POST PARTUM HEMMORRAGE: OBSERVATIONAL STUDY

Authors

  • Zhainagul Abdirasulova Osh State University
  • Roman Kalmatov Osh State University
  • Lazakat Dzhumaeva Osh State University
  • Gulzhamal Subanova Osh State University
  • Alina Pirmatova Osh State University

DOI:

https://doi.org/10.52754/16948610_2026_2_10%20

Keywords:

postpartum hemorrhage, maternal mortality, obstetric complications, pregnancy, maternal health

Abstract

Relevance. Postpartum hemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide. According to the World Health Organization, the maternal mortality ratio in the Kyrgyz Republic remains one of the highest among Central Asian and Eastern European countries. The aim of this observational study was to analyze the main causes, risk factors, and management strategies of postpartum hemorrhage. The study reviews existing clinical data and international guidelines on the diagnosis and treatment of PPH. Early recognition, timely management, and adherence to standardized clinical protocols significantly improve maternal outcomes. Implementation of effective prevention strategies and training of medical personnel are essential to reduce maternal mortality associated with postpartum hemorrhage.

References

Likis, F. E., Sathe, N. A., Morgans, A. K., Hartmann, K. E., Young, J. L., Carlson-Bremer, D., & Andrews, J. C. (2015). Management of postpartum hemorrhage. Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK294453/

Rastogi, A. (n.d.). Abnormal uterine bleeding. National Health Portal of India. https://www.nhp.gov.in/disease/gynaecology-and-obstetrics/abnormal-uterine-bleeding

S. O., & S. N. (n.d.). Contribution to the study and preparation of manuscript. Health Vision Journal. https://www.hvt-journal.com/articles/art159

Wormer, K. C., Jamil, R. T., & Bryant, S. B. (2023). Postpartum hemorrhage. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499988/

Fadlallah, M., Al Soussi, S., & Jisr, T. (2022). Postpartum hemorrhage management and prevention strategies. World Journal of Advanced Research and Reviews. https://wjarr.com/sites/default/files/WJARR-2022-0367.pdf

Dabelea, V., et al. (2007). Clinical management of postpartum hemorrhage. American Journal of Perinatology. https://pubmed.ncbi.nlm.nih.gov/17566947/

Knight, M., et al. (2009). Trends in postpartum hemorrhage in high resource countries. BMC Pregnancy and Childbirth, 9, 55. https://pubmed.ncbi.nlm.nih.gov/19943928/

Knight, M., Callaghan, W. M., Berg, C., et al. (2009). Trends in postpartum hemorrhage in high resource countries: A review and recommendations. BMC Pregnancy and Childbirth, 9, 55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790440/

Nyfløt, L. T., Stray-Pedersen, B., Forsén, L., & Vangen, S. (2017). Risk factors for severe postpartum hemorrhage. PLOS ONE, 12(4), e0175306. https://doi.org/10.1371/journal.pone.0175306

National Health Portal of India. (n.d.). Postpartum hemorrhage management. https://www.nhp.gov.in/

World Health Organization. (2007). Maternal mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA and the World Bank. WHO Press.

World Health Organization. (2005). The world health report 2005: Make every mother and child count. WHO Press.

Cameron, C. A., Roberts, C. L., Olive, E. C., Ford, J. B., & Fischer, W. E. (2006). Trends in postpartum haemorrhage. Australian and New Zealand Journal of Public Health, 30(2), 151–156. https://doi.org/10.1111/j.1467-842X.2006.tb00109.x

Haynes, K., Stone, C., & King, J. (2004). Major morbidities associated with childbirth: Obstetric haemorrhage and associated hysterectomy. Department of Human Services.

Joseph, K. S., Rouleau, J., Kramer, M. S., Young, D. C., Liston, R. M., & Baskett, T. F. (2007). Investigation of an increase in postpartum haemorrhage in Canada. BJOG: An International Journal of Obstetrics and Gynaecology, 114(6), 751–759. https://doi.org/10.1111/j.1471-0528.2007.01316.x

Ford, J. B., Roberts, C. L., Simpson, J. M., Vaughan, J., & Cameron, C. A. (2007). Increased postpartum hemorrhage rates in Australia. International Journal of Gynecology & Obstetrics, 98(3), 237–243. https://doi.org/10.1016/j.ijgo.2007.03.011

Ford, J. B., Roberts, C. L., & Taylor, L. K. (2006). Characteristics of unmatched maternal and baby records in linked birth records and hospital discharge data. Paediatric and Perinatal Epidemiology, 20(4), 329–337.

Lain, S. J., Roberts, C. L., Hadfield, R. M., Bell, J. C., & Morris, J. M. (2008). Accuracy of reporting obstetric haemorrhage in hospital discharge data. Australian and New Zealand Journal of Obstetrics and Gynaecology, 48(5), 481–484.

Joseph, K. S., & Fahey, J. (2009). Validation of perinatal data in the Canadian Institute for Health Information discharge database. Chronic Diseases in Canada, 29(3), 96–100.

Philibert, M., Boisbras, F., & Bouvier-Colle, M. H. (2006). Epidemiology of maternal mortality in France. Bulletin Epidemiologique Hebdomadaire, 50, 392–395.

Brace, V., Kernaghan, D., & Penney, G. (2007). Learning from adverse clinical outcomes: Major obstetric haemorrhage in Scotland. BJOG: An International Journal of Obstetrics and Gynaecology, 114(11), 1388–1396.

Knight, M., Kurinczuk, J. J., Spark, P., & Brocklehurst, P. (2008). Cesarean delivery and peripartum hysterectomy. Obstetrics & Gynecology, 111(1), 97–105.

Healthcare Cost and Utilization Project. (n.d.). Overview of the Nationwide Inpatient Sample (NIS). https://www.hcup-us.ahrq.gov/nisoverview.jsp

Kuklina, E. V., Whiteman, M. K., Hillis, S. D., Jamieson, D. J., Meikle, S. F., Posner, S. F., & Marchbanks, P. A. (2008). An enhanced method for identifying obstetric deliveries. Maternal and Child Health Journal, 12(4), 469–477.

Kuklina, E. V., Meikle, S. F., Jamieson, D. J., Whiteman, M. K., Barfield, W. D., Hillis, S. D., & Posner, S. F. (2009). Severe obstetric morbidity in the United States. Obstetrics & Gynecology, 113(2), 293–299.

Roberts, C. L., Ford, J. B., Algert, C. S., Bell, J. C., Simpson, J. M., & Morris, J. M. (2009). Trends in postpartum hemorrhage in Australia. Medical Journal of Australia, 190(7), 379–382.

Субанова, Г., Турсунова, В., Абдирасулова, Ж., Ырысбаев, Э., Карыбекова, А., Субанова, Н., Ырысбаев, А., & Азизбек кызы, А. (2024). Түштүк Кыргызстандагы 35 жаштан жогорку аялдардын репродуктивдүү системасынын бузулушуна экологиялык, өндүрүштүк факторлорунун таасирин изилдөө. Ош мамлекеттик университетинин Жарчысы, (2), 154–176. https://doi.org/10.52754/16948610_2024_2_16

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Published

2026-06-30

How to Cite

Abdirasulova , Z., Kalmatov , R., Dzhumaeva , L., Subanova , G., & Pirmatova , A. (2026). POST PARTUM HEMMORRAGE: OBSERVATIONAL STUDY. Bulletin of Osh State University, (2), 147–157. https://doi.org/10.52754/16948610_2026_2_10

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