A study on postpartum haemorrhage at a tertiary care hospital of West Bengal, India

Abstract

Background: Postpartum Haemorrhage is a leading cause of maternal death responsible for approximately 68,500 deaths a year, 99.7% occurring in developing countries. It therefore represents a significant global health burden, disproportionately affecting those in the world’s poorest countries. However deaths from PPH can be prevented. The aim of this study was to determine the prevalence, probable cause and risk factors and management of primary postpartum haemorrhage in patients who delivered at a tertiary health care hospital in West Bengal, India. Methods: This study was prospective observational study, conducted in the Department of Obstetrics & Gynaecology of Burdwan Medical College and Hospital, Burdwan, West Bengal from April 2020 to September 2022 after getting approval from the Institutional Ethical Committee. 100 cases of PPH were chosen randomly after applying exclusion criteria. Template was generated in MS excel sheet and analysis was done on SPSS. Results: In the present study most common age group developed PPH was 21-30 years. Multiparas are at higher risk of developing PPH. In this study 77% of the population are multipara. In the present study 52% of study population had blood loss due to PPH was less than 1L. only 6% had blood loss of more than 2L. Most common cause of PPH. In this study 70% of study population had Atonic Uterus, 19% had traumatic PPH and 11% had Retained product of Conception. Most of the cases of study population were managed by medical management (58%). 42% of the study population were managed surgically. Conclusions: Mostly the women who delivered vaginally developed PPH. Every effort should' be made to create awareness. regarding maternal health, so that associated Fetal and maternal morbidity can he reduced.