Massive postpartum haemorrhage as a cause of maternal morbidity in a large tertiary hospital

2004 ◽  
Vol 24 (5) ◽  
pp. 519-520 ◽  
Author(s):  
S Hazra ◽  
VN Chilaka ◽  
S Rajendran ◽  
JC Konje
Keyword(s):  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Tertiary Hospital

scholarly journals Causes and management of secondary postpartum haemorrhage in a tertiary medical college hospital in Bangladesh

2017 ◽  
Vol 6 (7) ◽  
pp. 2694
Author(s):  
Kamrun Nessa ◽  
Sumia Bari ◽  
Sanjida Khan ◽  
Ferdowsi Sultana ◽  
Tania Akbar
Keyword(s):  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Mode Of Delivery ◽  
Wound Dehiscence ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Maternal Mortality And Morbidity ◽  
Postnatal Women ◽  
Low Incidence

Background: Globally postpartum haemorrhage remains a leading cause of maternal death. It affects only 1-2% of postnatal women. This low incidence of secondary PPH and linkage to maternal morbidity rather than mortality was the reason for the little attention among obstetricians, but it is recently gaining importance and interest with the increase morbidity and mortality related to secondary PPH.Methods: A retrospective study was conducted on the diagnosed patients of secondary PPH admitted in Enam Medical College and Hospital, Dhaka, Bangladesh, from January 2015 to December 2016. Among 33 cases of secondary PPH age of the patients, parity, mode of delivery, causes and management were noted from medical records. All data was analyzed by SPSS16.Results: Among 33 patients 14 (42.4%) were primi and 19 (57.6%) were multipara, age between 18 to 38 years, majority admitted 2nd and 3rd week after delivery. Among 33 patients 12% delivered vaginally at home and 30% vaginally at hospital and 58% undergone LUCS. We found 34% retained bits of placenta, 27% uterine wound dehiscence, 24% retained clots and 15% endometritis as causes. Less than 3 units blood needed in 22 (66.7%) patients and 11 (33.3%) needed more than 3 units. About 6 (18%) patients were treated conservatively, MVA were needed in 18 (55%) patients, repair of wound in 4 (12%) and TAH was in 5 (15%).Conclusions: Secondary PPH is increasing may result in significant maternal morbidity as well as mortality. More study needed to identify the risk factors and causes to reduce maternal mortality and morbidity.

Active management of the third stageof labor for the prevention of postpartum haemorrhage

2014 ◽  
Vol 63 (2) ◽  
pp. 22-27
Author(s):  
Natalya Vladimirovna Artymuk ◽  
Mariya Nikolayevna Surina ◽  
Tatyana Yuryevna Marochko ◽  
Natalya Borisovna Kolesnikova
Keyword(s):  
Blood Loss ◽  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Active Management ◽  
Controlled Study ◽  
The Third ◽  
Randomized Controlled ◽  
Obstetric Haemorrhage ◽  
Maternal Morbidity And Mortality ◽  
Perinatal Center

Obstetric haemorrhage remains a main cause of maternal morbidity and mortality. A hospital-based, individually randomized controlled study was proposed. 1095 women delivering vaginally in Kemerovo Perinatal Center were examined. Absence of controlled cord tractions hasn’t significant effect on amount of blood loss in the III stage, and frequency of PPH, in usage of additional uterotonics, postpartum hemoglobin levels, frequency of manual removal of placenta.

scholarly journals Magnitude, Trends and Causes of Maternal Mortality: A 7-year Review at a Tertiary Hospital in Rivers State, Nigeria

2020 ◽  
pp. 103-109
Author(s):  
P. A. Awoyesuku ◽  
D. A. MacPepple ◽  
B. O. Altraide
Keyword(s):  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
Sub Saharan Africa ◽  
Annual Reports ◽  
Maternal Deaths ◽  
Middle Income ◽  
Mortality Ratio ◽  
Sub Saharan

Background: Maternal mortality ratios (MMR) are still unacceptably high in many low- and middle-income countries especially in sub-Saharan Africa. Background Data for the causes of maternal deaths are needed to inform policies to improve maternal healthcare and reduce maternal mortality. Objective: This study sought to determine the magnitude and trend in maternal mortality and the causes at a tertiary hospital over a seven-year study period. Methodology: This was a retrospective review of maternal mortality and causes from 2012 to 2018. Data on number of maternal deaths, deliveries and causes of death were retrieved from the departmental annual reports and hospital records and entered into Microsoft Excel 2013. Data were presented as line graphs, charts and frequency tables. Results: One hundred and ten (110) maternal deaths occurred out of 17,080 total births during the study period giving an overall MMR of 644. The MMR increased progressively from 580 in 2012 to 785 in 2018 with a sharp rise to the highest and subsequent decline to the lowest, values at the midpoint. The commonest causes of maternal deaths were Pre-eclampsia (PET) and Eclampsia 44(40%), Postpartum Haemorrhage (PPH) 25(22.7%) and Ruptured Uterus 13(11.8%). Conclusion: The maternal mortality ratio is high and the trend is worsening. The leading causes of maternal deaths were PET/Eclampsia and Postpartum haemorrhage accounting for about two-thirds of all deaths. Efforts must be geared towards improvements in the management of these cases, if this trend is to be reversed.

