::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

PRIMARY POSTPARTUM HEMORRHAGE: RISK FACTORS, CAUSES AND MATERNAL OUTCOME

AUTHORS:

Dr. Faiza Ghufran, Dr Minha Zeeshan, Dr Farhan Ali

ABSTRACT:

Introduction: Postpartum hemorrhage (PPH) is defined more than 500 ml of blood bleeding following vaginal delivery. Objectives: The main objective of the study is to analyse the primary postpartum haemorrhage risk factors, causes and its maternal outcome. Material and methods: This cross-sectional study was conducted in Fatima Jinnah Medical University during June 2010 to February 2020. Women were administered a questionnaire to ascertain risk factors for PPH, defined as a blood loss of 1,000 ml or more at childbirth. PPH is defined as the blood loss of more than 500 ml within the first 24 hours following childbirth. In this study, we defined as the blood loss of more than 1,000 ml which influences results in signs or symptoms of circulating blood volume instability. Results: The results are described by medians and interquartile ranges. Data collected among 1,068 women showed a mean blood loss of 505 ± 356 ml and ranged from 40 to 2,745 ml. Overall, 93 (8.7%) women had PPH (1,000 ml or more) and 22 (2.1%) had severe PPH. The use of ART, excessive weight gain (over 15 kg) during pregnancy, complicated PIH, severe vaginal/perineal lacerations and having a macrosomic baby were contributing factors for PPH. Conclusion: It is concluded that the risk factors for PPH in our setting were the use of ART, PIH, severe vaginal/perineal lacerations and macrosomic neonates. Extra vigilance during the antenatal and peripartum periods is needed to identify women at risk and enable early intervention to prevent PPH.