POSTPARTUM HAEMORRHAGE;

FREQUENCY IN OBESE PRIMIGRAVID WOMEN

Abstract

Objectives: To determine the frequency of postpartum haemorrhage in obese
primigravid women. Study Design: Case series study. Period: Six months was conducted
from 1st October 2014 to 30 March 2015. Setting: Department of gynecology and obstetrics
at Liaquat University Hospital Jamshoro. Patients and Methods: All the primigravid obese
(≥30kg/m2) ladies 18 to 35 years of age with 37-42 weeks of gestational age were evaluate for
the occurrence of PPH by estimating blood loss of greater than 500 ml of blood following vaginal
delivery or 1000 ml of blood loss following caesarean section. All data was entered and analyzed
through statistical package SPSS version 17, the chi-square statistical test was applied and the
p-value ≤0.05 was considered as statistical significant. Results: Total 203 primigravid obese
ladies were studies, the age group was analyzed which shows that in age group between 18-25
years were 105(52.00%) women, in age group of 26-30 years were 62(30.69%) women and age
group of 30 years and above were 35 (17.31%) women. The modes of delivery were evaluated
which shows that 66.5% women underwent C-section and 33.4% women had normal vaginal
delivery. The PPH was observed in 34.97% patients (70.4% with C-Section and 29.6 with NVD).
Conclusion: Obesity carries a significant increased risk of complications during pregnancy
and maternal risks during labour are PPH and more frequent C-section and nulliparous obese
women have twofold high risk for PPH