ABSTRACT
To determine the frequency of postpartum haemorrhage during caesarean section in anaemic and non anaemic patients. Cross sectional study. This study was conducted at the department of Obstetrics and Gynecology Pakistan Railways Hospital Rawalpindi, from 1[st] April 2009 to 30[th] September 2009. A total of 112 patients with term pregnancy were included in the study. The inclusion criteria consisted of patients with gravidify less than 5 undergoing elective or emergency caesarean section due to obstetric indications. Patients with twin pregnancy, placenta previa, placental abruption, grand multipararity, diabetes and coagulation disorders were excluded. On the basis of pre operative hemoglobin patients were divided into anaemic and non anaemic groups. Anaemic group had Hb <11.0 g/dl, and non-anaemic group had Hb >11.0 g/dl. A prestructured proforma was used to collect the data regarding age of the patient, gravidity, parity, duration of gestation, pre operative and post operative hemoglobin concentration, Intraoperative blood loss was measured by blood collected in suction bottle and weighing the blood soaked abdominal packs, gauze pieces and napkins. Post operative blood loss was measured by weighing the blood soaked sanitary pads. Post operative hemoglobin was checked on 3[rd] post operative day to check fall in hemoglobin level. Mean +/- SD age of patients undergoing caesarean section was 25.31 +/- 4.176 years. Mean +/- SD gestational age was 39.11 +/- 1.118 week. Mean +/- SD gravidity was 2.11 +/- 1.102. Primigravida comprised of 45 [40.2%] patients. Preoperatively 48 patients [42.9%] had hemoglobin <11 gm/dl. Postoperatively 80 patients [71.42%] had hemoglobin <11gm/dl. Seven patients [6.3%] manifested post partum hemorrhage. Out of these one had Hb >11 gm/dl and 6 patients had Hb<11gm/dl. Anaemia in pregnancy is one of the important risk factors for post partum haemorrhage. Prevention and treatment of anaemia in pregnancy can help us in reducing the risk of post partum haemorrhage.