Risk Factors for Postpartum Hemorrhage in Photharam Hospital, Ratchaburi Province

Abstract

Objective: To study risk factors related to postpartum hemorrhage within 24 hours of pregnant women who delivered in Photharam Hospital, Ratchaburi province

Method: This is a retrospective analytic study was conducted in 3,134 pregnant women with gestational age > 28 weeks who delivered by normal delivery and cesarean section at Photharam Hospital, Ratchaburi Province, Thailand during 1^st January 2019- 31^th December 2021. Data were collected from pregnant women including nenonatal, pregnancy and delivery factors related to postpartum hemorrhage within 24 hours. The data were presented in frequency, percentage and factors that related to postpartum hemorrhage using were analyzed by chi square test.

Results: Risk factors related to postpartum hemorrhage within 24 hours of pregnant women who delivered in Photharam Hospital were found that multiparty, anemia, previous PPH, prolonged oxytocin use, prolonged of labor, induction, episiotomy, tear cervix, rapid or precipitate of labor, retained placenta and experiences to assist in childbirth were significant risk factors  (p-Value<0.05). The other factors, i.e., maternal age, fetal macrosomia, fetal malpresentation, twins/multiple pregnancy, polyhydramnios, intrauterine fetal demise, preeclampsia, chorioamnionitis, placenta previa, abruptio placenta, forceps or vacuum delivery and shoulder dystocia were not related to postpartum hemorrhage.

Conclusion: The findings present that screening and prevention risk factors for postpartum hemorrhage were important to prepare medical team, blood bank, instruments, surgery to safe maternal life and decrease complication, maternal dead. .