Management of post partum haemorrhage (PPH)

Sweta Lal, Snehlata .

Abstract


Background: Postpartum haemorrhage is a disease or a condition which occurs in the women at the time of delivery. The prevalence of this disease is very rare, and it is most likely to occur at the time of caesarean birth. The incidence of postpartum haemorrhage is high, and the excessive blood loss can cause a significant drop in the mother’s blood pressure which might lead to death. Thus, it is important to manage this condition in an effective manner.
Aim: The aim of the present study is to explore the management of postpartum haemorrhage.
Material and Methods: This was a cross sectional study which is being conducted on the diagnosed patients of postpartum haemorrhage which were being admitted at Hazaribagh Medical College, Hazaribagh, Jharkhand. This study was being conducted for the duration of 1 year. In this study 80 patients
were being selected on the basis of inclusion and exclusion criteria.
Results : As per the decision made by the doctors or the consultants, different management practices are being applied on different patients. All the patients have received the active management of third stage of labour. In the present study, the patients were being managed by both the surgical management methods or practices and the medical management practices. Medical management was given to the patients such as 30 patients were being given uterotonic drugs and 24 patients were given bimanual uterine compression.
Along with this, the surgical treatment was given such as 15 patients were managed with removal of retained placenta, 3 patients were managed with uterine artery ligation, 3 patients had managed with internal iliac, 2 patients are managed with artery ligation, 1 patient was managed with hysterectomy, and 20 were managed through balloon tamponade method. The balloon tamponade method stopped bleeding in all the cases 
Conclusion: The present study is being conducted for exploring the different management practices used for the treatment of postpartum haemorrhage. In this study, it is being found that both medicinal and surgical methods are being used for the treatment of postpartum haemorrhage. Two different methods are included under medicinal methods such as uterotonic drugs and bimanual uterine compression were being used for the treatment of postpartum haemorrhage. On the other hand, in the surgical methods different processes
are being used such as Removal of retained placenta, Hysterectomy, Artery ligation, Internal iliac, Uterine artery ligation, and balloon tamponade. The balloon tamponade is an effective method to control intractable PPH. It is an easy procedure which does not require expertise to use. Hence it proves to an invaluable tool, especially in places with low resource settings.

Keywords: Postpartum haemorrhage, Blood Loss, Management.


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