Frequency of Maternal Morbidity and Mortality in Women with Primary Postpartum Hemorrhage

Abstract

Postpartum haemorrhage is a leading cause of severe maternal morbidity and mortality in both developed and developing countries. We aimed to determine the frequency of maternal morbidity and mortality in women with primary postpartum hemorrhage. This descriptive case study was conducted at Department of Obstetrics & Gynecology, Allied Hospital, Faisalabad, from 15th September 2018 to 14th March 2019. A total of 241 women with PPH, having the age of 18-40 years, and gestational age of 37- 41 weeks were recruited. Patients were evaluated for the presence of sepsis, disseminated intravascular coagulation, acute renal failure, anaemia, and acute respiratory distress syndrome. In this study mean age was detected as 28.96 ± 4.11 years. Majority of the patients 146 (60.58%) were between 18 to 30 years of age. Mean gestational age was 38.87 ± 1.32 weeks. Mean parity was 3.10 ± 0.85 and mean BMI was 28.54 ± 2.54 kg/m2. Sepsis was found in 25 patients (10.37%), disseminated intravascular coagulation in 16 (6.64%), acute renal failure in 21 (8.71%), anaemia in 201 patients (83.40%), acute respiratory distress syndrome in 13 (5.39%) and mortality in 44 (18.26%) patients. This study indicates that frequency of maternal morbidity and mortality in women with primary postpartum hemorrhage is quite high. This necessitates early identification of high-risk pregnancies and provision of urgent, skilled and multidisciplinary intensive care.