Severe maternal morbidity and maternal near miss in a tertiary hospital of Delhi

2019 ◽  
Vol 32 (5) ◽  
pp. 270
Author(s):  
Pragti Chhabra ◽  
Kiran Guleria ◽  
SanjivKumar Bhasin ◽  
Komal Kumari ◽  
Shalini Singh ◽  
...  
Keyword(s):  
Maternal Morbidity ◽  
Tertiary Hospital ◽  
Near Miss ◽  
Severe Maternal Morbidity ◽  
Maternal Near Miss

Uterine laceration – a rare case of postpartum hemoperitoneum

2021 ◽  
Vol 86 (5) ◽  
pp. 335-338
Author(s):  
Carlos Silva Macedo ◽  
◽  
Cristina Pestana Domingos ◽  
Rita Leiria Gomes ◽  
Zeferino Pina ◽  
...  
Keyword(s):  
Key Words ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Postpartum Haemorrhage ◽  
Morbidity And Mortality ◽  
Early Postpartum ◽  
Maternal Morbidity And Mortality

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide. Early dia gnosis and treatment are essential to prevent sequelae or even death. We describe a rare case of early postpartum haemorrhage with hemoperitoneum due to a laceration of the uterine serosa with exposure of a uterine vessel solved by laparotomy. Key words: postpartum haemorrhage – uterine rupture – parturition

scholarly journals Obstetric hysterectomy: a retrospective study

2021 ◽  
Vol 10 (12) ◽  
pp. 4522
Author(s):  
Savita N. Kamble ◽  
Yuga M. Jamdade
Keyword(s):  
Analytical Study ◽  
Postpartum Haemorrhage ◽  
Reproductive Potential ◽  
Tertiary Hospital ◽  
Fetal Outcome ◽  
Common Risk Factor ◽  
Early Referral ◽  
Fetal Complications ◽  
Expert Surgeon ◽  
Socio Demographic Factors

Background: Obstetric hysterectomy (OH) is last resort usually opted to save life of a mother in critical obstetric conditions compromising her reproductive potential. With increasing caesarean deliveries incidence of morbidly adhered placenta is increasing, thus increasing need of OH. We aimed to study socio-demographic factors, incidence, indications, complications and feto-maternal outcomes associated with obstetric hysterectomy. Also, we aimed to study factors which affect the maternal and fetal outcome in obstetric hysterectomy case so as to minimize maternal and neonatal mortality and morbidity.Methods: We conducted a retrospective analytical study of 2 years 6 months in Department of Obstetrics and Gynecology at a tertiary and teaching institute of western Maharashtra.Results: The incidence of obstetric hysterectomy was 0.4%. Majority of women were between 25-35 years age group and parity two or more. Most common indication was postpartum haemorrhage (PPH) (41.1%) followed by uterine rupture (29.4%) and adhered placenta (23.5%). Most common risk factor found was previous caesarean delivery. Most common complication was need of intensive care unit (ICU) and vasopressor support.Conclusions: Proper antenatal care, screening for high-risk obstetric cases and registration of those patients at a well-equipped hospital and early referral and delivery at tertiary hospital by expert surgeon with timely decision, timely and adequate transfusions can prevent maternal and fetal complications.

scholarly journals Management of postpartum haemorrhage

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1514 ◽  
Author(s):  
Marie Pierre Bonnet ◽  
Dan Benhamou
Keyword(s):  
Tranexamic Acid ◽  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Morbidity And Mortality ◽  
Trauma Patients ◽  
Transfusion Strategy ◽  
Recent Advances ◽  
Maternal Morbidity And Mortality

Postpartum Haemorrhage (PPH) is a major cause of maternal morbidity and mortality. Treatment of acquired coagulopathy observed in severe PPH is an important part of PPH management, but is mainly based on literature in trauma patients, and data thus should be interpreted with caution. This review describes recent advances in transfusion strategy and in the use of tranexamic acid and fibrinogen concentrates in women with PPH.

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