A retrospective study of cases of postpartum hemorrhage at tertiary health care center

Introduction: Postpartum haemorrhage is a significant contributor to maternal morbidity & mortality Obstetric hemorrhage accounts for 38% of maternal deaths, of which PPH accounts for 25%. Objective: The present study was undertaken to study maternal morbidity and mortality in cases of PPH. Materials and Methods: This was a retrospective study conducted in department of Obstetrics & Gynaecology, S.R.T.R.G.M.C. Ambajogai from June 2015 to march 2017 on sample size of 168 patients. Results: The records were analyzed with respect to maternal age, parity, socio-demographic & etiological profile and maternal consequences in cases of PPH at our tertiary care centre. In present study incidence of PPH came out to be 29% due to inclusion of all booked and referred cases. Main cause of PPH in this study was uterine atony i.e. 69%. Second common cause was traumatic i.e. 20%. Incidence of peripartum hysterectomy done for atonic cases was 12.06% and 5.88% in cases of rupture uterus. 82.14% cases were given blood transfusion. Maternal death due to haemorrhage in our study was 5.3%. Conclusion: Proper anticipation and skilled management, along with timely referral of PPH cases will lead to significant reduction in maternal morbidity & mortality, as PPH is a significant contributor to maternal mortality. Maternal deaths due to PPH are clearly declining that is due to improved socioeconomic status, high standard medical and surgical management, use of NASG and expert care delivered at our institute. Keywords: Postpartum haemorrhage, Maternal morbidity and mortality, Peripartum hysterectomy, Disseminated intravascular coagulation.