Booked, non-booked cases delivered at DHQ and presented with primary PPH were included in the study

Abstract

PPH was labeled as minor (500-1000 ml) or major (more than 1000 ml). Major PPH was divided into moderate (1000-2000 ml) or severe (more than 2000 ml). Women with pre-existing bleeding disorders and women taking therapeutic anticoagulants were excluded. Estimation of blood loss: Blood loss estimation was made by subjective as well as objective assessment. Subjective measures included counting of swabs, estimation of blood clots, and blood in the suction bottle. Objective assessment was made by estimation of Hb levels, need for blood transfusions, clinical condition of the patient, and degree of shock. Active management of the third stage of labor was offered to all women delivering at our institution.

Information regarding booking status, mode of delivery, possible risk factors, causes of PPH, the therapeutic medical and surgical interventions, and outcomes of the management was collected. The data obtained from the file review were coded and entered in SPSS version 16.0 for analysis. Descriptive statistics have been presented for a consecutive series of patients with primary PPH. Ethical approval from the Ethical Committee of the Institute was sought.