Shahzadi Saima Hussain, Tanveer Shafqat.
Frequency of Postpartum Haemorrhage in induced Versus Spontaneous Labour.
Pak J Med Health Sci Jan ;8(3):569-661.

Aim: To determine the frequency of postpartum haemorrhage in induced versus spontaneous labour. Methods: This cross sectional comparative study was conducted in Obstetrics and Gynaecology unit A at Lady Reading Hospital Peshawar from 7th August 2009 to 7th Feb. 2010. The analysis included data on 88 patients with term pregnancies, 44 patients had spontaneous onset of labour and 44 had induction of labour, frequency of postpartum haemorrhage (PPH) was noted in both. Informed consent from patient and approval from hospital ethical committee was taken. Results: Eighty eight patients with term singleton pregnancy were enrolled. Analysis of 44 patients with spontaneous onset of labour 3(6.81%) patients had PPH in which 6(13%) patients were operated by instrumental deliveries, 3(6.81%) patients had caesarean section and 35(79.54%) patients had normal vaginal deliveries. Where as in a total of 44 patients with induction of labour 5(11.36%) patients had PPH, 9(20.45%) patients were operated by instrumental deliveries, 7(15.90%) patients had caesarean section and 27(63.63%) patients had normal vaginal deliveries. Frequency of PPH was more in patients with induced labour as compared to spontaneous labour. Method of induction was also considered and it was found that PPH is more in labour induced with oxytocin as compared to prostaglandins. Conclusion: Frequency of PPH increases with induction of labour. Therefore induction of labour shall only be resorted to the cases where it is utmost necessary. If proceeding with induction of labour, prostaglandin are safer as compared to oxytocin and artificial rupture of membranes.

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