POSTPARTUM HEMORRHAGE: AN EXPERIENCE AT TERTIARY CARE HOSPITAL

Total number of obstetric admissions during the study period was 1231. Out of these 118 (9.5%) patients developed PPH. Out of these 118 patients, 98(83%) patients had primary PPH while 20(16.9%) patients had secondary PPH. Seventy five (63.5%) patients were unbooked while 43(36.4%) were booked. Regarding causes of PPH, most common cause was uterine atony in 76(64.4%) cases, followed by perineal and vaginal tears in 41(34.7%) patients and prolonged labor in 29(24.5%). Uterine massage was done in 76(64.4%) patients, B-Lynch sutures were applied in 6(5%) cases and hysterectomy done in 4(3.3%) patients. Majority of patients developed primary PPH and the commonest cause was uterine atony. PPH was commonly seen in unbooked patients, induced/ augmented labor and grand multiparous women. Postpartum hemorrhage, Uterine atony, Oxytocics.