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ORIGINAL ARTICLE
Year : 2015  |  Volume : 24  |  Issue : 3  |  Page : 242-245

Primary postpartum haemorrhage in federal medical centre, Owerri, Nigeria: A six year review


Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Imo State, South East Nigeria

Correspondence Address:
Onyegbule A Onyema
Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Imo State
South East Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1115-2613.278933

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BACKGROUND: Primary postpartum hemorrhage is an obstetric emergency and is a leading cause of maternal morbidity and mortality in developing countries. It a condition that requires vigilance, prompt and appropriate management. OBJECTIVE: To determine the prevalence and determinants of primary post partum haemorrhage in Federal Medical Centre Owerri METHODS: All cases of all cases of primary post partum haemorrhage managed at FMC Owerri The case notes were retrieved from the hospital's Records Department and information on socio-demographic characteristics, nature of labour (spontaneous,induced or augmented) duration of labour and mode of delivery and birth weight, estimated blood loss and the need for blood transfusion were obtained. RESULTS: Out of a total of 4889 deliveries,3725(76.2%) women had vaginal delivery while 1164 (23.8%) women had caesarean section. Out of these deliveries,166 women had Primary Post Partum Hemorrhage (PPH), giving a prevalence of 3.4%. Multiparous women had higher prevalence compared to nulliparas: 88 (48.3%) versus 37 (22.2%) respectively. The commonest cause of primary PPH was uterine atony 72 (43.4%) and cervical laceration was the least cause constituting 13 (7.7%). Caesarean section was associated with higher prevalence of post partum haemorrhage 94 (56.4%). Duration of second and third stages of labour lasting more than 30minutesand 10 minutes respective were associated with higher risk of primary PPH:82 (49.5%) and 87 (52.3) respectively. CONCLUSION: Supervised antenatal care, active management of labour and emergency obstetric care, if employed religiously will drastically reduce post partum haemorrhage and thus its associated complications


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