How to prevent and reduce complications of postpartum hemorrhage

Agah, Jila and Sharifzadeh, Masoumeh and Hosseinzadeh, Ali and Zare, Fatemeh (2017) How to prevent and reduce complications of postpartum hemorrhage. Journal of Biomedicine and Health, 2 (1). pp. 63-70.

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Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality especially in developing countries. To accurately measure postpartum hemorrhage(PPH), visual- estimation, prevalence and related causes in order to reduce maternal mortality.  This cross-sectional study was conducted in Mobini-hospital, Sabzevar, Iran in 2014. PPH was evaluated in 1000 parturients in a tertiary hospital. PPH was defined as bleeding more than 500ml and evaluated by weighing drapes before and after childbirth while the midwife, s estimation was written, postpartum. The data was analyzed by spss19, Chi-squared , descriptive and t- test.  Overall incidence of PPH was 4.9. In cesarean was more than vaginal delivery(p=0.030), more prevalence in emergency cases( p =0.043), blood transfusion was more in vaginal cases (1.2 vs.0.5). The midwives estimated PPH 25.6 less than real amount. The causes of PPH were uterine atony(58),  placental residue(11.8), placental retention, labor canal injury, uterine rupture, placenta previa and coagulation disorders(each5.9). Hysterectomy was 0.1. There was no significant relationship with age, parity and gestational age(p>0.05) , significant association with past-history of PPH (p=0.011).  PPH can be properly diagnosed and managed by exact assessment ,visual estimation is not a reliable method. Detecting risk factors and decreasing inappropriate interventions help to prevent it.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Depositing User: Saeed Shoja
Date Deposited: 18 Feb 2018 09:28
Last Modified: 18 Feb 2018 09:28

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