Dr. Sonia Rafiq, Junior Registrar Gynae Unit C, Lady Reading Hospital, Peshawar Email: drsoniarafiq@yahoo.com

ABSTRACT

Objective: To determine association of postpartum haemorrhage in obese primigaravidas. 
Study design: Case control study
Place and duration: Six months (1st June 2014 till 31st December 2014).
Methodology: This study was conducted at Obstetrics and Gynecology “B” Unit PGMI. Lady Reading Hospital Peshawar. A total of 154 (77 in each group) patients were observed by using postpartum haemorrhage occurred in 11% in non-obese, 30% in obese with odds ratio of 2.88. 95% confidence level and 80% power of test under WHO software for sample size determination. More over non probability consecutive sampling technique was used for sample collection.
Results: In this study mean age in cases group was 25.21 years with SD ± 2.73 whereas mean age in control group was 26.34 years with SD ± 3.56.  the incidence of postpartum haemorrhage was analyzed as in cases group 30% patients had PPH as compare to control group 8% patients had PPH.
Conclusion: Our study concludes that the incidence of postpartum haemorrhage is higher among obese primigaravidas women as compare to normal weight women. And in addition to standard practice of active management of third stage labour there should be increased vigilance and preparation for Postpartum haemorrhage management in obese women.
Key Words: Postpartum Haemorrhage, Obese primigaravidas.

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