Postpartum Blood Loss in Induced Verses Spontaneous Vaginal Delivery: A Descriptive Observational Study
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar
- 2. Professor and Head of Department, Department of Obstetrics and Gynaecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar
Description
Background: The most severe and potentially fatal complication of vaginal birth is postpartum haemorrhage (PPH). Blood loss of more than 500ml during vaginal birth is referred to as PPH. Primary PPH is what it is called if it happens within 24 hours of delivery. Secondary PPH is the term used when it arises after 24 hours and within 6 weeks following delivery. The aim of this study is to compare third stage blood loss during induced vs. spontaneous vaginal deliveries and to determine whether the volume of blood loss correlates with the subsequent drop in hemoglobin. Methods: From January 2022 to December 2022, the current descriptive observational study was carried out in the Obstetrics and Gynecology Department at SKMCH in Muzaffarpur, Bihar. When 300 pregnant women underwent vaginal deliveries through labour induction, blood loss after placental deliveries was assessed using special collection bags, and it was compared to blood loss in another 100 women who underwent spontaneous vaginal deliveries. Each patient’s haemoglobin levels were noted both before and after the child was delivered. Results: The difference in mean blood loss between the induced and spontaneous groups was 30 mL (202±117 vs. 172±114 mL), although this difference was not statistically significant (p=0.12). However, when various induction techniques were evaluated, it was discovered that the oxytocin group had much more blood loss (327±140 mL) than both other labour induction techniques and spontaneous deliveries. When compared to spontaneous deliveries, the blood loss caused by prostaglandin-assisted labour induction was not greater. Post-delivery haemoglobin values in both the induced and spontaneous delivery groups showed statistically significant drops, but the induced group’s drop was relatively greater than that of the spontaneous vaginal delivery group (0.96gm/dL vs. 0.56gm/dL), which appeared to be statistically significant (p=0.001). Conclusion: Using prostaglandins to induce labour is safer than using oxytocin. All deliveries require an accurate calculation of blood loss in order to identify postpartum haemorrhage early and take the necessary precautions.
Abstract (English)
Background: The most severe and potentially fatal complication of vaginal birth is postpartum haemorrhage (PPH). Blood loss of more than 500ml during vaginal birth is referred to as PPH. Primary PPH is what it is called if it happens within 24 hours of delivery. Secondary PPH is the term used when it arises after 24 hours and within 6 weeks following delivery. The aim of this study is to compare third stage blood loss during induced vs. spontaneous vaginal deliveries and to determine whether the volume of blood loss correlates with the subsequent drop in hemoglobin. Methods: From January 2022 to December 2022, the current descriptive observational study was carried out in the Obstetrics and Gynecology Department at SKMCH in Muzaffarpur, Bihar. When 300 pregnant women underwent vaginal deliveries through labour induction, blood loss after placental deliveries was assessed using special collection bags, and it was compared to blood loss in another 100 women who underwent spontaneous vaginal deliveries. Each patient’s haemoglobin levels were noted both before and after the child was delivered. Results: The difference in mean blood loss between the induced and spontaneous groups was 30 mL (202±117 vs. 172±114 mL), although this difference was not statistically significant (p=0.12). However, when various induction techniques were evaluated, it was discovered that the oxytocin group had much more blood loss (327±140 mL) than both other labour induction techniques and spontaneous deliveries. When compared to spontaneous deliveries, the blood loss caused by prostaglandin-assisted labour induction was not greater. Post-delivery haemoglobin values in both the induced and spontaneous delivery groups showed statistically significant drops, but the induced group’s drop was relatively greater than that of the spontaneous vaginal delivery group (0.96gm/dL vs. 0.56gm/dL), which appeared to be statistically significant (p=0.001). Conclusion: Using prostaglandins to induce labour is safer than using oxytocin. All deliveries require an accurate calculation of blood loss in order to identify postpartum haemorrhage early and take the necessary precautions.
Files
IJPCR,Vol15,Issue3,Article200.pdf
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Additional details
Dates
- Accepted
-
2023-03-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue3,Article200.pdf
- Development Status
- Active
References
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