Summaira Hamza and Farida Kakar

ABSTRACT

Objective: To find out the various presentations and management of primary postpartum hemorrhage.

Study Design: Descriptive / Cross sectional study

Place and Duration of Study: This study was conducted at Department of Obstetrics and Gynaecology, Boland Medical College Hospital Quetta from February 2014 to March 2015.

Materials and Methods: Total 120 patients having age 20-40 years, who developed PPH within 24 hours of deliveries were selected for this study. Cases of intra-uterine fetal death (IUFD) or chronic medical illness were excluded from the study. Study was approved by ethical review committee and written informed consent was taken from all the patients. Base line investigations of all the patients were done.

Results: Minimum age of the patients of primary PPH was 20 years and maximum age was 40 years with mean age 32.43±6.23 years. In age group 20-25 years there were 36 (30%) patients, in age group 26-30 years 26 (21.67%) patients, age group 31-35 years 19 (15.83%) patients and in age group 36-40 years 39 (32.5%) patients. Primiparious were 36 (30%) followed by Multiparous 81 (67.5%) and grand multiparous were 3 (2.5%). Uterine atony was the commonest cause of primary PPH that was observed in 78(65%) patients. Hysterectomy was done in 50 (41.6%) patients.

Conclusion: Maximum patients found in age group 36-40 years and most of the patients were multiparous. Uterine atony was the most common cause of primary PPH. Hysterectomy was performed in most of the cases. Key Words: Maternal mortality, Hemorrhage, Primary postpartum, Uterine atony

Citation of article: Hamza S, Kakar F. Presentation and Management of Primary Postpartum Haemorrhage.