POSTPARTUM HEMORRHAGE-A NIGHTMARE IT'S CAUSES, USG CORRELATION AND OUTCOME

Dr. Sushila Kharakwal; Dr. Sanjaya Sharma; Dr. Nidhi Dubey

Volume : IX, Issue : III, March - 2020

POSTPARTUM HEMORRHAGE-A NIGHTMARE IT'S CAUSES, USG CORRELATION AND OUTCOME

Dr. Sushila Kharakwal, Dr. Sanjaya Sharma, Dr. Nidhi Dubey

Abstract :

The etiology of postpartum hemorrhage (PPH) is diverse and management depends on identifying the cause and tailoring treatment appropriately. The major causes of PPH are uterine atony, endometritis, retained placental tissue, placental abnormalities, i.e. placenta accreta, increta and percreta, subinvolution of the placental implantation site, arteriovenous malformation (AVM), lower genital tract trauma, uterine abnormalities, bleeding disorders, coagulopathies and use of anticoagulants. Use of imaging modalities (i.e. ultrasound scanning and color and pulsed Doppler) at an early stage in the search for the etiology of PPH helps to decrease morbidity and mortality.