A Retrospective Study of Cases of Postpartum Hemorrhage at Secondary Health Care Center

Aims & Objectives: The aim was to analyse factors responsible for causing PPH and its management. Materials and Methods: This study included all patients admitted for delivery as well as referred patients came to LAKHIMPUR DISTRICT HOSPITAL, NORTH LAKHIMPUR (ASSAM) ending up in PPH. Results: Out of 23313 patients 392 patients landed up in PPH from January, 2017 to December, 2023 at Lakhimpur District Hospital, North Lakhimpur (Total duration 7 years). Uterine atony is the major cause of PPH followed by traumatic and retained tissue. In 74.32 % cases of PPH had a more than one predisposing factors like anaemia, prolonged labour, placenta previa, multiparity, multifetal gestations, macrosomia, uterine inversion, fibroid uterus. Total 61.99% cases responds to medical line of treatment. 8.93 % patients required bimanual uterine massage with medical treatment. 22.19 % patients required conservative surgical interventions, 3.06% patients required radical surgery (subtotal obstetric hysterectomy), 3.83% cases referred to higher centres & ~1 % maternal mortality. Conclusion: We conclude that identification of predisposing factor and timely medical, surgical and bimanual massage can reduce mortality and morbidity in PPH.