Frequency of Maternal Morbidities in Patients with Postpartum Hemorrhage and Anemia
DOI:
https://doi.org/10.70749/ijbr.v3i5.2327Keywords:
Anemia, Hysterectomy, Hypovolemic Shock, Postpartum Hemorrhage, Renal Failure, Respiratory Insufficiency.Abstract
Background: Postpartum hemorrhage and anemia are major contributors to maternal morbidity and mortality worldwide, particularly in low- and middle-income countries. Their coexistence exacerbates hemodynamic instability, oxygen transport compromise, and multi-organ dysfunction, leading to severe complications such as hypovolemic shock, renal failure, respiratory failure, and hysterectomy. Regional data on the frequency of these morbidities in Pakistan remain limited. Objective: To determine the frequency of maternal morbidities in anemic patients with managed postpartum hemorrhage at Ayub Teaching Hospital Abbottabad. Study Design: Cross-sectional study. Duration and Place of Study: The study was conducted from July 2024 to December 2024 at the Department of Obstetrics and Gynaecology, Ayub Teaching Hospital Abbottabad. Methodology: A total of 262 women aged 18–40 years with singleton pregnancies beyond 36 weeks, experiencing postpartum hemorrhage managed with medical or surgical interventions, and hemoglobin <10 g/dL were enrolled. Patients with hemorrhage after 24 hours, pre-existing bleeding disorders, or traumatic delivery injuries were excluded. Maternal complications, including respiratory failure, hysterectomy, hypovolemic shock, and renal failure, were monitored for three days post-intervention. Results: The mean age was 29.77±3.22 years, gestational age 39.27±1.05 weeks, parity 2.08±1.13, and BMI 25.24±2.00 kg/m². Respiratory failure occurred in 6.5%, hysterectomy 8%, hypovolemic shock 8%, and renal failure 1.1% of patients. Higher age, gestational age >39 weeks, parity >3, and BMI >25 kg/m² were significantly associated with adverse maternal outcomes. Conclusion: Maternal morbidities are significant among anemic women with postpartum hemorrhage. Early identification, risk stratification, and timely multidisciplinary interventions are crucial to improving maternal health outcomes.
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