Frequency of Postpartum Hemorrhage in Women with Twin’s Gestation in Mardan Medical Complex Mardan
DOI:
https://doi.org/10.70749/ijbr.v3i3.2195Keywords:
Postpartum hemorrhage, Twin gestation, Cesarean section, Maternal outcomes, Blood lossAbstract
Background: Twin pregnancies have high risk of obstetric complications, especially postpartum hemorrhage, currently the leading cause of maternal morbidity and mortality. It is important to define its incidence and risk factors for twin gestations to ensure prompt intervention especially where resources are not adequate. Objective: To determine the frequency of postpartum hemorrhage in women with twins gestation in Mardan medical complex Mardan. Study Design: Descriptive cross-sectional study. Duration and Place of Study: This study was conducted from February 2024 to July 2024 at the Department of Obstetrics and Gynecology, Mardan Medical Complex, Mardan. Methodology: Eighty-five women aged 18–40 years with ultrasound-confirmed twin pregnancies at gestational age >36 weeks were enrolled using non-probability consecutive sampling. Deliveries were performed per clinical indications, including elective and emergency cesarean sections, as well as assisted vaginal deliveries. PPH was defined as ≥500 mL blood loss following vaginal delivery or ≥1000 mL after cesarean, measured using the gravimetric method within 24 hours postpartum. Results: The mean age was 29.52 ± 6.57 years. Cesarean section was the predominant mode of delivery (72.9%). PPH occurred in 12 women (14.1%). No statistically significant association was found between PPH and age, gestational age, parity, BMI, socioeconomic or residential status, or mode of delivery (p > 0.05). Conclusion: Postpartum hemorrhage is a notable complication in twin pregnancies, though no specific maternal factor showed significant association in this cohort.
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