Volume 24, Issue 101, January - February, 2020

Primary postpartum hemorrhage: Incidence, risk factors, and outcomes in Al Sader teaching hospital

Kawakeb N Abdulla¹, Anwar Ahmed Mohammed², Hayder Adnan Fawzi^3♦

¹Iraqi National Cancer Research Center, University of Baghdad, Baghdad, Iraq
²Head of obstetrics and gynecology department, Fatima Al-Zahra hospital, Misan, Iraq
³Clinical Pharmacy department, Al-Esraa University College, Baghdad, Iraq

^♦Corresponding author
Clinical Pharmacy department, Al-Esraa University College, Baghdad, Iraq Email: Hayder.adnan2010@gmail.com

ABSTRACT

Objective: evaluate the incidence, risk factors, causes and outcomes of primary postpartum hemorrhage (PPH). Methods: A prospective study carried out at Al Sader teaching hospital/maternity department. Data were obtained for women diagnosed with primary PPH during the period from September 2018 to April 2019. The demographic, clinical, and outcome data were registered. Results: The study showed that the incidence of primary PPH was 1.2%. The main cause for this condition was uterine atony with rate of 57%. The main risk factor was a multiparous woman with rate of 86%. The main method of treatment was medical not surgical (80% vs 20%). Conclusions: Primary PPH incidence in Al Sader teaching hospital was low; the most identifiable risk factor for primary PPH was multiparity, history of previous PPH and presence of a medical disease. The most common cause of primary PPH was uterine atony.

Keywords: Primary postpartum hemorrhage, Cesarean section, Uterine atony

Medical Science, 2020, 24(101), 360-364

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