Comparison of risk factors of postpartum hemorrhage among normal versus cesarean delivery cases at a secondary care center in Naogaon

Authors

  • Dilraj Banu Department of Obstetrics and Gynaecology, 250 Bedded Mordanized Sadar Hospital, Naogaon, Bangladesh
  • Najmatun Jikria Department of Obstetrics and Gynaecology, 250 Bedded Mordanized Sadar Hospital, Naogaon, Bangladesh
  • Jannatun Naim Department of Obstetrics and Gynaecology, 250 Bedded Mordanized Sadar Hospital, Naogaon, Bangladesh
  • Ashiq Ahmed National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Mokaddes Rabbani Department of Pediatrics, Upazila Health Complex, Raninagar, Naogaon, Bangladesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240451

Keywords:

Risk factors, PPH, Normal delivery, Cesarean section

Abstract

Background: Postpartum hemorrhage (PPH) involves excessive blood loss of 500 mL or more after vaginal delivery (NVD) or 1,000 mL or more after cesarean section within 24 hours postpartum. PPH significantly contributes to maternal mortality worldwide. Understanding the diverse effects of distinct risk factors is essential for effective mitigation. This study aimed to compare the risk factors of PPH among normal versus cesarean delivery (CD) cases at 250 bed modernized general hospital.

Methods: Conducted at the department of obstetrics and gynaecology, 250 bed modernized general hospital, Naogaon, Bangladesh, this prospective study investigated PPH in 100 women from 01 July, 2022 to 30 June, 2023. Participants were divided into two equal groups in number: Group A (normal vaginal delivery) and group B (caesarean-section delivery). Data collection and analysis were performed using MS office.

Results: In terms of risk factors, group A saw 4% maternal ages <19 and >40, while group B had 4% and 8% respectively. Artificial reproductive technique use was 2% in group A and 4% in group B. Weight gain >15.0 kg during pregnancy was 8% in group A and notably higher at 20% in group B. Gestational age <36 weeks affected 14% in group A and 8% in group B.

Conclusions: In normal vaginal deliveries, maternal age <19 years, gestational age <36 weeks, labor induction/augmentation by oxytocin and neonatal birth weight <2499 gm are prominent risk factors. For cesarean-section deliveries, maternal age >40, weight gain >15.0 kg, pre-eclampsia, and neonatal birth weight >3500 gm also pose significant risks.

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Published

2024-02-27

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Original Research Articles