. The objective of the study was to understand incidence of PPH and various risk factors for it, to study maternal morbidity and mortality associated with PPH and to study the effective mode of management in PPH.
Methods: This prospective study was done among 50 cases of postpartum haemorrhage out of 13,628 deliveries at civil hospital, Asarwa, Ahmedabad during November 2008 to October 2010 and analysis was done regarding patients’ socio demographic characteristics, various risk factors, causes and maternal and perinatal outcome.
Results: Incidence of PPH was 0.36%. Almost >85% cases were belonged to 20-34 years age group. Highest cases (38%) seen in primigravida and 72% cases have normal vaginal delivery. Anemia noted in highest cases (22%) and 68% cases have most common etiology was atonicity. Birth weight <2.5 kg found in 36% cases. Most common maternal outcome was fever (16%) and 72% cases delivered healthy and alive birth.
Conclusions: The patients were mostly primiparous. The commonest associated medical condition was anemia. The commonest underlying cause of PPH was atonicity of the uterus. Commonest maternal outcome was fever. Out of total births, 72.0% were alive and healthy babies followed by 18.0% babies were still birth.
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