Hemoragia în post-partum – o urgenţă obstetricală majoră. Cauze şi tratament

Introduction. Postpartum hemorrhage (PPH) is a sig­ni­fi­cant maternal health concern, representing a major cause of obstetric mortality globally. Materials and method. In this retrospective study, we analyzed cases of postpartum he­mor­rhage, from April 2019 to April 2021, from the “Bucur” Maternity, Bucharest. Results. This study included 100 cases of postpartum hemorrhage. Among them, 30 oc­curred after caesarean sections and 70 occurred fol­lo­wing vaginal deliveries. The identified causes of PPH after caesarean section were uterine atony (90%), placental retention (6.66%) and uterine rupture (3.33%). For PPH after vaginal delivery, uterine atony was identified as the most common cause in 38 patients. Multiparity was the most frequent cause of uterine atony. Conclusions. The most com­mon cause of postpartum hemorrhage was uterine ato­ny, being more frequent after caesarean section. SARS-CoV-2 infection correlated with an increased frequency of uterine atony and postpartum hemorrhage.