Abstract
Background and Objectives : Early postpartum hemorrhage (EPPH) is one of the most important causes of maternal mortality. It is responsible for 28% of maternal death in developing countries. Considering the importance of EPPH and also for prevention and control of it, this study on the prevalence and causes of EPPH in Kermanshah from 2001-2002 was established.
Materials and Methods : This descriptive study included all women who referred to hospital for delivery and needed transfusion due to EPPH. A questionnaire containing age , parity , delivery method and causes of EPPH was completed .
Results: This study showed that the prevalence of severe EPPH was 0.69%. It was 0.58% after normal vaginal delivery and 0.78% after cesarean section. The causes were uterine atonia (29cases–43.3%), genital tract laceration (11 cases–16.4%), coagulation disorders(8cases-11.9%) & abnormal placental adherence(6cases–9%). There were more than one cause in 13 cases(19.4%).
Discussion: The prevalence of severe EPPH after Cesarean section was more than normal vaginal delivery. The most common cause was uterine atonia. The mortality due to it can be decreased by staff education.
More study is necessary to define the true prevalence and risk factors of severe EPPH in Kermanshah and also in Iran .
Keywords
Early postpartum hemorrhage Uterine atonia Transfusion Kermanshah
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© 2004, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.