Abstract
Introduction: Post partum haemorrhage is excessive amount of bleeding from or into genital tract after delivery which adversely affects the general condition of patient. Secondary PPH has an overall low incidence and is associated with maternal morbidity rather than mortality.
Aims: To determine the risk factors, etiology and management options associated with cases presenting with secondary PPH.
Method: The present study was conducted in Teerthanker Mahaveer Medical College Moradabad between July 2016 to June 2017.Total 45 cases presenting with secondary PPH delivered in the institution or outside willing to participate were included in the study.
Observation: The maximum number of cases who presented with secondary PPH were in age group of 30-40 years (46.7%),more commonly in multipara (62.2%),57.8% had delivered vaginally. Majority of the cases presented to in the second week following delivery followed by third week. The commonest cause of secondary PPH in the present study was retained products of conception. Maximum number of cases i.e. 22(48.8.%) required check curettage.
Keywords: PPH (post partum haemorrhage, Retained products of conception, endometritis.
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Corresponding Author
Dr Prachi Singh
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