January 2016 · Volume 5 · Issue 1 Page 23 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Gadre S et al. Int J Reprod Contracept Obstet Gynecol. 2016 Jan;5(1):23-28 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Research Article An overview of women with post-partum haemorrhage in a tertiary care centre at capital of Madhya Pradesh, India Sandhya Gadre 1 *, Shweta Patel 1 , Abhishek Gadre 2 INTRODUCTION Death due to pregnancy remains an important cause of premature mortality of women worldwide, an estimated 500,000 women die from this cause every year with up to quarter of deaths occurring due to haemorrhage. 1 Post partum haemorrhage (PPH) may occur in 1-5% of deliveries in developed as well as in developing countries and it is still most common cause of maternal morbidity and mortality. 2 For vaginal delivery blood loss above 500 ml and in C- section blood loss more than 1500 ml is considered as PPH. Another definition of PPH is that blood loss sufficient to cause hypovolemia, a 10% drop in the haematocrit or requiring transfusion of blood products 1 Department of Obstetrics & Gynaecology, Chirayu Medical College & Hospital, Bhopal, M.P. India 2 Department of Internal Medicine, Cleveland Clinic, Ohio, USA Received: 02 December 2015 Accepted: 12 December 2015 *Correspondence: Dr. Sandhya Gadre, E-mail: gadre.sandhya@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Death due to pregnancy remains an important cause of premature mortality of women worldwide. Post- Partum hemorrhage (PPH) is still most common cause of maternal morbidity and mortality. Attention needs to be paid to the prevention of PPH with organization of continuous in-service training for all the health workers to emphasize early identification of the patient‟s at risk, anticipation and corresponding readiness to manage PPH cum active management of third stage of labour. Our institute is a tertiary care centre receiving moribund patients with late referral affecting the outcome adversely. This area needs to be explored methodically. The main objective is to Study the pattern of referred & in-house PPH cases, To re-emphasize the importance of antenatal supervision & anticipating, identifying and managing the complications at the earliest as well as prophylactic management of PPH, enhancing the awareness in this regard. Also to find out if there are situations where early referral to the tertiary care centre could have changed the outcome Methods: The study was conducted at Chirayu Medical College & Hospital, Bhopal, India. Retrospective data of all the cases of postpartum haemorrhage from November 2010 – October 2015, whether referred or in-house in the study period was recorded. (n= 37; 2.66%). Patients‟ antenatal delivery & PPH details, management received & maternal outcome were recorded. The data was compiled & analyzed statistically in view of the aims & objectives. Results: 84 % were unbooked, 65% delivered at tertiary centre. 70% had atonic PPH, 46% PPH due to coagulopathy. 65% had severe anemia, ARF in 27%, ARDS in 19%. 65% recovered completely, 16% recovered from PPH & had some persistent morbidity, mortality 19%. Conclusions: The importance of antenatal supervised care under expert‟s guidance cannot be overemphasized. Identifying the complications at the earliest can prevent many complications. Timely referral of the obstetric patients to a tertiary centre can save many lives. Keywords: Post-partum hemorrrhage, Referred, Antenatal supervision, Late referral, Coagulopathy DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20151494