European Journal of Cardiovascular Medicine

Background: Postpartum haemorrhage (PPH) is the most common complication following childbirth. Postpartum haemorrhage remains a significant contributor to maternal mortality and morbidity throughout the world. PPH is often classified as primary/immediate/early, occurring within 24 hours of birth, or secondary/delayed/late, occurring from more than 24 hours post birth to up to 12 weeks postpartum. Aims: The aim of this study was to determine the percentage of patients requiring medical therapy for PPH management and to determine the percentage of patient requiring surgical therapy for PPH management. Methods:  The present study was a population and hospital based observational study conducted in the Dept of Gynae and Obstetrics, R.G. Kar Medical College and Hospital, Kolkata, West Bengal, India. All the patients presenting with postpartum haemorrhage following delivery during my study period and meeting my inclusion criteria which is 304. Template was generated and analysis was done on STATA11 software. Results: In the present study the overall incidence of PPH is 1.4%(304 out of 22,182 deliveries). higher prevalence is seen between 24-27yrs and >=27yrs. Prevalence of PPH is more in women with no schooling (31.9%) The PPH occurred mostly at the gestational age 37-40wks (60%). Atonic PPH has higher prevalence (50.6%) than other types of PPH. In instrumental delivery traumatic PPH has higher prevalence (50%). In caesarean section Atonic PPH (80.64%) had higher prevalence than any other types. Atonic type of PPH is responsible for most maternal death (75%). Uterine tamponade was mostly done and successful in PPH following vaginal delivery (86.66%). Conclusions: To conclude, majority of deaths following PPH is preventable if timely and prompt intervention is made. Antenatal anaemic status contributed a significant role in PPH occurrence which should be corrected to decrease the prevalence of PPH.