A Prospective Study To Evaluate The Etiology & Continuum of Management Protocol of Postpartum Haemorrhage
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Postpartum hemorrhage (PPH) is one of the leading causes of death in women. Women who deliver after 20 weeks of gestation are specially at risk for PPH and its sequelae. This study was undertaken to evaluate the causes and risk factors associated with PPH, various techniques/modalities used to control PPH and to assess the impact of PPH on the maternal morbidity and mortality. This prospective study was carried out over a period of six months from September 2014 to February 2015 in the Dept. of Obstetrics and Gynaecology, Pt. B.D. Sharma PGIMS, Rohtak. All the women who had PPH after vaginal delivery or caesarean section along with the cases of PPH referred from outside were included. Detailed history was taken. General and local examinations were done to assess the cause of PPH. The patients were followed up in the hospital for all morbidity complications. Incidence of PPH in present study was 2.73%. Maximum number of cases (n=65, 48.14%) were among age group of 20-24 years with parity P1 (n=62, 45.92%), P2 (n=45, 33.33%), P3 (n=19, 14.07%) and P4 (n=7, 5.18%). Anaemia was found to be most common (n=44, 32.5%) risk factor followed by placenta praevia (n=14, 10.3%) and previous LSCS (n=10, 7.40%). Pre-eclampsia was risk factor among 4 cases. Primary PPH is an extremely challenging obstetric emergency associated with significant morbidity and still one of leading causes of maternal mortality. Early recognition and treatment are essential to ensure the best outcome from this life threatening condition. Though hysterectomy is the definitive treatment in women with severe PPH but in patients who desire future fertility, medical management, mechanical methods like uterine compression, uterine packing, uterine tamponade and surgical procedures like uterine artery ligation and uterine compression sutures are effective methods.
Authors and Affiliations
Abhilasha Singh, Smiti Nanda
Keywords
Related Articles
- EP ID EP591629
- DOI 10.9790/0853-1602025865.
- Views 83
- Downloads 0
A Study of Endometrial Carcinoma With Emphasis on Morphologically Variant Types. A Comprehensive Analysis of 50 Cases.(Three Years Period Study.)
A series of 50 cases of Endometrial Carcinomas seen over a three year period is reviewed. The majority are EndometriodCarcinomas which constitutes 44 (88%) cases. Among the Endometriod Carcinomas villoglandular different...
The Ability of Root Canal Irrigant With Ethanol Extract of Lerak Fruit (Sapindus Rarak Dc) in Removing Root Canal Smear Layer (A Sem Study)
Application of root canal irrigant is one of the factors that affect the success of endodontic treatment. Unfortunately, there is no single irrigant which qualify as an ideal irrigant. Lerak fruit can be used as an alter...
Foreign Bodies in Maxillofacial Trauma– 4 Case reports
Foreign bodies in the maxillofacial region are common following trauma, but sometimes theymay be overlooked causing harm to the patient. Approximately one-third of all foreign bodies are initially missed and an undiagnos...
Surgical management of Calcific metamorphosis: A Case Report
Internal resorption is a condition associated with either physiologic or pathologic process resulting in loss of dentine cementum and bone. The course of tooth resorption involves elaborate interaction among inflammatory...
Mutant IDH 1 Expression in Non-Neoplastic And Neoplastic NonMelanoma Epithelial Skin Lesions; IHC Expression And Clinicopathological Relations
Background: Cellular metabolism is known to be altered in cancer cells which switch to glycolysis and lactate fermentation for ATP production (Warburg Effect) providing a growth advantage for cancer cells. The “Warburg E...