AN OBSERVATIONAL STUDY OF POSTPARTUM HEMORRHAGE AT TERTIARY HEALTH CARE CENTER OF CENTRAL INDIA

Introduction: Primary postpartum hemorrhage (PPH) is that the leading explanation for maternal mortality worldwide. India has made significant progress in maternal health care services. Despite this, primary postpartum hemorrhage have a number one reason for maternal mortality in India. Postpartum hemorrhage could be a significant contributor to maternal morbidity & mortality Obstetric hemorrhage accounts for 38% of maternal deaths, of which PPH accounts for 25%.

Objective: This study was undertaken to review maternal morbidity and mortality in cases of PPH.

Materials and Methods: This was an observational retrospective study conducted within the department of Obstetrics &Gynaecology, G.M.C. Ratlam, Madhya Pradesh, India from June 2018 to March 2020 on a sample size of 130 patients.

Results: The records were analyzed with relevance maternal age, parity, socio-demographic & etiological profile, and maternal consequences in cases of PPH at our tertiary care center. within the present study, the incidence of PPH came dead set be 19% because of the inclusion of all booked and referred cases. the most explanation for PPH during this study was uterine atony i.e. 69.3%. The second common cause was traumatic i.e. 20%. The incidence of peripartum hysterectomy in deep trouble atonic cases was 15.5% and 3.8% in cases of a ruptured uterus. In 83% cases blood and blood products transfusion given. 6.06% cases had maternal death due to haemorrhage.

Conclusion: Proper and early management, together with timely referral of PPH cases will cause a major reduction in maternal morbidity & mortality. Maternal deaths thanks to PPH are clearly declining thats because of improved socioeconomic status, high standard medical and surgical management, expert care delivered at our institute.