Overview of primary postpartum hemorrhage
Abstract
Introduction: The main aim of the study was to evaluate the primary postpartum hemorrhage at Paropkar Maternity and Women Hospital, Kathmandu, Nepal.
Methods: This was a retrospective study undertaken at Paropkar Maternity and women Hospital among 211 cases of primary postpartum hemorrhage between 1st jesth 2070 to 30 th asoj 2070. (15th May 2013-15th November 2013)
Results: Out of 9415 deliveries 211 cases had primary postpartum hemorrhage. The most common cause was uterine atony, 180 (85.3%) retained product of conception 16(7.58%) and genital tract injury 15(7.1%). Factor causing uterine atony were induction and augmentation of labor 80(42.7%) and prolong labor 52(27.8%). Among 211, 48(22.74%) had Vaginal delivery 2(0.94%) delivered by vacuum delivery and cesarean section 161(76.30%) that includes elective and emergency cesarean section. Additional Uterotonic were given among 176(83.4%) and 35(16.58%) cases minor surgical procedure such as exploration, condom temponade, B-Lynch suture and tear repair and 2 patients undergone for subtotal abdominal hysterectomy. More than 2000 ml blood loss occurs among 5 cases and five cases received more than 5 pints of blood. There was no maternal mortality during six months period.
Methods: This was a retrospective study undertaken at Paropkar Maternity and women Hospital among 211 cases of primary postpartum hemorrhage between 1st jesth 2070 to 30 th asoj 2070. (15th May 2013-15th November 2013)
Results: Out of 9415 deliveries 211 cases had primary postpartum hemorrhage. The most common cause was uterine atony, 180 (85.3%) retained product of conception 16(7.58%) and genital tract injury 15(7.1%). Factor causing uterine atony were induction and augmentation of labor 80(42.7%) and prolong labor 52(27.8%). Among 211, 48(22.74%) had Vaginal delivery 2(0.94%) delivered by vacuum delivery and cesarean section 161(76.30%) that includes elective and emergency cesarean section. Additional Uterotonic were given among 176(83.4%) and 35(16.58%) cases minor surgical procedure such as exploration, condom temponade, B-Lynch suture and tear repair and 2 patients undergone for subtotal abdominal hysterectomy. More than 2000 ml blood loss occurs among 5 cases and five cases received more than 5 pints of blood. There was no maternal mortality during six months period.