Etiologies of Post-Partum Haemorrhage Following Lower Uterine Caesarean Section

Abstract

Background: The most dangerous complication and the most critical cause during pregnancy and childbirth is post-partum hemorrhage (PPH). Severe anemia, acute respiratory distress syndrome (ARDS), acute renal failure (ARF), coma, and cardiac arrest are all possible side effects. Aim of the study is to find out the etiology of post-partum haemorrhage following lower uterine caesarean section. Materials and Methods: The study was carried out in the Department of Obstetrics and Gynecology, Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet, as a cross-sectional study. This study comprised 75 patients who had a postpartum haemorrhage after a lower uterine caesarean operation. Patient with postpartum haemorrhage after CS was assessed using a complete history, clinical examination, and appropriate investigations. Clinical history, confirmed haemodynamic condition, and quantifying blood loss were used to make the diagnosis of postpartum haemorrhage. Results: Uterine atony was the most common cause of PPH in 44 (58.7%) patients, followed by 16 (21.3%) placental abruption, 11 (14.7%) abnormalities in placental implantation, 3 (4.0%) chronic late bleeding, and 1 (1.3%) uterine rupture. Primary PPH was observed in 46 individuals (61.3%) and secondary PPH in 29 patients (38.7%). The majority of patients (93.3%) were alive, with only 5 (6.7%) dying. Conclusion: The most prevalent cause of PPH was uterine atony, which was followed by placental abruption, anomalies in placental implantation, chronic late bleeding, and uterine rupture. Individuals were found to have the majority of main PPH