Uterine atony remained the major etiology in many reviewed studies.

Authors

  • Asif Naeem Liaquat University of Medical & Health Sciences Jamshoro

Abstract

In the current study increased incidence of PPH was recorded among non booked patients. The larger percentage of non booked women who had PPH in this study confirmed the importance of quality antenatal care in early recognition of risk and control of complications associated with pregnancy. The age range of presentation at our institution was 22–42 years. Incidence of PPH was reported in similar age group in other studies.15,16

Multiparas showed an increased incidence of PPH in our study. A study was done in Nigeria by A.E.Olowokere also had more incidences in multiparas.13 Whereas in studies conducted by Lill Trine et al and Michael Kramer showed increased incidence in primiparas.14,15 The NICE guideline on intrapartum care identified eight cross-sectional studies assessing parity as a risk factor for PPH and recommended that grand multiparas (parity 4 or more) should be advised to give birth in an obstetric unit where more emergency treatment options are available.16 The majority of patients had spontaneous labor followed by augmentation of labor and delivery by cesarean section. Similar results were presented in studies by A.E.Olowokere and Lill Trine et al,13,14 whereas others showed increased risk with cesarean section and augmentation of labor.15 A study conducted in Uganda c-section was a risk factor for PPH.17 Major risk factors identified were high parity, anemia, macrosomia with or without polyhydramnios and antepartum hemorrhage followed by preeclampsia, chorioamnionitis, and malpresentation. Anemia remained a major risk factor in many of the studies followed by the

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Published

2022-12-31

How to Cite

Asif Naeem. (2022). Uterine atony remained the major etiology in many reviewed studies . Pakistan Medical and Dental Journal (PMDJ), 2(2). Retrieved from https://www.pmdjonline.com/index.php/pmdj/article/view/17

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