Edhi Muhammad Muzzammil, Aslam Hafiz Muhammad, Naqvi Zehra, Hashmi Haleema
BMC Res Notes. 2013 Jun 18;6:236. doi: 10.1186/1756-0500-6-236.
Post partum hemorrhage is defined as blood loss of 500 ml or above. It is the most common cause of pre-mature mortality of women world wide. Our objective was to evaluate the most common etiology and method of management of Post partum Hemorrhage in a tertiary care hospital of Karachi.
It was a cross sectional study conducted at Liaquat National Hospital Karachi, during the period of July 2011 to May 2012. Review include mode of delivery, possible cause of postpartum hemorrhage, supportive, medical and surgical interventions. All the women admitted with post partum hemorrhage or develop PPH in hospital after delivery were included in our study. Bleeding disorder and use of anticoagulants were set as exclusion criteria. Diagnosis was made on the basis of blood loss assessment which was made via subjective and objective evaluation.
This study highlights the existing variable practices for the management of postpartum hemorrhage. Hemorrhage associated morbidity and mortality can be prevented by critical judgment, early referral and resuscitation by attendants. Introduction of an evidence-based management model can potentially reduce the practice variability and improve the quality of care.
产后出血定义为失血量达500毫升及以上。它是全球范围内女性过早死亡的最常见原因。我们的目的是评估卡拉奇一家三级护理医院中产后出血最常见的病因及管理方法。
这是一项于2011年7月至2012年5月在卡拉奇利亚卡特国家医院开展的横断面研究。回顾内容包括分娩方式、产后出血的可能原因、支持性、药物及手术干预措施。所有产后出血入院或产后在医院发生产后出血的女性均纳入我们的研究。出血性疾病及抗凝剂的使用被设定为排除标准。诊断基于通过主观和客观评估进行的失血量评估。
本研究突出了产后出血管理中现有的多样做法。通过关键判断、早期转诊及护理人员的复苏可预防出血相关的发病率和死亡率。引入基于证据的管理模式可能会减少做法的变异性并提高护理质量。
