PRIMARY POSTPARTUM HEMORRHAGE IN AUGMENTED LABOUR: A STUDY OF NORMAL VAGINAL DELIVERIES

Background: One of the important and life-threatening complications encountered during labor is bleeding. This study is to estimate the frequency of Primary Postpartum Hemorrhage after augmented labor in normal vaginal delivery in our population because previously no data is available for blood loss after augmentation of labor during spontaneous delivery. Objective: To Determine the Frequency of Primary Postpartum Hemorrhage after augmented labor in normal Vaginal delivery. Material and Methods: Over the course of six months, a descriptive cross-sectional study was carried out at the Obstetrics and Gynecology Department of the Qazi Hussain Ahmad Medical Complex in Nowshera. All deliveries were conducted by trainee medical officers. The slow/obstructed labor was augmented by oxytocin infusion at the rate of 12ml/hour, which was titrated by 12ml/hour every 30 minutes to a max of 192ml/hour till the baby was delivered. The frequency of primary PPH was noted as per the operational definition. Data obtained was noted on the Performa. Results: Our study shows that among 151 patients, the mean age was 27 years with SD ± 7.02. Fifty-seven (37%) patients were Primigravida, and ninety-four (62.3%) patients were multi-para. Sixty-two (41.1%) patients had POG 37-38 weeks, and Eighty-nine (59.9%) patients had POG 39-41 weeks. Eighteen (12%) patients had primary PPH after augmentation, and one hundred thirty-three (88%) patients didn’t have primary PPH after augmentation. Conclusion: This study demonstrates that the frequency of primary PPH is significantly higher than expected in augmented labour following normal vaginal deliveries.