Shazia Tazion, Fauzia Butt, Nazia Badar.
Postpartum Hemmorhage Experience at a Tertiary Care Hospital Lahore.
Pak J Med Health Sci Jan ;12(1):199-202.

Background: Postpartum hemorrhage (PPH) is one of the leading causes for the maternal morbidity and mortality worldwide. Situation is even worse in underdeveloped countries where access to healthcare facilities and provision of services is poor. Aim: To determine the frequency and causes of PPH. Study design : Cross sectional study . Sampling technique: Convenient sampling . Setting: Sharif Medical and Dental college/SMCH in 2 year duration from September 2013 to August 2015. Methods: Sixty cases of PPH were recruited in Gynecology and Obstetrics department of Sharif Medical and Dental College Lahore during this period fulfilling the inclusion criteria. Demographic information was recorded. Causes for PPH were analyzed. Morbidity parameters including number of blood transfusions, duration of hospital stay, peripartum hysterectomy, and intensive care unit admissions were assessed. All data was analyzed by SPSS 23. Frequency and percentages calculated for quantitative data. Mean calculated for age and gestational age. Results: During this period 60 cases of PPH were recruited out of 2090 admissions. Frequency of PPH was 2.87%. Mean age of patients was 27.25+/-4.63 years. Mean duration of pregnancy is 36.54+/-2.840 weeks. Major cause identified was uterine atony. When assessed for morbidity, mean hospital admission was 4.48+/-5.86 days, estimated blood loss was 1711+/-636.22ml, ICU admissions were 18%, peripartum hysterectomy were in 7% and mean blood transfusion was 2.7+/-1.36. Conclusion : Postpartum hemorrhage is a deadly disease. Early recognition of the amount of blood loss and identification of predisposing factors can lead to reduction in morbidity and mortality related to PPH. Written hospital protocols and regular drills of the all the involved personnel can reduce the delay in provision of care.

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