Incidence of Primary Postpartum Haemorrhage in Induced Versus Augmented Labour. A One Year Review at FMH

Abstract

Objective: To compare the primary postpartum haemorrhage after spontaneous labour with
induced and / or augmented labour.
Material and Methods: It is a comparative cross-sectional study, conducted in department of
Obstetrics and Gynecology, Fatima Memorial Hospital, Lahore. This study was carried out over a
period of one year from 1.7.11 to1.7.12.100 patients were included and divided into two equal
groups. Group A, 50 patients having spontaneous labour and Group B, 50 patients having
induced and/or augmented labour and delivered vaginally.
Results: Mean age of group-A was 26.4±3.48 and in group-B it was 26.88±3.64. Out of 50
patients in GROUP.B, 16 patients (42.1%) were induced with prostaglandin E1, in 22 patients
(57.9%) prostaglandin E2 was used and in 12 patients augmentation with syntocinon done. 7
patients had PPH in group-B and prostaglandin E1 was used in 1 patient (14.2%), prostaglandin
E2 used in 3 patients (42.9%) and augmentation with syntocinon was done in 3 patients (42.9%).
Duration of third stage of labour was 7.84 minutes in group-Aand in group-B it was 11.76 minutes.
Mean blood loss after delivery in group-A was 271.0±125.3 ml while in group-B it was 383.0±3
16.1 ml which are statistically significant.
Conclusions: It is concluded from the study that primary postpartum haemorrhage occurs more
in patients whose labour was induced and/or augmented as compared to the patients who had
spontaneous onset of labour.The main aim of doing this study is to highlight the importance that all
the obstetrician should wait for the spontaneous onset of labour and avoid undue inductions and
its complicatios