A study of various puerperal complications at tertiary health care centre
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 3
Abstract
Background: Motherhood is a distinct bio-psychosocial process that transforms and broadens the role of a woman into that of a mother. Peurperium is a period, when most newly delivered mothers experience intense physical and emotional stress due to exhaustion, anxiety and excitement. Aims and Objectives: A study of various puerperal complications at tertiary health care centre. Methodology: This was a cross-sectional study carried out in the patients with complications in puerperium at Padmashree Dr DY Patil hospital, Navi Mumbai between the time period of July 2016 till December 2017. 186 patients were inducted into this study during the aforesaid time period.Statistical analyses were done using SPSS 19 versions. Results: In our study we saw that majority of patients were in the age group of 26-30 years(24.7%), followed by 21-25 years (21.5%), 31-35 years (20.4%), less than 20 years(17.2%), and greater than 36 years(16.1%). Majority of the patients were primigravidae(51.6%),followed by second gravidae(22.7%),third gravidae( 10.7%) and fourth/ more gravidae (15%).The complications were: Postpartum hemorrhage: Primary:(Atonic(9.6%), Traumatic(24.1%)) and Secondary(5.3%), Wound infection:(Episiotomy infections (13.4%) and LSCS wound infections(14.5%)), Fever/septicemia(8.6%), Postpartum Convulsions (5.3%), Breast afflictions such as Mastitis(3.7%), Retracted nipple (1.07%) and Cracked nipple (1.61%), serious complications such as DIC(2.6%) and Subinvolution(2.1%),Urinary Complications such as Retention (0.5%) and UTI (0.5%), Psychological problems such as depression and severe agitation (1.07%),Inversion of uterusfound in 0.5% and Retained placental fragments found in 4.8%. Conclusion: It was concluded from our study that most of patients affected with complications were inthe age group of 26-30 years. Majority of the patients were primigravidae. The most commoncomplication waspostpartum haemorrhage followed by other complications that included: wound infections, fever/septicemia, postpartum convulsions, breast afflictions, Disseminated intravascular coagulopathy, subinvolution, psychological conditions and inversion of uterus.
Authors and Affiliations
Rishi Thakur Rajpal
Keywords
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- EP ID EP527174
- DOI 10.26611/1012932
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