- CODEN : IAJPBB
- issn 2349-7750
TITLE:
RISK FACTORS AND MANAGEMENT OF POST PARTUM HEMORRHAGE AMONG WOMEN PRESENTING TO A TERTIARY CARE HOSPITAL
AUTHORS:
Dr. Inshal Khaliq, Dr. Saboor zulfiqar, Dr. Khawaja Umer Majeed
ABSTRACT:
Objective: To evaluate risk factors of post partum hemorrhage and its management among women presenting to a tertiary care hospital. Study design and duration: This is a cross sectional study completed in duration of six months from January to June 2020. Setting: This study was conducted in Bolan Medical Complex Quetta. Patients and methods: Sample size was calculated using WHO sample size formula. Non-probability consecutive sampling technique was used. Women presenting to the study hospital with post partum hemorrhage or developed it after admission during study period were included in this study. Retrospective data was collected regarding mode of delivery, causes of hemorrhage, treatment modalities and maternal mortality rate. Blood loss during post partum hemorrhage was estimated on the basis of visual parameters, history and signs of anemia in patients. Proper consent was taken from all patients included in this study and also from the ethical committee. All relevant data was properly documented and analyzed using Microsoft office and SPSS-24. Privacy of data of patients was maintained. Results: Total 1000 cases were admitted in the ward for obstetrical emergency. Out of them 3.2% cases developed post-partum hemorrhage. Ages of these cases were 15 to 37 years with mean age of 25.3±5.3 years. Out of 20 cases having PPH, 86% were severe anemic and blood transfusion was done in them, 31% cases were critical and admitted in HDU for intensive care. One patient died despite all measures, so mortality rate was 6%. Out of 20 cases 16% were delivered in other private hospitals, 26% delivered at home and 58% delivered in the study hospital. 36% mothers underwent spontaneous vaginal delivery, in 46% cases cesarean section done and in 18% cases instrumental delivery performed. Mean hospital stay was 3.5±2.5 days. Conclusion: Although post partum hemorrhage has low prevalence but it can lead to lethal complications and can be fatal. Early diagnosis and prompt management is mainstay of treatment. It can be prevented if risk factors are evaluated during pregnancy such as high parity, uterine atony, previous history of PPH or bleeding disorders, multiple pregnancies or large fetus etc. Key Words: Post partum hemorrhage, Risk factors, complicated labor
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