Risk Factors and Post-Partum Hemorrhage Among Women with Vaginal Delivery

Background: This study aims to find the correlation between risk factors and the incidence of post-partum hemorrhage (PPH) in normal vaginal deliveries. Methods: The present research is an observational cohort study. 239 women undergoing normal labor who delivered vaginally were given 0.2mg of Ergometrine or 600 μg of Misoprostol as a prophylaxis to prevent PPH. The blood loss was estimated by the use of blood collection drapes during delivery. All statistical analysis was conducted via SPSS version 27. The risk factors were compared between the groups with or without PPH.Results: The majority 87 (36.4%) of the participants were in the 25-29 years age group, had zero parity status 113 (47.3%), and 93 (38.9%) were primigravida. The prevalence of PPH was 4.6% (11/239). Almost half of the cases of PPH (5/11, 45.5%) had no risk factors, whereas those with risk factors had twin pregnancy (25%), low-lying placenta (50%), grand multipara (33.3%) and previous history of PPH (33.3%). Furthermore, a moderate positive correlation be-tween the risk factors and the incidence of PPH was observed (R= 0.512). Conclusion: In this study, women with risk factors like twin pregnancy, low-lying placenta, grand multipara, and previous history of PPH developed PPH despite giving prophylaxis and close monitoring. However, almost half of the cases of PPH occurred in people where there was no risk factor.