Post partum haemorrhage: Prevalence, morbidity and management pattern in Dhulikhel Hospital

As, Dongol; Shrestha, Abha; Chawla, C D

doi:10.3126/kumj.v8i2.3561

Cited by 12 publications

(29 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar study done in Nepal revealed secondary PPH as the cause of about 32% cases of PPH. 5,12 Sixty eight percent of our patients had vaginal delivery, however it cannot be said that vaginal delivery predisposes to secondary PPH as the overall vaginal deliveries are more as compared to caesarean deliveries. Thirty six (72%) cases were referred from outside.…”

Section: Discussionmentioning

confidence: 80%

“…Active management of third stage of labour has been followed as a strategy to prevent PPH including secondary PPH. 12 Prolonged third stage of labour has been shown to increase the risk of secondary PPH. 13 The observation that unbooked and unsupervised pregnancies coupled with unskilled deliveries or home deliveries lead to increased risk of both primary and secondary PPH has been well established.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Secondary postpartum haemorrhage in a tertiary care hospital of North India: a retrospective analysis

Nigeen

Farooq

Afzal

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Postpartum haemorrhage (PPH) is a very common complication that follows delivery. It is one of the leading causes of maternal mortality both in developing and developed countries. Primary PPH has been studied a lot, but data regarding secondary PPH is sparse. Our objective was to study the clinical characteristics and outcome of patients presenting with secondary PPHMethods: A retrospective descriptive study done at Lalla Ded hospital Srinagar, a tertiary care hospital of North India, between June 2015 and December 2015.Results: Fifty patients with secondary PPH were studied out of whom 36 were delivered outside this hospital and referred. Fourteen patients who delivered in this hospital developed secondary PPH. Mean age of patients was 35±3 years. Retained products of contraception (RPOCs) was the leading cause in 36 (72%) of patients followed by endometritis in ten (20%). Mean hemoglobin concentration was 8.7±1.9grams ranging from 4.4 grams to 12.9 grams. Mean hospital stay was 6.3±1.5 days ranging from 1 day to 20 days. Curettage was done in 40 (80%) of patients including 36 having RPOC s and check curettage in four patients. Fourteen (28%) patients required blood transfusion. One patient required hysterectomy. None of the patients died.Conclusions: Secondary PPH has been studied very little. Our results show retained products of contraception as a leading cause of secondary PPH which is probably related to poor management of third stage of labour. There is crucial role of active management of third stage of labour in preventing secondary PPH. Majority of secondary PPH patients require dilatation and curettage with other supportive measures only. Surgical intervention is rarely required. Blood loss is usually mild to moderate. Prognosis is good if medical intervention is sought early.

show abstract

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Secondary postpartum haemorrhage in a tertiary care hospital of North India: a retrospective analysis

Nigeen

Farooq

Afzal

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…of maternal deaths in developing countries [1]. According to WHO, there are about 14 million cases of obstetric haemorrhage each year [2].…”

Section: Introductionmentioning

confidence: 99%

Oxytocin versus Methylergometrine in the Active Management of Third Stage of Labour

Boopathi¹,

Nayak²,

Rao³

et al. 2014

OJOG

View full text Add to dashboard Cite

Objective: To compare the efficacy of Oxytocin versus Methylergometrine in active management of third stage of labour in reducing risk of postpartum hemorrhage. Methods: This study was carried out by randomly assigning into two groups with 150 women in each group. Group 1 included patients who received injection Oxytocin 10 IU intramuscular within one minute of the birth of the baby. Injection Methylergometrine (0.2 mg) was given intravenously at the delivery of anterior shoulder of the baby to women in Group 2. Outcome measures were the duration of third stage, blood loss, pre and post-delivery hematocrit, side effects and incidence of PPH. Statistical analysis was done using Chi square test, Fischers test, Mann Whitney test, and t test. p < 0.05 was considered significant. Results: Mean duration of third stage of labour, mean blood loss, post-delivery fall in hematocrit and need for additional uterotonics were significantly less in the Group 2. However side effects like nausea, vomiting and rise in blood pressure were significantly higher in women in Group 2 (p = 0.000). Conclusion: Methylergometrine is more effective than Oxytocin in reducing the duration of third stage of labour and blood loss but has significant side effects like nausea, vomiting and rise in blood pressure.

show abstract

“…7 But traumatic PPH in present study was most commonly present in women with single parity. Another study done by Singh et al also reported that most of the PPH cases were multiparas, poor, low socioeconomic class, were unbooked and were from the rural area.…”

Section: Discussionmentioning

confidence: 43%

Prospective study of various methods used in the management of post partum haemorrhage

2020

IJOGR

View full text Add to dashboard Cite

Introduction: Mismanagement of postpartum haemorrhage (PPH) is the major reason for the maternal morbidity and mortality throughout the world, highest incidence is found in developing countries. Aims and objective: To study the various methods used to control PPH in all the deliveries that took place at the study place. Materials and Methods: Prospective study was performed on 402 PPH patients in the Department of Obstetrics and Gynecology, Kamla Raja Hospital, GR Medical College, Gwalior from Sept., 2014 to Aug., 2015. All the patients were divided in to atonic PPH and traumatic PPH. Patient's detailed history including obstetric history, menstrual history and history of drug allergy were recorded in pre-approved excel format. Patients were managed either by catheterization and uterine massage, using uterotonic drugs, uterine packing and surgical intervention such as internal iliac ligation and/or hysterectomay. Results: Out of total 7977 deliveries, 62.09% were vaginal and 37.91% were caesarean section. Out of that 402 (5.03%) developed PPH. Mean age of study population was 23.3±1.37 years. Out of 402 PPH patients, 75% were having atonic PPH whereas 19.65% were having traumatic PPH. Most of the patients with atonic PPH were managed by uterotonic drugs (69%) followed by cathererization with uterine massage (25%). Most of the patients with traumatic PPH were found to be due to hematoma or tear and were managed by haematoma drainage (58%) followed by perineal with vaginal repair (33%). Conclusion: Uterotonic drugs were the most commonly used for the management of atonic PPH whereas haematoma drainage was mostly used in patients with traumatic PPH.

show abstract

Post partum haemorrhage: Prevalence, morbidity and management pattern in Dhulikhel Hospital

Cited by 12 publications

References 6 publications

Secondary postpartum haemorrhage in a tertiary care hospital of North India: a retrospective analysis

Secondary postpartum haemorrhage in a tertiary care hospital of North India: a retrospective analysis

Oxytocin versus Methylergometrine in the Active Management of Third Stage of Labour

Prospective study of various methods used in the management of post partum haemorrhage

Contact Info

Product

Resources

About