Comparison of Frequency of Postpartum Haemorrhage in Augmented Versus Spontaneous Labour

Postpartum Haemorrhage in Augmented Versus Spontaneous Labour

Authors

  • Maryam Tariq Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
  • Sitara Rafeeq Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
  • Samina Jadoon Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan
  • Chaman Ara Department of Obstetrics and Gynaecology, Women Medical and Dental College, Abbottabad, Pakistan
  • Beenish Samreen Hamid Department of Obstetrics and Gynaecology, Khyber Medical University Institute of Medical Sciences Liaquat Memorial Hospital, Kohat, Pakistan
  • Isma Rauf Department of Obstetrics and Gynaecology, Frontier Medical College, Abbottabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i7.3268

Keywords:

Postpartum Haemorrhage, Spontaneous Labour, Augmented Labour, Normal vaginal delivery, Hypertension

Abstract

Postpartum haemorrhage (PPH) remains a major cause of maternal morbidity and mortality. Labour augmentation is commonly practiced but may increase the risk of excessive bleeding. Objectives: To determine the frequency of PPH and compare its occurrence in spontaneous versus augmented labour. Methods: A descriptive cross-sectional study was conducted at the Department of Obstetrics and Gynaecology, Mardan Medical Complex, from August 2023 to January 2024. A total of 151 women aged 18–40 years with singleton pregnancies at ≥36 weeks were enrolled using non-probability consecutive sampling. Data on age, parity, gestational age, hypertension, socioeconomic and residential status, labour type, and PPH were collected through a structured proforma. PPH was defined as blood loss >500 ml within 24 hours of vaginal delivery. Data were analyzed using SPSS version 25.0, and associations were tested using Chi-square and Fisher’s exact tests. Results: The frequency of PPH was 13.2%. PPH occurred more frequently in spontaneous labour (15.7%) compared to augmented labour (10.3%), though this was not statistically significant (p=0.333). A significant association was found between hypertension and PPH (p=0.017), with hypertensive women showing a higher risk. Conclusions: It was concluded that Hypertension was significantly associated with postpartum haemorrhage, underscoring the importance of careful monitoring. Labour augmentation did not significantly increase PPH risk. Ongoing evaluation of maternal risk factors is crucial for improving outcomes.

Author Biographies

Maryam Tariq, Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan

     

Sitara Rafeeq, Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan

 

 

 

Samina Jadoon, Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan, Pakistan

 

 

 

Chaman Ara, Department of Obstetrics and Gynaecology, Women Medical and Dental College, Abbottabad, Pakistan

   

 

Beenish Samreen Hamid, Department of Obstetrics and Gynaecology, Khyber Medical University Institute of Medical Sciences Liaquat Memorial Hospital, Kohat, Pakistan

   

 

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Published

2025-07-31
CITATION
DOI: 10.54393/pjhs.v6i7.3268
Published: 2025-07-31

How to Cite

Tariq, M., Rafeeq, S., Jadoon, S., Ara, C., Hamid, B. S., & Rauf, I. (2025). Comparison of Frequency of Postpartum Haemorrhage in Augmented Versus Spontaneous Labour: Postpartum Haemorrhage in Augmented Versus Spontaneous Labour. Pakistan Journal of Health Sciences, 6(7), 37–42. https://doi.org/10.54393/pjhs.v6i7.3268

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