A retrospective study assessing the causes of postpartum haemorrhage in women admitted to Kisumu East District Hospital between January–June 2014
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Date
2014-11
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Kampala International University, School of Health Sciences
Abstract
Postpartum Hemorrhage is one of the leading causes of maternal mortality and is a very critical obstetric emergency. This study was designed to determine the causes of Postpartum Hemorrhage (PPH) in women admitted to Kisumu East District Hospital, the most common type of PPH and also to determine the various strategies used in the management of PPH. Data was collected from records of eligible patients. It was noted that the most common type of PPH was primary PPH with 88% of the patients. The causes of PPH were perineal trauma (tears and episiotomies) (48.5%), uterine atony (42.4%), and retained products of conception e.g. placenta and blood clots (9.1%). The major strategies used in the management of PPH were episiotomy/ perineal repair (45.5%), haematinics (36.4%), I.V.oxytocin (33.3%), blood transfusion (27.3%). Others included; antibiotics (12.1%), Manual evacuation of retained placenta (9.1%), uterine massage (9.1%), vaginal packing (9.1%), I.M. ergometrin (6.1%), and sublingual cytotec (3.0%). The management protocols used were effective according to the various causes. There is need for health workers to be constantly reminded on the proper techniques involved in the active management of third stage of labour in order to reduce on the mortality rates associated with PPH
Description
A research report submitted to the Faculty of Clinical Medicine and Dentistry of in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Keywords
Postpartum Haemorrhage, Maternal mortality, Kisumu East District Hospital