SHAISTA TABASSUM ABRO, FOUZIA KASHIF, SHAZIA SHAIKH, RAFIA BALOCH
ABSTRACT | Full Text PDF
OBJECTIVES: The objective were to assess the frequency of Primary Post Partum Haemorrhage (PPH) in Gynae-I Shaikh Zaid Women Hospital and to determine the morbidity and mortality with Primary PPH.
STUDY DESIGN:This was a Descriptive study conducted at the Obstetrics and Gynae-I Shaikh Zaid Women Hospital (SZWH) Larkana from May 2009 to December 2009.
SUBJECTS & METHODS: Study conducted on patients who are admitted in our department and who delivered outside but referred to us due to uncontrolled bleeding. Patients included in this study are those which blood loss exceeding 600 ml in case of normal vaginal delivery or exceeding 1000 ml in case of caesarean section irrespective of their parity.
RESULTS: Frequency of Primary PPH in this study was 6.5% 85 cases of Primary PPH were seen. Uterine atony was found to be commonest cause of PPH in 31 patients (36%), second common cause was retained product of conception seen in 28 patients (32.94%). 78 patients were anaemic out of which 24 (28.2%) were severely anaemic. 8 (12%) of the patients develop severe DIC, 3 patients (2.3%) experienced wound sepsis,4 patients (4.70%) developed ARF.14 (16.4%) of the patients under went obstetrical hysterectomy to halt massive post partum bleeding.PPH being the major killer, accounts for 8 mortalities in 85 cases of PPH, making maternal mortality rate (MMR) of 1017/ 100,000 maternities which is alarmingly high.
CONCLUSION: PPH can lead to chain of morbidities ending up with mortality if prompt and timely intervention are not taken.
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