Role of SR cannula in Management of Atonic PPH -A Study in GGH Kadapa

Abstract

Background: Postpartum hemorrhage (PPH) is a leading cause of maternal mortality
and morbidity, resulting in 27.1% of maternal deaths globally.It is among the manageable
causes of maternal mortality that if managed properly can prevent most of the cases of
maternal deaths.
Methods:A prospective study was conducted at a tertiary care centre GGH kadapa from
June 2022 to June 2023.All cases of pph who were admitted and managed during this
period were included in this study
Results:During the study period a total of 7248 women were delivered.Out of which 3292
women were delivered vaginally and 3956 women were delivered through Caesarean
section Out of 87 PPH cases 84 had atonic PPH whereas 3 had traumatic PPH.Most of the
cases were managed medically i.e around 53 cases and remaining 34 women were
managed surgically through suction cannula.
Out of 34 women who were managed through suction cannula 11 were delivered vaginally
whereas other women were delivered through Caesarean section.
Conclusion:The frequency and impact of severe hemorrhage can be effectively reduced by
reducing avoidable risk factors, especially those related to obstetric interventions as
increased CS rate and induction and augmentation of labour with injudicious use of
uterotonics.