Abstract

CAUSAL STUDY OF POSTPARTUM HEMORRHAGE AFTER VIRGINAL DELIVERY

Hanaa Mohammed Haider* and Nadia Ali Mohammed*

Abstract

This study was conducted to study all the causes leading to the disappearance of placenta in order to apply all appropriate treatments for each reason and thus avoid the complications of death, and study the risk factors for bleeding to achieve the best way to prevent and prepare for it and prevent or reduce bleeding. This study included 77 patients admitted to AL –JARAH AL – AHLY HOSPITAL and one who had a bleeding after the birth of vaginal birth, including (12) bleeding after a vaginal birth outside the hospital during the period of study: from 2014/1/1 to 1 / 1/2016, and excluded only those patients who were born with bleeding. To determine the rate of occurrence of placenta bleeding between vaginal deliveries in the hospital, and we have not been able to determine the incidence of placenta bleeding outside the hospital and then study all the reasons leading to bleeding, and the most common cause is uterine inactivity (5, 18%), followed by ruptures and bruises (31, 17%), followed by retention of partial or total placenta by (11, 629%). The reversal of the uterus was the least common cause, where we found only two cases. (2%, 66%). The cases studied by hemorrhage to hemorrhage and degree of hemorrhage (p-value less than 0, 015). Most cases of light bleeding were due to uterine inactivity and most cases of severe bleeding due to genital tract trauma. "Department of Obstetrics and Gynecology, Faculty of Medicine.

Keywords: Placenta hemorrhage, placenta default, placenta retention, Invert the soles of the uterus.