Abstract
Objective: This study aimed to measure incidence, identify risk factors (pre‐existing or acquired) forPPH and to prevent progression to severe PPH. Methods: This is a prospective observational study.The causes are likely to be multifactorial with shifting demography and health status widely cited,e.g. age, obesity, comorbidity, multiple pregnancy and ethnicity. Results: Prepregnancy factors forPPH include age, ethnicity, BMI, previous PPH and assisted conception Conclusion: Prophylacticuterotonic agents in high-risk patients, use of intramuscular or intravenous oxytocin, timelyapplication of B –lynch suture, adequate and timely arrangement of blood and blood factors can helpprevent PPH.
Highlights
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide
Obstetrics and Gynaecology is an integral part of the hospital as one of the directors is a gynaecologist.The ICU is one of the best in the city and all types of high risk obstetrics is being taken here
Training should be provided to all staff involved in maternity care concerning the assessment of blood loss and the monitoring of women after childbirth
Summary
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide. Postpartum haemorrhage (PPH), defined as blood loss ≥500 ml, is a major cause of maternal mortality and morbidity worldwide. 20 women live with the consequences of associated morbidities, with the greatest burden in low‐income countries. PPH is a common emergency, and readily treatable when appropriate resources are available. Severe PPH (variously defined from 1000ml upwards) has been used as a measure of severe morbidity. Medical and training innovations, PPH rates remain high in several countries. The causes are likely to be multifactorial with shifting demography and health status widely cited, e.g. age, obesity, comorbidity, multiple pregnancy and ethnicity.[2,3,4]
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