STUDY OF CLINICAL PROFILE, RISK-FACTORS AND MANAGEMENT OF POST PARTUM HAEMORRHAGE IN A TERTIARY CARE CENTRE

Abstract

Introduction: Post-partum Haemorrhage is commonly defined as cumulative blood loss of greater than or equal to 1000ml or blood loss accompanied by signs or symptoms of hypovolemia within 24 hrs after birth process. PPH accounts for 35% of maternal deaths worldwide. Objective: To study clinical profile, risk factors and management of Postpartum Haemorrhage in tertiary care centre. Materials and Methods: A Prospective observational study was conducted collecting data from medical records of consenting subjects who had Postpartum Haemorrhage in a tertiary care centre over a period between September 2019 to September 2021 after ethics approval. Results: In our study, PPH was seen higher(52.08%) in study subjects between age group of 25-30 years and in Primipara subjects. Atonic uterus was the major cause of PPH identified in 59.3% of subjects where 16.67% of subjects were effectively managed medically by Oxytocin, Misoprostol and Methergine alone. Remaining subjects required cervical/vaginal tear repair, utero-vaginal packing, uterine artery ligation and Obstetric hysterectomy. Secondary PPH was seen in 5.2% of subjects where the etiology identified was Retained products. Conclusion: As obstetric care improves, the incidence of postpartum haemorrhage decreases and maternal deaths from it drastically reduced. Hence, a multicentric approach has to be made to deal with these complications.