Primary Postpartum Haemorrhage – Morbidity And Mortality

ABSTRACT

Background:To study the incidence of primary postpartum haemorrhage, morbidity and mortality. Methods: Study was carried out in department of obstetrics and gynaecology, Swaroop Rani Nehru and associated Hospital, M..L.N. Medical College Allahabad. All pregnant women who underwent vaginal delivery and those who were admitted within 24 hours of delivery were included in the study .Group allocation was done randomly in three groups. Analysis of study data was done by chi square test. Result:The incidence of primary postpartum haemorrhage was 4%.Maximum incidence was noted in group A (5.8%) and minimum in group C (4.2%) .The morbidity which were related to primary postpartum haemorrhage were anaemia (68%),infection (42%),blood transfusion related complications (26%),DIC(4%), and hysterectomy (3%). 0.3% of patients died of severe postpartum haemorrhage .Management options included intensive therapy ,B-Lynch sutures and hysterectomy. Conclusion: ?