Frequency of Primary Postpartum Hemorrhage in Anemic Patients with Active Labor in Tertiary Care Hospital

Abstract

Background: Anaemia in pregnancy is very common problem in developing region and it is causing many complications during delivery. Primary postpartum haemorrhage is one of major cause of maternal morbidity and mortality. Woman with low haemoglobin are more vulnerable as even normal blood losses can become dangerous. Objective: To determine the frequency of primary postpartum haemorrhage in anaemic patients with active labour. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 15 January 2025 to 15 May 2025 in Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad. Methodology: A total of 157 pregnant women aged 18–40 years with anaemia and active labour were included. Primary postpartum haemorrhage was labelled when blood loss was ≥500 millilitre in vaginal delivery or ≥1000 millilitre in caesarean section within 24 hours. Data was analysed using statistical package for social sciences version 26. Results: Mean age was 28.32 ± 6.42 years and mean haemoglobin was 8.60 ± 0.76 gram per decilitre. Primary postpartum haemorrhage was found in 20 patients (12.70%). Significant association was observed with age >30 years 12 (19.7%) (p=0.038), body mass index >25 kg per square metre 12 (20.0%) (p=0.032), caesarean section 12 (21.8%) (p=0.012) and haemoglobin ≤8 gram per decilitre 8 (23.5%) (p=0.033). Conclusion: Primary postpartum haemorrhage is common in anaemic patients with active labour and it is significantly associated with increasing age, higher body mass index, caesarean delivery and lower haemoglobin level.