Study of Risk Factors of Post-Partum Hemorrhage and Its Outcome at Tertiary Care Center

Background: Postpartum hemorrhage (PPH) is one of the most common causes of maternal death, especially in developing country. Pregnancy and childbirth involve significant health risks, even to women with no preexisting health problem. The objective of this study was to analyze various risk factors associated with PPH. Methods: This prospective observational study was conducted in the department of Obstetrics and Gynecology of Department of Obstetrics and Gynecology, Umaid hospital, Dr.S.N. Medical College, Jodhpur, India. A total number of 200 cases of postpartum hemorrhage were included. Results: Most common cause of post-partum haemorrhage was the atonicity of the uterus which was seen in 164 (82 %) of the total pregnant women. PIH was seen in 70 (35 %) pregnant women followed by APH which was seen in 48 (24 %) pregnant women. Prolonged labour was accounts for 26 (13 %) cases of PPH and retained placental products accounts for 20 (10 %) cases of PPH. Large baby induced PPH was seen in 14 (7 %) pregnant women and genital tract injuries accounts for 12 (6 %) cases of PPH. PPH due to ruptured uterus was seen in 10 (5 %) pregnant women and multi parity accounts for 8 (4 %) cases of PPH. Infections were accounts for 6 (3 %) cases of PPH and uterine inversion accounts for 2 (1 %) cases of PPH.. Conclusions: We concluded from the present study that post-partum hemorrhage can be managed effectively by active management of the third stage of labour with use of uterotonics and blood transfusion. It is important to be prepared for PPH in all women giving birth, as some develop it without any known risk factors.