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30.Frequency of Early Puerperal Complications after Vaginal Delivery
Rida Iqbal, Nadia Taj, Sadia Zafar, Shagufta Tabbasum, Afshan Mehvish and Wafa Fatima
ABSTRACT
Objective: To evaluate the frequency of early puerperal complications following vaginal delivery. To compare the frequency of early puerperal complications after home delivery and delivery at tertiary care hospital.
Study Design: A Descriptive Case Series study
Place and Duration of Study: This study was conducted at the Department of Obstetrics and Gynecology in Nishtar Medical University & Hospital Multan from Aug 2020 to July 2021 for a period of one-year.
Materials and Methods: A total of 331 women presented in emergency with PPH, history of home/institution delivery with parity 1-4 were included in the study. Patients with history of hypertension, diabetes, renal disease and pre-eclampsia were excluded. Detailed clinical assessment of the patient was done and variables like secondary PPH and severe anemia was recorded along with basic demographic information such as place (home/institutional) of vaginal delivery, age, gestational age, parity and BMI. Information was recorded on specially designed proforma.
Results: Participants of the study ranged from 20 to 35 years with mean age of 28.142±2.19 years, mean gestational age was 38.362±1.00 weeks and mean BMI was 26.561±1.45 Kg/m2. 68% women delivered at home and 32% patients had institution delivery. Secondary PPH was seen in 9.4% patients. Severe Anemia was seen in 10.6% patients. Secondary PPH was seen in 11.1% patients with home delivery and 5.7% patients with institution delivery (p=0.112). Severe Anemia was seen in 13.3% patients with home delivery and 4.7% patients with institution delivery (p=0.017).
Conclusion: Our study showed that there were more early puerperal complications in patients with home delivery compared with delivery at tertiary care hospital.
Key Words: Home delivery, Delivery at tertiary care hospital, Puerperal complications
Citation of article: Iqbal R, Taj N, Zafar S, Tabbasum S, Mehvish A, Fatima W. Frequency of Early Puerperal Complications after Vaginal Delivery. Med Forum 2021;32(11):125-127.