Aim: To study the risk factors associated with postpartum haemorrhage. Methodology: Woman with postpartum hemorrhage in the past 3 years from 2015 to 2017 were included in the study. Retrospective data were collected from medical records regarding age, parity, associated risk factors and the mode of management. Results: One hundred forty two (142) women with postpartum hemorrhage were included in the study, and we found that majority of the women were primiparous, in the age group of 25 to 29 years, and, pre-existing anaemia was seen in 11%, PROM in 16%, hypothyroidism in 20% were found as risk factors and 19% of the woman underwent secondary LSCS. Conclusion: Postpartum hemorrhage (PPH) is an emergency faced by an obstetrician. It complicates about 3.6% of all deliveries. It is a potential life-threatening complication of 3rd stage of labour.
Neuromyelitis optica spectrum disorder (NMOSD) is a demyleinating disease of the central nervous system. NMOSD is characterized by severe relapse of optic neuritis, longitudinal extensive myelitis and the presence of anti aquaporin-4 IgG (AQP4-IgG) in serum. Female factors like genetic, epi-genetic, or hormonal, may play an important role in pathogenesis. Female gonadal hormones, estrogen and progesterone, rise significantly during pregnancy, and decrease during the postpartum period. We are reporting a case of Gravida 2 Para1 Living1 Abortion 0 with full term with known case of acute neuromyelitis (on treatment for 3 years). Patient delivered vaginally, post natal period was uneventful.
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