Title: A Prospective Clinical Study on Secondary Post Partum Haemorrhage
Authors: Dr Shavika Mehta, Dr Prachi Singh, Dr Shweta Yadav, Dr Pratyaksha Raina, Dr Mehak Reyaz
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.60
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.
References
- Khan KS.WHO Analysis of Causes of Maternal Death: A Systematic Review. The Lancet.2006;367:1066-74.
- Nanda S, Singhal S, Sharma D. Non union of uterine incision: A rare cause of secondary post partum haemorrhage: A report of 2 cases. Aust NZ J Obstet Gynecol 1997;37:475-6.
- Debost- Legrand A, Riviere O, Dossou M, Vendittelli F, Risk factors for Severe Secondary Post Partum Haemorrhages: A Historical Cohort Study. Birth. 2015;42 (3):235-41.
- Jaleel R, Khan A.Post partum haemorrhage-a risk factor analysis. Mymen Singh Med J 2010;10(2):282-9.
- Negeen W, Farooq M, Faroq M, Ashraf S, Bhat AS>Secondary post partum hemorrhage in a tertiary care hospital of North India: a retrospective analysis.Int J Reprod Contracept Obstet Gynecol 2017;6:532-6.
- Nessa R, Bari S, Khan S, Sultana P, Akbar T.causes and management of secondary postapartum haemorrhage in a tertiary Medical College hospital in Bangladesh. Int J Reprod Contracept Obstet Gynecol 2017;6:2694-7.
- Dongol AS, Shrestha A, Chawla CD Post partum haemorrhage: Prevalence, morbidity and management pattern in Dhulikhel Hospital. Kathmandu Univ Med J(KUMJ).2010;8(30):212-5.
- Ajenifuja KO, Adepiti CA, Ogunniyi SO. Post partum haemorrhage in a teaching hospital in Nigeria:a 5 year experience. African Health Sciences.2010;10(1):71-4
- Hoveyda F, Mackenzie OZ. Secondary post partum haemorrhage: Incidence, morbidity and current management.Br J Obstet Gynecol 2001;108:927-30.
- Mackenzie I. Secondary PPH: Incidence, morbidity and current management. British Journal of Obstetrics and Gynaecology 2001;108:927-30.
- Kittur S, Swetha D. Emergency peripartum hysterectomy-a study in tertiary care centre and medical college in Hubli, North Karnataka, India. Int J Reprod Contracept Obstet Gynecol.2016;5:1097-1101.
- Shirodhker SD, Pandey A, Yadav S. Emergency obstetric hysterectomy: review at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol.2016;5:3811-4