Hindustan Times (Lucknow) - - HT METRO -

Ex­ces­sive bleed­ing after child­birth, also called post­par­tum haem­or­rhage (PPH) was a lead­ing cause of ma­ter­nal mor­tal­ity, said Dr Manju Shukla, sci­en­tific chair­per­son of the 20th In­dian Con­fer­ence of Na­tional As­so­ci­a­tion of Re­pro­duc­tive and Child Health that started on Fri­day.

“Women hav­ing preg­nancy beyond 20 weeks’ ges­ta­tion are at risk. Although ma­ter­nal mor­tal­ity rates have de­clined across the world, PPH still re­mains a lead­ing cause of ma­ter­nal mor­tal­ity, spe­cially in de­vel­op­ing coun­tries such as In­dia,” she said.

PPH is blood loss of more than 500 ml fol­low­ing vagi­nal de­liv­ery or more than 1000 ml fol­low­ing cae­sarean de­liv­ery. Loss of blood within 24 hours of de­liv­ery is termed early or pri­mary PPH, while it is termed late or sec­ondary PPH if it hap­pens 24 hours after de­liv­ery. Dr Chan­drawati said, “World Health Or­gan­i­sa­tion statis­tics sug­gest that 25 % of ma­ter­nal deaths are due to PPH, ac­count­ing for more than 100,000 ma­ter­nal deaths per year.”

Dr Preeti Kumar of gy­nae­col­ogy depart­ment of KGMU said es­ti­mates of blood loss at de­liv­ery were sub­jec­tive and gen­er­ally in­ac­cu­rate.

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