Early Identification of Risk Factors for Primary Postpartum Hemorrhage at Admission

Abstract

Background: Postpartum hemorrhage (PPH) is the world‘s leading cause of maternal mortality, accounting for one-third of all maternal deaths worldwide. Aim of the Study was early identification of risk factors of primary postpartum hemorrhage. Research Design: A descriptive cross-sectional research design was utilized. Subject and setting: The study was carried out over a period of six months in obstetrics and gynecology department at Minia University Hospital for Obstetric and Pediatric. Tools for Data Collection: two tools were used; Tool I: Socio-demographic characteristics, and Tool II: Risk factors assessment tools. Results: The study revealed that, study group had low risk factors of current PPH had(previous uterine incision, History of PPH ), moderate risk factors of current PPH in women had (prior cesarean birth or prior uterine incision, History of one previous PP), high risk factors of current PPH in women ( had two or more moderate symptoms of risk factors, platelets level <100,000/mm3, hematocrit level <30, placenta previa and suspected placenta accretes) with statistically significance differences. Conclusion: previous uterine incision, previous PPH, abnormality in platelet level, hematocrit level and coagulopathy were the most significant risk factors for primary PPH. Recommendation: Encourage regular antenatal visit to early detection of risk factors of PPH, and providing the women health education about PPH risk factors.