Retrospective Cross-Sectional Study of Prevalence, Causes And Risk Factors For Postpartum Haemorrhage (PPH) At Dr. VithhalraoVikhe Patil Foundation’s Medical College and Hospital, Ahmednagar, Maharashtra, India.

Research Journal of Pharmaceutical, Biological and Chemical Sciences

article

Pramod Gadhe¹  Suhas Shinde¹  Mayuri Pawar¹  Gautam Aher.¹ 

[1] Department of OBGY, DVVPF’s Medical College and Hospital

关键词: postpartum hemorrhage;    incidence;    risk factors;    pregnancy;    maternal mortality;   

DOI  :  10.33887/rjpbcs/2022.13.5.21

学科分类：工程和技术（综合）

来源: Research Journal of Pharmaceutical, Biological and Chemical Sciences

【 摘 要 】

Postpartum haemorrhage (PPH), a major cause of maternal morbidity and mortality around theworld, is more common and has more complex risk factors in India. Investigating the prevalence, causesand risk factors of PPH in Indian women is the goal of this study. An analysis of pregnant women whowere more than 28 weeks gestation was done retrospectively. Each patient’s detailed clinical history,including the characteristics of the mother, her obstetric history, and information on the maternal andperinatal outcomes were obtained from medical records. 242 (4.23%) of the 5710 pregnant women whowere enrolled in the study had PPH. The subgroup analysis showed that for singletons, multiplepregnancies, caesarean sections, and vaginal deliveries respectively, the incidence of PPH was 4.2, 6.34,4.03, and 4.3%. Placenta previa and placenta accreta were the two most frequent risk factors of PPH inthe general population and all subgroups. Independent of the technique of delivery, having multifetalgestation was a risk factor for PPH. In singletons and situations necessitating caesarean sections, andmultiparity were potential causes for PPH, but the latter suggested a lower incidence of PPH in vaginaldeliveries. PPH incidence was found to be greater in vaginal or singleton deliveries when macrosomiawas present. Women who delivered vaginally had a greater risk of PPH when they had preeclampsia. Thetwo main risk factors for PPH were placenta previa and placenta accreta, albeit the risk variables variedsignificantly depending on the number of fetuses and the method of delivery. In the overall study, Acombination of the identified risk factors showed an acceptable prediction result for identifying PPH insingleton pregnancies and in women who delivered baby through caesarean section; however, in twinpregnancies and in women who gave birth vaginally, the performance was only moderate.

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