International Journal of Medical and Health Research

Authors
Dr. Deepti Gupta, Dr. Arnab Kumar Nandi, Dr. Aditi kanungo Nandi, Dr. Shabana Khan

Abstract
Objective: To find out the prevalence of postpartum haemorrhage after C.S and to identify risk factors & preventive measures and management. Materials & method: A prospective study conducted in the department of Obstetrics & Gynaecology, Index Medical College Hospital & RC, Indore, M.P, on all the caesarean section patients irrespective of age, parity, booking status who developed postpartum haemorrhage. Result: Postpartum haemorrhage occurred in 6.25% cases of which unbooked cases were 7.69% and booked cases were 3.57%.PPH occurred mostly in multigravida (70%) and the most commonest cause being the atonic uterus (52%) followed by tissue trauma (24%) and placental problem (12%).There are certain predisposing factors found in our study of which antepartum haemorrhage (20%), obesity, placental problems are common. It is seen with proper screening of high risk cases in antenatal period and meticulous surgery during o.t can minimize the risk of PPH. With prompt medical and surgical intervention all the PPH cases were managed successfully. Conclusion: PPH is one of the common complication after C.S which occur more with advanced age, multigravidae and in unbooked cases. Proper screening of the predisposing factors in antenatal period can prevent the occurence and prompt medical and surgical management should be done in PPH cases according to cause.