Table of Content Details

Abstract

Aim: To study the outcome of implementing Postpartum Haemorrhage Emergency care
using a bundle approach (PPH EmC) in the management of patients with PPH in a tertiary
referral center in North India.
Materials and methods: The study was conducted in a tertiary referral hospital in the
department of Obstetrics and Gynaecology of Sir Sunderlal hospital, Banaras Hindu
University, Uttar Pradesh state, India for a period of 12months from June 2021 to
June 2022. It is a prospective observational study. Prior to the study, training of health
care providers including medical and paramedical staff was done using World Health
Organization guidelines on Postpartum Hemorrhage Emergency Care (PPH EmC) using
bundle approach. The data was collected by chart review and the outcome was observed in
percentages.
Results: The prevalence of PPH was 4.25%. PPH was the cause of maternal mortality in
8.7% cases. Atonic PPH was most common (76%). A significant correlation was found
between amount of blood loss and requirement of refractory intervention (p=000.4) and
3.7% of the patients died due to intractable PPH. Of the patients died with PPH, 75%
patients died due to delay in referral from other facilities. There is significant increase in
mortality in referred patients (p=0.03).
Conclusions: Mortality due to PPH reduced after the implementation of PPH care bundles.
Key words: Postpartum Haemorrhage, Emergency care training, Bundle approach,
outcome

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