Frequency Of Primary Postpartum Hemorrhage in Tertiary Care Hospital, Hayatabad Medical Complex Peshawar: ADescriptive Cross Sectional Study
Post-partum Hemorrhage in Tertiary Hospitals
DOI:
https://doi.org/10.70384/jlmdc.v2i02.81Keywords:
Frequency, Primary Postpartum Hemorrhage, Risk Factors, Tertiary Care HospitalAbstract
Background: Postpartum hemorrhage (PPH) is an obstetric emergency that causes almost 25% of deaths among pregnant ladies every year globally.
Objective: To determine the frequency of primary postpartum hemorrhage and its risk factors in Hayatabad Medical Complex Peshawar.
Methodology: It was a descriptive study that was held at Department of Gynecology & Obstetrics, Hayatabad Medical Complex, Peshawar, Pakistan which enrolled 162 patients through non-probability consecutive sampling. After informed consent, history was taken, and physical examination was done. Demographic details of all patients were documented. All female patients in spontaneous labour reporting in emergency with a single, alive, healthy, full term (≥ 37 weeks) pregnancy with parity up to 7 were enrolled. Patients who had blood loss more than 500 ml in spontaneous vaginal delivery (SVD) and ≥ 1000 ml in cesarean section were taken as postpartum hemorrhage. All the data was processed by SPSS v26.0. Quantitative variables were presented as mean ± SD. Qualitative variables were presented in terms of frequencies and percentages. Post-stratification, chi-square test was applied taking p-value ≤ 0.05 as significant.
Results: Mean age of patients with PPH was 31.44 ± 5.7 years. PPH was seen in 32.1% (n=52) cases among enrolled patients (n=162). PPH when stratified for gestational age and maternal age showed insignificant p-value ≥ 0.05. PPH when stratified with mode of delivery showed significant difference with p-value of 0.018.
Conclusion: The study concluded that postpartum hemorrhage occurs with high frequency in the studied Pakistani population. Moreover, PPH is more common following spontaneous vaginal delivery and is associated with uterine atony, which remained the most frequent underlying cause.
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Copyright (c) 2025 Saima Ahmed, Syeda Madiha Tahir, Sadaf Ali, Syed Muhammad Asim, Ayesha Khalid
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