@article{Munir_Sadiq_Ishtiaq_2015, title={FREQUENCY OF CAUSES OF PRIMARY POSTPARTUM HAEMORRHAGE IN A TERTIARY CARE HOSPITAL}, volume={21}, url={https://www.annalskemu.org/journal/index.php/annals/article/view/692}, DOI={10.21649/akemu.v21i1.692}, abstractNote={<p><strong>Abstract</strong></p> <p><strong>Objective:  </strong>To study the frequency of causes of pri-mary postpartum hemorrhage (PPH) in women man-aged in a tertiary care Hospital.</p> <p><strong>material and Methods:  </strong>The study was conducted in the department of Obstetrics and Gynecology, Unit - l, Lady Willingdon Hospital/ King Edward Medical Uni-versity, Lahore from July 2013 to December 2013. All the women having postpartum haemorrhage after vagi-nal delivery in the labour room or referred with pri-mary postpartum haemorrhage were included in the study and were evaluated to see the frequency of post-partum haemorrhage as well as the causes of PPH in women being treated in a tertiary care unit.</p> <p><strong>Results:</strong>  During the study period 1344 women deli-vered in unit I and 250 patients developed postpartum haemorrhage giving frequency of primary postpartum haemorrhage 18.60%. Majority of the women 29.6% (n = 74) were between 26 - 30 years of age, mean and</p> <p>Munir S.I.<sup>1</sup></p> <p>Assistant Professor</p> <p>KEMU / Lady Willingdon Hospital, Lahore</p> <p>Sadiq A.<sup>2</sup></p> <p>Postgraduate Trainee</p> <p>King Edward Medical University, Lahore</p> <p>Ishtiaq S.<sup>3</sup></p> <p>Assistant Professor</p> <p>Ziauddin Medical University, Karachi</p> <p>SD was 28.43 ± 4.76 years. The gestation of 55.2%<br /> (n = 138) patients was between 37 - 40 weeks.</p> <p>      The frequency of postpartum haemorrhage in booked women during antenatal period was recorded as 25.2% (n = 63) while 74.8% (n = 187) were not booked in any health facility.</p> <p>      Among patients who developed PPH, uterine atony was the most common cause 57.6% (n = 144), followed by genital tract tears which was 29.2% (n = 73). The rest of the causes of PPH were retained pla-centa in 10% (n = 25), uterine rupture in 3.6% (n = 9) and uterine inversion in 1.6% (n = 4).<strong></strong></p> <p><strong>Conclusions:  </strong>Postpartum haemorrhage is still a lead-ing but preventable cause of maternal morbidity and mortality in our country due to under utilization of health facilities, the major cause is uterine atony follo-wed by perineal tears.</p> <p><strong>Key Words:  </strong>Primary postpartum hemorrhage, ante-natal care in tertiary care hospital, uterine atony, peri-neal tears.</p>}, number={1}, journal={Annals of King Edward Medical University}, author={Munir, Shamila Ijaz and Sadiq, Aneesa and Ishtiaq, Shahina}, year={2015}, month={Aug.}, pages={33} }