FREQUENCY OF POSTPARTUM HAEMORRHAGE IN MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL
Main Article Content
Abstract
Objectives: To determine the frequency of postpartum haemorrhage as a cause in maternal mortalityduring a period of seven years in a tertiary care hospital.Methodology: This descriptive study was conducted in Gynae A unit of Department of Obstetrics andGynecology, Lady Reading Hospital Peshawar. Data was collected from maternal mortality recordsst st retrospectively from 1 January 2003 to 31 December 2009. All patients who died in the hospital with adiagnosis of postpartum haemorrhage as the primary cause of death were included in the study.Results: A total of 302 maternal deaths were recorded during the study duration. Out of these 302, 74were due to Post-partum Haemorrhage which constituted 24.5% of maternal deaths. The mean age of thesample was 29.69+7.10. Uterine atony was the cause of death in 45.9%(n=34), rupture uterus in32%(n=24), genital tract tears in 14.86%(n=11) and retained placenta in 6.75%(n=5) of the cases of PostpartumHaemorrhage. Subtotal abdominal hysterectomy was performed in 51.35%(n=38); repair of tearsand removal of placenta in 6.75%(n=5) each; Subtotal abdominal hysterectomy with internal iliac ligationwas performed in 5.4%(n=4) cases while only internal iliac ligation and B Lynch suture was applied in1.35%(n=1) each. The remaining 20 cases expired before they could be prepared for it.Conclusion: Postpartum Haemorrhage was found to be leading cause of maternal mortality making up toone quarter of total deaths in 7 years. Uterine atony and ruptured uterus were the major causes ofPostpartum Haemorrahge. Subtotal abdominal hysterectomy was the major procedure performed.
Article Details
How to Cite
1.
Fayyaz S, Faiz NR, Rahim R, Fawad K. FREQUENCY OF POSTPARTUM HAEMORRHAGE IN MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL. J Postgrad Med Inst [Internet]. 2011 Oct. 14 [cited 2024 Dec. 25];25(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1170
Issue
Section
Original Article
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.