Frequency of Early Puerperal Complications after Vaginal Delivery

Abstract

Objective: To evaluate the frequency of early puerperal complications following vaginal delivery. To compare the frequency of early puerperal complications after home delivery and delivery at tertiary care hospital.

Study Design: A Descriptive Case Series study

Place and Duration of Study: This study was conducted at the Department of Obstetrics and Gynecology in Nishtar Medical University & Hospital Multan from Aug 2020 to July 2021 for a period of one-year.

Materials and Methods: A total of 331 women presented in emergency with PPH, history of home/institution delivery with parity 1-4 were included in the study. Patients with history of hypertension, diabetes, renal disease and pre-eclampsia were excluded. Detailed clinical assessment of the patient was done and variables like secondary PPH and severe anemia was recorded along with basic demographic information such as place (home/institutional) of vaginal delivery, age, gestational age, parity and BMI. Information was recorded on specially designed proforma.

Results: Participants of the study ranged from 20 to 35 years with mean age of 28.142±2.19 years, mean gestational age was 38.362±1.00 weeks and mean BMI was 26.561±1.45 Kg/m². 68% women delivered at home and 32% patients had institution delivery. Secondary PPH was seen in 9.4% patients. Severe Anemia was seen in 10.6% patients. Secondary PPH was seen in 11.1% patients with home delivery and 5.7% patients with institution delivery (p=0.112). Severe Anemia was seen in 13.3% patients with home delivery and 4.7% patients with institution delivery (p=0.017).

Conclusion: Our study showed that there were more early puerperal complications in patients with home delivery compared with delivery at tertiary care hospital.