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Postpartum Haemorrhage , Hospital Experience in High Maternal Mortality Zone In Sudan

Postpartum Haemorrhage , Hospital Experience in High Maternal Mortality Zone In Sudan. Abdalla Ali Mohammed Abdelazeem Abdalla Mohammed Faculty of Medicine & Health Sciences University of Kassala Sudan. Kassala New Hospital. 100 beds Obs & Gyne Hospital.

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Postpartum Haemorrhage , Hospital Experience in High Maternal Mortality Zone In Sudan

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  1. Postpartum Haemorrhage, Hospital Experience in High Maternal Mortality Zone In Sudan Abdalla Ali Mohammed AbdelazeemAbdalla Mohammed Faculty of Medicine & Health Sciences University of Kassala Sudan

  2. Kassala New Hospital • 100 beds Obs & Gyne Hospital. • 4,422 deliveries\year .

  3. Objectives • To determine the outcome of management of patients presented with PPH • To investigate the causes • To determine the risk factors

  4. Materials and Methods • Retrospective hospital based study. • 1stNov 2006 – 30th Oct. 2007. • PPH definition(limitation). • Records from patients presented with or developed PPH. • Variables. • Manual analysis.

  5. Results • 38 case had been reported. • 21 cases were hospital deliveries (incidence = 0.5% ). • Peak age group (30 – 34 years). • 50% Rural • 84.2% primary PPH. • (21.1%) follow C|S

  6. Mode of Delivery

  7. Parity distribution

  8. Causes of PPH

  9. Interventions

  10. Hysterectomy one ruptured uterus and 2 (moribund conditions). • B-Lynch performed to control massive bleeding in three cases. • One maternal death. CFR = 2.6%.

  11. Identified Risk Factors:(n=38)

  12. Conclusions • In this high maternal mortality zone, management of PPH is an important factor in reducing maternal mortality. • Atonia is the major cause of postpartum haemorrhage, which could be prevented by AMTSL. • Risk factor is absent in nearly half of cases. • Caesarean delivery accounts for around fifth of cases.

  13. Recommendations: • Adoption of AMTSL to all deliveries attended by SBA, regardless of the presence of risk factors. • All rural health facilities should be capable of offering EMOC service.

  14. Thank you

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