Postpartum Hemorrhage in Buriram hospital

Abstract

Introduction: Postpartum hemorrhage (PPH) is a obstetrical emergency condition and most common cause of death in maternal death. Nowadays, It’s problem in maternal and child health.
Objective: To estimate incidence rate, cause, treatment of PPH in Buriram hospital. To find out factors associated condition.
Methods: The case control study was done. The inclusion criteria were mothers with PPH,who were admitted to Deparment of Obstetrics, Buriram hospital during October 1, 2005 to September 30, 2007. Data of maternal and child birth in Year Book of Obstetric Deparment were collected at the same time, the following parameters were compared with history of pregnancy, complication of obstetrics and delivery type which were used in those mothers. All data were analysed with descriptive analysis, chi-s quare test, student t- test.
Results: Two hundred and seventy one cases were PPH. Overall maternal delivery were 17,871 cases. Incedence rate was 1.52%. Common caused of early PPH was uterine atony (72.3%), late PPH was retained placenta almost (100%). Medical treatment was found 80.8% and 7% in subtotal hysterectomy. At one-quarter of all maternal death were due to PPH. Factors associated PPH patients in this study were PROM, PIH, APH, all stage of prolonged labor, cesarean section, delivery procedures and LGA newborns.
Conclusion: PPH was significant and common cause of death in maternal death. Uterine atony was mainly cause of PPH. Family planning in optimal age, surveillance and prevent obstetric complication and considered to indication for either obstetric procedures or cesarean section through decreased third- stage of labor were to decerelated rate of PPH patients.
Key words: PPH, uterine atony, maternal death