International Journal For Multidisciplinary Research

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A Clinical Study on Management of Major Primary Postpartum Haemorrhage at Tertiary Care Centre

Author(s) DR ARVINDAR, DR SANGEETA SEN, KHUSHI
Country India
Abstract Introduction
Postpartum Haemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide . It is estimated that about one quarter to one half of preventable maternal deaths are because of haemorrhage . It is defined by the royal college of obstetrician and gynaecologist ( RCOG) as blood loss from the genital tract within the first 24 hours after birth of at least 500ml ( minor) and at least 1000ml ( major)Early transfusion of blood and blood products prevent from developing coagulopathy . Causes of post-partum haemorrhage (PPH) are commonly ascribed to the four Ts (tone, trauma, tissue, 4 thrombin). Uterine atony is responsible for most of cases .

Aims and objectives
1. To know the current clinical practice in management of major primary postpartum haemorrhage at tertiary care centre
2. To evaluate the causes of major primary postpartum haemorrhage


Methodology
This study aimed to assess the clinical practices used by Pannadhay Mahila Hospital, Udaipur. in managing major PPH. A retrospective study of the management of PPH over a period of 2 months from march 2023 to april 2023 was carried out. The Following criteria were examined: history of previous PPH causes of PPH, use of oxytocin in the first stage for more than 6 hours. role of blood transfusion, presence of senior faculty, and type of uterotonics used.
Results: a total of 50 patients were diagnosed with major PPH among which 26 had caesarean delivery. Two major risk factors were analysed, one was Use of oxytocin in first stage for more than 6 hours and History of previous PPH. Uterine atony was commonest cause in 64% of cases followed by retained product of conception. Use of uterotonics were analysed among the patients which was consistent with current practice guideline.


Conclusion: This study indicates that the management of women with major PPH in Pannadhay Mahila Hospital Udaipur is consistent with the current clinical practice. Uterine atony is responsible for most of cases. Early, aggressive, and coordinated intervention by health care professionals is critical in minimizing blood loss to ensure optimal clinical outcomes in management of women with major PPH
Keywords Tertiary care centre
Field Biology > Medical / Physiology
Published In Volume 5, Issue 3, May-June 2023
Published On 2023-06-17
Cite This A Clinical Study on Management of Major Primary Postpartum Haemorrhage at Tertiary Care Centre - DR ARVINDAR, DR SANGEETA SEN, KHUSHI - IJFMR Volume 5, Issue 3, May-June 2023. DOI 10.36948/ijfmr.2023.v05i03.3804
DOI https://doi.org/10.36948/ijfmr.2023.v05i03.3804
Short DOI https://doi.org/gsct37
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