Abstract

Background: Postpartum haemorrhage (PPH) is a leading cause of maternal death worldwide. This study was aimed at observing the association of some risk factors with primary postpartum haemorrhage.  Methods: This cross-sectional observational study was conducted from July 2023 to June 2024 at the Department of Obstetrics & Gynaecology, Rangpur Medical College Hospital, Rangpur. Total 100 women at postpartum period were included. Among them 50 were with primary PPH (Group A) and 50 were without primary PPH (Group B).  Results: Among Group A (n=50), 54% were <30 years and 46% were ≥30 years whereas in Group B (n=50), 66% of the women were <30 years and 34% were ≥30 years (p=0.021); mean age was 27.5±4.9 years and 25.6±4.7 years respectively (p=0.043). In both Group A and Group B majority had normal vaginal delivery (52% vs 82%) but caesarean section was found significantly higher among PPH cases than without PPH (48% vs 18%) (p=0.003). Multiparity (p=0.013) and obesity (p=0.032) were also found significantly associated with PPH. And blood pressure was significantly lower with PPH (p<0.001). No difference was observed between Group A and Group B for working status (p=0.766), educational status (p=0.375) or socioeconomic status (p=0.391). Regarding home vs hospital delivery, the difference was also insignificant (p=0.554). Conclusion: Age at pregnancy of ≥30 years, LSCS as mode of delivery, high body weight and higher parity was found to be associated with increase rate of postpartum haemorrhage (PPH).

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