The Clinical Presentation and Management of Postpartum Haemorrhage: A Single Center Experience
Author(s): Jahan L, Jahan K, Afreen S, Akter S, Akter Y, Jesmin N, Tribedi S, Nahar S, Sharmin P, Rahman AKMS
Postpartum haemorrhage (PPH) is a potentially life threatening complication of each child delivery. PPH is one of the leading causes of maternal mortality and morbidity in the developing countries. This hospital based observational study was conducted among 100 patients with postpartum haemorrhage (PPH) to assess the clinical presentation and management of PPH. The mean(±SD) age of the study patients was 25±5.40 years; most of the patients were multiparous, delivered at term that took place at home but had no previous medical disease, while a small proportion of the study patients had history of proper antenatal care (ANC). It was observed that PPH frequently developed following vaginal delivery had various risk factors and most of which were primary PPH. The uterine atony was the major causes (52%) of PPH, followed by genital tract trauma (18%), retained placenta (16%) and retained bits of placental tissue/membrane (8%). Regarding management; oxytocics was used in 71% patients, 100% study patients required blood transfusion, of them 44% cases were treated by conservative medical management, 51% cases were managed by minor surgical procedure and 5% cases needed major surgical procedure. Only 6% study cases developed various complications like- sepsis, transfusion reaction, renal failure and shock. Therefore, all pregnant women should have proper ante natal care (ANC) and better maternal outcome could be ensured by proper management at appropriate time.