Secondary Postpartum Hemorrhage Following Cesarean Section

Bul, Surayea Bul; Susan, Zobaida Sultana; Jahan, Raunak; Nayeem, Abu; Rahman, Farzana; Zakaria, Rooh E; Rahman, Sumana

doi:10.3329/jssmc.v9i1.37255

Cited by 3 publications

(5 citation statements)

References 1 publication

(1 reference statement)

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“…4 Similar findings were reported by other researchers from Bangladesh. 4,6,7,[17][18][19][20][21] Our results are also in congruence with those studies, as we found that 46.62% had home delivery and 38.02% had their delivery without attending doctor, nurse/midwife or skilled birth attendant.…”

Section: Discussionsupporting

confidence: 91%

“…Similar findings were reported in some other studies done in the similar category of tertiary level teaching hospitals around the country. 14,[17][18][19][20][21] The most common early puerperal complication in this study was primary postpartum haemorrhage (29.68%). This is the most important puerperal complication that leads to a huge number of maternal deaths across the globe.…”

Section: Discussionmentioning

confidence: 99%

“…A range of maternal mortalities have been reported for decades in our country due to postpartum complications. 6,7,14,15,[17][18][19][20][21] Although the 'safe motherhood' initiative has been given priority in recent years, maternal morbidity and mortality remains a major public health concern in most developing countries and Bangladesh is not an exception to that.…”

Section: Discussionmentioning

confidence: 99%

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Early Postpartum Complications and Maternal Mortality: An Experience of Mymensingh Medical College Hospital, Bangladesh

Alamgir¹,

Nigar²,

Nahar³

2022

Comm. Based Med J

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A cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital (MMCH), Bangladesh, between April and September of 2010, to observe and evaluate common complications in early puerperium. A total of 384 patients were selected for the study, who were admitted with immediate postpartum complications, or who experienced complications after delivery at MMCH. Most of the patients 202(52.6%) belongs to 21-30 years age group followed by 118(30.73%) in >30 years and 64(16.67%) in ≤20 years group. Low parity accounts for most patients, 217(56.5%), while grand multiparity was documented in 42(10.9%) patients. 211(54.95%) patients had no history of antenatal checkup. 179(46.62%) patients had home delivery, while the rest had institutional delivery. 239(62.24%) patients had normal vaginal delivery, while 129(33.6%) had Caesarean operation, 7(1.82%) needed vacuum extraction and 2.34% had forceps’ delivery. 146(38.02%) had their delivery without attending doctor, nurse/midwife or skilled birth attendant. Most of the patients, 281(73.18%), had their symptoms and signs within 24 hours of delivery, while 41(10.67%) and 62(16.15%) had within 48 hours and within 7 days respectively. Primary postpartum haemorrhage (PPH) was the leading complication found in 114(29.68%) patients, while the other major complications were puerperal sepsis 53(13.8%), urinary tract infection 40(10.42%), postpartum eclampsia 38(9.9%). 329(85.68%) patients were discharged without any morbidity; however, maternal mortality was observed in 18(4.68%) cases. Puerperal sepsis 5(28%), postpartum eclampsia 4(22%) and pulmonary embolism 3(17%) were the leading causes of mortality. Skilled obstetric care, active management of third stage of labour, prevention and treatment of anaemia, and maintenance of strict asepsis during delivery can prevent a considerable incidence of those complications. CBMJ 2021 January: vol. 10 no. 02 P: 85-90

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Early Postpartum Complications and Maternal Mortality: An Experience of Mymensingh Medical College Hospital, Bangladesh

Alamgir¹,

Nigar²,

Nahar³

2022

Comm. Based Med J

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“…Many studies have attempted to shed light on the management options available; for example, BUL -BUL S et al [8] found that the highest age group for women who presented with PPH was between 30 to 35 years -which we also found in this study -perhaps due to the higher parity in this age group. Most of the patients admitted to AL-Yarmouk hospital were from rural areas, which is similar to the previous study by Carrole et al [8]. This finding may be related to a deficiency of talent and difficulty in attainment health care centres.…”

Section: Discussionsupporting

confidence: 72%

Secondary Postpartum Haemorrhage following vaginal delivery — a 3-year survey of causes and management

2020

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“…The risk of secondary hemorrhage may be higher among cesarean-delivered women than virginally delivered. [ 26 27 ] But in one study, contrary results were observed. [ 28 ] A review study has reported higher hemorrhage rates among cesarean deliveries than vaginal[ 29 ]; notably, an emergency cesarean may have more severe hemorrhage than an elective.…”

Section: Discussionmentioning

confidence: 90%

Relative risk of postpartum maternal morbidity among cesarean-delivered women: A multisite prospective cohort study in a large district, India

Doke

Vaidya

Narula

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Family doctors manage mild to moderate postpartum morbidities that do not receive attention. The morbidities are higher after cesareans, which are increasing in number. The aim was to calculate the relative risk of various maternal morbidities occurring during 6 months postpartum among cesarean-delivered women in Pune District, India. Material and Methods: This was a large multisite study, which included all 11 non-teaching government hospitals performing at least five cesarean sections per month, one teaching government hospital, and one private teaching hospital. All eligible cesarean delivered and an equal number of age and parity matched vaginally delivered women were the participants. The obstetricians interrogated women before discharge, after 4 weeks, 6 weeks, and 6 months. Results: In this study 3,112 women participated. At any visit and among any group lost to follow-up proportion was <10%. There was no major intra-operative complication among vaginally delivered women. The relative risks of acute and severe morbidity as intensive care unit admission and blood transfusion among cesarean-delivered women were 2.59 [95% confidence interval (CI) = 1.96 to 3.44], 4.33 (95% CI = 2.17 to 8.92), respectively. The adjusted relative risk of surgical site pain and infection at 4 weeks; surgical site pain at 6 weeks; and lower abdominal pain, breast engorgement/mastitis, urinary incontinence, and weakness at 6 months among cesarean-delivered women was higher ( P < 0.05). Vaginally delivered women resumed family activities earlier. Conclusion: Health care workers, including family doctors, during follow-up of cesarean-delivered women, must assess for pain, induration/discharge at the surgical site, urinary incontinence, and breast engorgement/mastitis.

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Secondary Postpartum Hemorrhage Following Cesarean Section

Cited by 3 publications

References 1 publication

Early Postpartum Complications and Maternal Mortality: An Experience of Mymensingh Medical College Hospital, Bangladesh

Early Postpartum Complications and Maternal Mortality: An Experience of Mymensingh Medical College Hospital, Bangladesh

Secondary Postpartum Haemorrhage following vaginal delivery — a 3-year survey of causes and management

Relative risk of postpartum maternal morbidity among cesarean-delivered women: A multisite prospective cohort study in a large district, India

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