The Impact of Increasing Caesarean Section on Postpartum Hemorrhage in a Developing Nation: An Observational Approach

The study was undertaken to determine the impact of increase of caesarean section on postpartum hemorrhage in a developing nation. According to the WHO, PPH affects approximately 5% of all women who give birth. It is not only associated with nearly one quarter of all maternal deaths but also the leading cause of maternal mortality in low income countries [1]. The mortality rate of PPH is highest due to atonic uterus, most commonly in multiparous patients, however the mortality rates in patients with previous caesarean section complications with PPH cannot be ignored. These results strongly suggest the need of active management of atonic uterus and a contemplative decision of caesarean sections. It is also important to train all the health workers in periphery and referral centers to manage the third stage of labor and atonic uterus to save the mothers. Sagacious attitude towards the decision of caesarean section is needed to prevent maternal morbidity and mortality.