Online ISSN: 2515-8260

Study of risk stratification score and its correlation with prediction of post partum hemorrhage

Main Article Content

1Dr. Nishi Mitra, 2Dr.Priyanka Tiwari, 3Dr. Nalini Mishra, 4Dr. Priya Mittal

Abstract

ABSTRACT Background: Postpartum haemorrhage is the most common cause of maternal death globally. Aim: To evaluate the performance of the California Maternal Quality Care Collaborative (CMQCC) admission risk criteria for the incidence of PPH. Methodology: This was a hospital-based prospective cohort study involving 364 women with gestation age>28 weeks admitted for delivery over the period of 12months. On admission, the patients were categorised into low, medium, and high-risk categories of CMQCC and followed till discharge. The incidence of PPH, mean blood loss, decline of haemoglobin was noted in all participants. Results: Categorically 1.1% cases of low ,11.4% of medium and 26.3% of high-risk category had PPH.The adjusted Risk Ratio (RR) for PPH among high and medium risk cases was 17.9 and 6.8respectively. The sensitivity and specificity of the high-risk assessment score for predicting PPH were 28% and 94%, respectively. Conclusion: CMQCC has low sensitivity but high specificity for predicting PPH.

Article Details