TITLE:
A Ten-Year Review of Primary Postpartum Haemrrhage at a University Teaching Hospital, Sagamu, Nigeria: A Case-Control Study
AUTHORS:
Mustafa Adelaja Lamina, Monday Ikhile
KEYWORDS:
Primary Postpartum Haemorrhage, Atony, Retained Placenta, Genital Tract Laceration, Uterine Inversion
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.3,
February
28,
2015
ABSTRACT:
Objective: To determine the incidence
of primary postpartum haemorrhage, identify risk/aetiological factors
contributing to primary postpartum haemorrhage and review the different
therapeutic approaches in the management of primary postpartum haemorrhage.
Method: A retrospective case-control study of all patients with primary
postpartum haemorrhage from January 1, 2001 to December 31, 2010 at Olabisi Onabanjo
University Teaching Hospital, Sagamu, Nigeria. Result: In the period under
review, 272 cases of primary postpartum haemorrhage were documented while there
were a total of 5929 deliveries, giving an incidence of 1 in 26 (25.6%). The
average blood loss in the cases reviewed was 1550 mls whilst in the controls,
the average blood loss was 200 mls. There was statistical significant
difference between the grandmultiparous cases and grandmultiparous controls
(58.4% versus 16.5%, OR = 6.74, p