Publication:

A retrospective study of maternal and perinatal outcome in patients of postpartum haemorrhage in a tertiary care hospital

Background Postpartum hemorrhage is one of the most important causes of maternal mortality and morbidity. Maternal Hemorrhage is the commonest cause of maternal mortality in India. Identification of risk factors, early diagnosis and timely intervention can help in reducing significant maternal morbidity and mortality due to post-partum hemorrhage. The aim and objectives of the study was to study socio-demographic profile of patients admitted with the diagnosis of post-partum Haemorrhage, to study the various risk factors and causes of post-partum Haemorrhage, to study maternal and perinatal outcome in patients suffering from post-partum haemorrhage.

Methods It was a record based retrospective study. Files of the patients admitted with diagnosis of postpartum haemorrhage from September 2014 to February 2015 were retrieved and detailed analysis was done regarding patients’ socio demographic characteristics, various risk factors, causes and maternal and perinatal outcome.

Results It was a record based retrospective study. It was found that majority (88%) of the patients belonged to age group of 21-30 years. Majority of them (59%) were from rural background. It was found that the commonest (26%) risk factor associated with postpartum hemorrhage in our study was prolonged labour, followed by ante partum hemorrhage (20%). It was found that the commonest (68%) underlying cause of postpartum hemorrhage was atonicity of uterus, followed by genital tract trauma (24%).

Conclusions Postpartum hemorrhage is one of the biggest menace in today’s times. It adds to significant maternal morbidity and mortality.