Volume : 7, Issue : 9, September - 2018

STUDY OF ETIOLOGY AND MANAGEMENT OF POSTPARTUM HAEMORRHAGE

Dr Amisha Dogra, Dr. Uma Wankhede

Abstract :

<p class="MsoNormal" style="text-align:justify"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN">AIM AND OBJECTIVES</span></b><span lang="EN-IN">: I.Toanalyze&amp; study different causes and risk factors. <b style="mso-bidi-font-weight:&#10;normal"><o:p></o:p></b></span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN">II.To overview different management protocols of postpartum haemorrhage. </span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN">III.To study minor and major complication due to postpartum haemorrhage. </span></p> <p class="MsoNormal" style="text-align:justify"><span lang="EN-IN">IV.To study further maternal morbidity and mortality.</span></p> <p class="MsoNormal" style="text-align:justify"><a name="_Hlk521521509"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN">Material and<span style="mso-spacerun:yes">&nbsp; </span>Methods</span></b></a><span lang="EN-IN">:<a name="_Hlk521521564">Tertiary care hospital based observational study was conducted with 240 patients to study etiology and management of post-partum haemorrhage in 2 years</a>. All the data was entered in SPSS 19 and also analyzed through it. Chi-square test was used for the evaluation.</span></p> <p class="MsoNormal" style="text-align:justify"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN">Results</span></b><span lang="EN-IN">:observational study .The mean age of the patients was 26.58&plusmn; 5.47 years. 64.2% patients were multigravida and 35.8% patients were primigravida.The rate of vaginal delivery was 47.9% while 52.1% patients delivered through caesarean section.The most common pregnancy related complication was Anemia (41.7%).The most common cause of PPH was uterine atony (35%). 93.3% patients received uterotonicsfor PPH.for the In present study, mortality occurred in 24 (10%)</span></p> <p class="MsoNoSpacing" style="text-align:justify"><a name="_Hlk521534661"><span lang="EN-IN">Conclusion:. Early detection of PPH and timely decision making for transfusion are critical. It is also important to improve the identification of women who need to be transferred to another </span></a></p> <p class="MsoNormal" style="text-align:justify"><span style="mso-bookmark:_Hlk521534661"><span lang="EN-IN">facility and transportation system.</span></span></p>