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Volume 13 Issue 12 (December) 2024

Original Articles

Comparison of Postpartum Hemorrhage Incidence Between Individuals With and Without Previous Lower Segment Caesarean Section (LSCS)
Dr. Aysha Kaynat, Dr. Shaheen Parveen, Dr. Meraj Ahmad, Dr. Garima Singh

Background: Postpartum hemorrhage (PPH) is a significant cause of maternal morbidity and mortality worldwide. A history of caesarean section is often considered a risk factor for PPH due to potential uterine scarring and impaired contractility. This study aims to compare the incidence of PPH in individuals with and without a history of one previous Lower Segment Caesarean Section (LSCS). Method: A retrospective observational study was conducted on 200 postpartum individuals, divided into two groups: 100 without a history of LSCS and 100 with one previous LSCS. PPH was clinically diagnosed based on estimated blood loss, and data were analyzed using the chi-square test to compare PPH incidence between the groups. Result: PPH was observed in 10% of individuals without a prior LSCS and in 12% of those with a history of one LSCS. The difference was not statistically significant (p = 0.821). Most PPH cases were managed medically, with no significant differences in intervention rates between the groups. Conclusion: The study found no significant association between a history of one previous LSCS and increased risk of PPH. These findings suggest that individuals with a single prior LSCS have comparable PPH risks to those without, supporting safe delivery planning in subsequent pregnancies.

 
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