INTRAUTERINE PACKING IS STILL WORKING IN PPH WITH ANEMIA IN OBSTETRICAL WOMEN

Abstract

OBJECTIVE: To determine the intrauterine packing in controlling PPH.

STUDY DESIGN AND SETTING: Retrospective descriptive study was carried out at Shaikh Zayad  Women Hospital Larkana, which conducted for 5 years from  JAUNARY 2020 to DECEMBER 2024.

METHODS: - It was a prospective interventional study, 832 OBSTETRICAL WOMEN aged 21-48 year, who were in pph, primary pph, 433 came through emergency , 240 were delivered in labour room and went in PPH. The patients presenting with PPH after vaginal or abdominal delivery who  were included in the study. Patients who P/V bleeding due to genital tract cancer/DUB/ fibroid of uterue were excluded from this study. Each item of data was examined using SPSS version 19, a statistical analysis tool. An independent t-test was applied to compare continuous data on facility control pph  women by medication and intrauterine packing , while a chi-squire test was applied to analyze categorical variables.

RESULT: - In 5 years, there were 15590 deliveries,7980were delivered by ceasearon section,and 7610were delivered  spontaneously by vaginal births , patients with PPH were 873, intrauterine packing women were 673( None of these patients experienced major complications following gauze insertion). The mean age was 29.06 ± 5.7, the mean gravid was 4.85 ± 1.8 and the mean para was 3.12 ± 1.61. There were also 17405 admissions to the obstetrics ward emergency department or outdoor patients department of pregnant women.  There were 873 women with PPH, 572 were with atonic uterus, 97 were with genital tract lacerations/ with uterine rupture/ and uterine inversion,94 retained placenta,  28  others with hepatic failure and other medical disorders .67 patients underwent laparotomy and conservative surgical management ( B- LYNCH) was applied. Hysterectomy was  required for 58 women , and 103 maternal deaths were recorded.