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Comparative Studies | Gynaecology | Volume 15 Issue 3, March 2026 | Pages: 641 - 644 | India
Comparison of Management Modalities in Cases of Primary Postpartum Hemorrhage
Abstract: Introduction: Primary postpartum hemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide. Despite improvements in obstetric care, it continues to pose a major clinical challenge, particularly in tertiary care referral centers. Early recognition and timely management are critical in preventing adverse maternal outcomes. Aim and Objective: To analyze the causative factors and management modalities in cases of primary postpartum hemorrhage. Material and Methods: This hospital-based observational study was conducted in the Department of Obstetrics and Gynaecology at a tertiary care center. A total of 152 women who developed primary PPH within 24 hours of delivery were included. PPH was defined as blood loss >500 ml following vaginal delivery or >1000 ml following cesarean section, or bleeding associated with signs of hypovolemia. Data regarding, obstetric risk factors, mode of delivery, severity, management interventions, and maternal outcomes were recorded. Patients were managed using a stepwise approach including medical, mechanical, and surgical modalities. Statistical analysis was performed using appropriate descriptive and inferential methods. Results: The majority of women were aged 20?29 years and multiparous. Cesarean section accounted for 58.6% of cases. Uterine atony was the most common cause (61.2%), followed by trauma (17.1%) and retained placental tissue (15.1%). Most cases were moderate in severity (66.4%). Medical management alone was effective in 68.4% of patients, while escalation to mechanical and surgical interventions was required in refractory cases. Blood transfusion was required in 55.9% of women, ICU admission in 5.3%, and maternal mortality was 0.7%. Conclusion: Primary PPH remains a significant obstetric emergency, with uterine atony as the predominant cause and medical managent remains the main stay for the management. Early diagnosis and protocol-based stepwise management are essential to reduce maternal morbidity and mortality.
Keywords: Primary PostPartum Hemorrhage, uterine atony, obstetric hemorrhage, cesarean section. Maternal morbidity, blood transfusion, management modalities, maternal outcomes
How to Cite?: Dr. Bhavana Moparthy, Dr. Manisha Gupta, Dr. Devika Mor, "Comparison of Management Modalities in Cases of Primary Postpartum Hemorrhage", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 641-644, https://www.ijsr.net/getabstract.php?paperid=SR26308143330, DOI: https://dx.dx.doi.org/10.21275/SR26308143330