A Retrospective Study of Cases of Postpartum Hemorrhage in North India
- 1. Consultant Gynaecologist & Infertility Expert & Galaxy Hospital, Moradabad
- 2. Associate Professor, Venkateshwara Institute of Medical Sciences, Rajabpur, NH-24, Venkateshwara Nagar, Gajraula, Uttar Pradesh
Description
Introduction: Postpartum haemorrhage is the major cause of maternal morbidity & mortality across the world. Every year about 14 million women experience PPH resulting in about 70,000 maternal deaths globally. Obstetric hemorrhage accounts for more than 25% of maternal deaths annually. WHO suggests that 60% of maternal deaths in developing countries were due to PPH accounting for more than 100000 maternal deaths per year worldwide. Objective: The present study was undertaken to study maternal morbidity and mortality in cases of PPH. Materials and Methods: This was a retrospective study conducted in Galaxy Hospital and Venkateshwara Medical College from October 2023 to Dec 2023 on sample size of 84 patients. Results: The records were analyzed with respect to maternal age, parity, socio-demographic & etiological profile and maternal consequences in cases of PPH at the center. In present study incidence of PPH came out to be 29% due to inclusion of all booked and referred cases Main cause of PPH in this study was uterine atony (69%). Second common cause was traumatic (20%). Incidence of peripartum hysterectomy done for atonic cases was 12.00% and 5.8% in cases of rupture uterus. Blood transfusion was done in 80% of cases. Maternal death due to hemorrhage was 5.3%. Conclusion: Proper anticipation and skilled management, along with timely referral of PPH cases will lead to significant reduction in maternal mortality & mortality, as PPH is a significant contributor to maternal mortality Maternal deaths due to PPH are clearly declining that is due to improved socioeconomic status, high standard medical and surgical management, use of NASG and expert care delivered at our institute.
Abstract (English)
Introduction: Postpartum haemorrhage is the major cause of maternal morbidity & mortality across the world. Every year about 14 million women experience PPH resulting in about 70,000 maternal deaths globally. Obstetric hemorrhage accounts for more than 25% of maternal deaths annually. WHO suggests that 60% of maternal deaths in developing countries were due to PPH accounting for more than 100000 maternal deaths per year worldwide. Objective: The present study was undertaken to study maternal morbidity and mortality in cases of PPH. Materials and Methods: This was a retrospective study conducted in Galaxy Hospital and Venkateshwara Medical College from October 2023 to Dec 2023 on sample size of 84 patients. Results: The records were analyzed with respect to maternal age, parity, socio-demographic & etiological profile and maternal consequences in cases of PPH at the center. In present study incidence of PPH came out to be 29% due to inclusion of all booked and referred cases Main cause of PPH in this study was uterine atony (69%). Second common cause was traumatic (20%). Incidence of peripartum hysterectomy done for atonic cases was 12.00% and 5.8% in cases of rupture uterus. Blood transfusion was done in 80% of cases. Maternal death due to hemorrhage was 5.3%. Conclusion: Proper anticipation and skilled management, along with timely referral of PPH cases will lead to significant reduction in maternal mortality & mortality, as PPH is a significant contributor to maternal mortality Maternal deaths due to PPH are clearly declining that is due to improved socioeconomic status, high standard medical and surgical management, use of NASG and expert care delivered at our institute.
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IJPCR,Vol16,Issue3,Article185.pdf
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Additional details
Dates
- Accepted
-
2024-03-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue3,Article185.pdf
- Development Status
- Active
References
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