Atonic postpartum haemorrhage among 10962 deliveries at a tertiary care centre

Objectives: To find incidence of Atonic PPH in our tertiary care centre . Study preference of methods of management of Atonic PPH among various modes of delivery and to assess the need of blood transfusion among various modalities of treatment. Materials and Methods: Study is a retrospective study conducted at a tertiary care centre. Data was retrieved from our MRD regarding patients who laboured and delivered here in 2 years. Results were analyzed by chi square and Z test. Results: The incidence of Atonic PPH was 3.7% in our study. 12.46% of cases delivered by Caesarean section needed surgical intervention as compared to 0.24% in vaginally delivered group . 11.3% of cases delivered by Caesarean section needed blood transfusion as compared to 0.24% in vaginally delivered group Conclusion: The incidence of Atonic PPH in our centre is low. The incidence of Atonic PPH among Caesarean delivered patients was higher as compared to vaginal delivered patients. Medical modality was used more for vaginal delivered patients compared to LSCS. No difference in blood transfusion rates were seen among medically managed vs. surgically managed cases. However increased need of blood transfusion was seen in LSCS patients.