Retrospective study of massive obstetric haemorrhage and its materno fetal outcomes in a tertiary care centre

Padmasekar, Anju; Jothy, Shyamala

doi:10.18203/2320-1770.ijrcog20170380

Cited by 2 publications

(2 citation statements)

References 8 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 An Indian study conducted in 2015 reported the incidence of MOH to be 5.7/1000 births. 3 According to WHO, nearly 5 women die every hour in India from complications developed during childbirth , with heavy blood loss caused by haemorrhage being a major factor.…”

Section: Introductionmentioning

confidence: 99%

Retrospective review of maternal deaths and maternal near misses due to major obstetric haemorrhage at a tertiary care centre in India

Agrawal

Singh

Biswas

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Maternal near miss (MNM) is now widely accepted as a better indicator of maternal health than maternal death and reflects the quality of obstetric care in a particular institution. Methods: This is a retrospective study conducted at Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital over a period of 12 months (April 2016-March 2017), of all cases of maternal death and near miss maternal deaths due to major obstetric haemorrhage(MOH). Results: During the period reviewed, there were 13,083 deliveries, 12,958 live births and 37 maternal deaths. There were 30 cases of near miss maternal deaths and 2 maternal mortalities due to MOH. The mortality index was 6.25%. Severe maternal outcome ratio (SMOR) was 2.46. Among the near miss cases (n=30), morbidly adherent placenta was the cause in 26.6% of cases(n=8), postpartum hemorrhage in 23% of cases(n=7); rupture uterus in 13% cases(n=4); massive abruption in 13% of cases(n=4) and placenta praevia with antepartum haemorrhage in 3% of cases(n=1). Early obstetric haemorrhage due to ruptured ectopic pregnancy and incomplete abortion resulted in MNM in 16% (n=5) and 3.3% (n=1) cases respectively. It was observed that in 40% (n=12) of MNM cases (8 cases of morbidly adherent placenta plus 4 cases of rupture uterus), previous cesarean section was the single most important causative factor for the morbidity of the patient. Conclusions: Reduction in cesarean section rates is imperative to reduce morbidity and mortality associated with MOH.

show abstract

Section: Introductionmentioning

confidence: 99%

Retrospective review of maternal deaths and maternal near misses due to major obstetric haemorrhage at a tertiary care centre in India

Agrawal

Singh

Biswas

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Hence, more precise and appropriate strategies of prediction and preparation should be developed with the purpose of avoiding these adverse obstetrical outcomes [3,4]. Massive placenta previa hemorrhages occurs either in the operative or in the postoperative period [5]. Consequently, strategies for prediction and prevention of intra-and postoperative hemorrhages are required.…”

Section: Introductionmentioning

confidence: 99%

Risk factor for postoperative hemorrhage after cesarean section for placenta previa : A retrospective study

Ishibashi

Miyamoto

Soyama

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Placenta previa can cause postoperative hemorrhage. Even cases with less intraoperative hemorrhages during cesarean section have the potential risk of developing postoperative hemorrhage. However, there are few reports on the predictive factors of postoperative hemorrhage associated with placenta previa. The aim of this study was to identify the predictive factor for postoperative hemorrhage after cesarean section in women with placenta previa. Methods We identified women with placenta previa who underwent cesarean section at our institution between January 2003 and February 2015. All women who received any hemostatic procedure, such as intrauterine balloon tamponade and gauze infiltration during cesarean section were excluded. All women were classified into two groups: Group A, women with massive postoperative hemorrhage, defined as over 500 ml of hemorrhage after cesarean section, and Group B, women without postoperative hemorrhage. A retrospective analysis to identify the predictive factors for postoperative hemorrhage was conducted. Results Out of 128 women, 10 (7.8%) were included in Group A and 118 (92.2%) in Group B. There was no statistically significant difference in maternal history between the groups. The number of women suspected to have placental adhesion was higher in Group A than in Group B (p=0.006). Furthermore, the amount of intraoperative hemorrhage in Group A was higher than that in Group B (p=0.025). As treatment for postoperative hemorrhage, more women in Group A received allogenic blood transfusion (p=0.003) and uterine artery embolization (p = 0.010). In univariate analysis, placental adhesion suspected by the surgeon during cesarean section was the predictive factor for postoperative hemorrhage with placenta previa (p=0.002). Conclusions When placental adhesion is suspected by surgeons during a cesarean section, additional hemostatic procedures should be performed to prevent possible postoperative hemorrhage.

show abstract

Retrospective study of massive obstetric haemorrhage and its materno fetal outcomes in a tertiary care centre

Cited by 2 publications

References 8 publications

Retrospective review of maternal deaths and maternal near misses due to major obstetric haemorrhage at a tertiary care centre in India

Retrospective review of maternal deaths and maternal near misses due to major obstetric haemorrhage at a tertiary care centre in India

Risk factor for postoperative hemorrhage after cesarean section for placenta previa : A retrospective study

Contact Info

Product

Resources

About