Available online Jul 19, 2018.
[ Original ] Volume 24, Issue 3, 2015, Pages 242-245
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
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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Volume 24 | Issue 3
Page Nos. 242-245
Online since Jul 12, 2018