ROLE OF VARIOUS MODALITIES IN MANAGEMENT OF POSTPARTUM HAEMORRHAGE(MEDICAL+SURGICAL)

Abstract

Background: PPH is responsible for 25% of all maternal deaths. In India, PPH incidence in India is 2%-4% following vaginal delivery and 6% following cesarean section. PPH as the important cause of 19.9% of maternal mortality in India. Objectives:The objectives of the study were to study the incidence, risk factors, cause,complications and management of PPH. Materials and Methods: This prospective observational study was conducted in the Department of OBGY, SVPIMSR,Ahmedabad, India. A total number of 50 cases of postpartum hemorrhage that fullled the selection criteria were included. The records were analyzed with respect to maternal Results: age, parity & etiological prole and maternal consequences in cases of PPH at our tertiary care center. Main cause of PPH in this study was uterine atony i.e. 56.38%. Second common cause was traumatic i.e. 21.27%. 20% of cases were given blood transfusions. However,maternal death due to hemorrhage in our study was negligible. Conclusions: Active management of the third stage of labor is crucial.Availability of blood and blood products is very crucial. Prediction and assessment of blood loss and timely identication of uterine atony are remaining the cornerstone for prompt and effective management of PPH. 60% cases were managed by medical methods while the rest of the cases required surgical management. Among the medical management uterotonic drugs and bimanual uterine compression was used while among the surgical methods repair of cervical and vaginal laceration was mostly required.