Impact Of Postpartum Haemorrhage In Maternal Near Miss Cases
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 8, Pages 1874-1880
AbstractBackground: Primary postpartum haemorrhage (PPH) is that the leading causes for maternal mortality worldwide. India has made noteworthy progress in maternal health care services. Despite this, primary postpartum haemorrhage is a significant contributor to maternal morbidity & mortality. The aim of this study was undertaken to review maternal near misses in cases of PPH.
Materials and Methods: This was an observational prospective study conducted within the department of Obstetrics &Gynaecology, SMS medical college, Jaipur, India from January 2020 to december2020 on a sample size of 170 patients.
Results: The records were analysed with relevance to maternal age, parity, socio-demographic & etiological profile, and maternal consequences in cases of Maternal Near Miss with PPH at our tertiary care centre. The incidence of PPH was 19% because of the inclusion of all booked and referred cases. The most important cause for PPH during this study was uterine atony (60.52%). The second common cause was traumatic (34.21%) and at least common cause of PPH was coagulopathy (5.26%). In 63.17%% cases blood and blood products transfusion was required.
Conclusion: Proper and early management, together with timely referral will cause a major reduction in maternal morbidity & mortality due to PPH. Maternal deaths due to PPH are clearly declining that is because of improved socioeconomic status, high standard medical and surgical management.
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