Prospective study of various methods used in the management of post partum haemorrhage
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 1
Abstract
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.
Authors and Affiliations
Jyoti Bindal, Sujata Bhargava, Anuradha Gupta
Keywords
Related Articles
- EP ID EP472955
- DOI 10.18231/2394-2754.2018.0008
- Views 86
- Downloads 0
Comparative study of vaginal hysterectomy and abdominal hysterectomy in non-descent uterus
Hysterectomy–abdominal or vaginal or laparoscopic assisted vaginal hysterectomy is the most commonly performed elective major gynaecological surgery. The present study was conducted in our institute in 120 hysterectomy p...
Assessment of abruptio placentae cases in M.G.M. healthcare institute, Kalamboli: A cross-sectional study
Introduction Abruptio placenta is a serious obstetric complication which is characterised by the premature separation of the placenta It is also associated with premature deliveries maternal and fetal morbidities Multipl...
To study O’Sullivan results in relation to baseline variables
Introduction Aim of study is to test OSullivan test for screening of GDM as per National guidelines for diagnosis and management of GDM and to study the association between high risk factors and occurance of abnormal OSu...
Perinatal outcome in cases of borderline oligohydramnios
Introduction Oligohydramnios is associated with intrauterine growth restriction congenital anomaly neonatal and maternal morbidities The outcome in cases of borderline oligohydramnios is less clear This study was perform...
Clinicopathological profile of breast lesions at tertiary care centre: A study of 602 cases
Introduction: The aim of the study was to asses clinicopathological profile of breast lesions at tertiary care center. Material and Method: The study was conducted in department of pathology, JLN medical college, Ajmer....