COMPARING THE POST PARTUM HEMORRHAGE BASED ON HB AND HCT IN WOMEN ADMITTED IN LATENT AND ACTIVE PHASE OF LABOR

Attention to admission time of women for delivery can prevent the majority of
mother and neonate complications. One of the labor complications is postpartum Hemorrhage.
Postpartum Hemorrhage is an important etiology of mortality and morbidity of pregnant mothers.
This study was done to compare the PPH bases on the rate of HB and HCT in women admitted in
Latent & Active Phase in Taleghani Hospital of Tabriz.
Materials & Methods: In this descriptive and comparative study , 250 women with low risk
pregnancy, single fetus and vertex presentation, that had been admitted in their latent phase (group 1)
and 250 women who had similar characteristics, had been admitted in their active phase (group 2) in
Taleghani Hospital. They were assessed and compared randomly. Information recording form and
check list were used for data collection. SPSS software (ver 13), t-test, chi -square and regression
logistic tests were used to analyze the obtained data. P<0.05 was considered as the significant level.
Results: The results showed that there is a significant difference in two groups of women about
postpartum Hemorrhage (p<0.05). Mean of Hb and Hct before Discharge from hospital were
respectively 10.8 ± 1.4 and 33.1 ±3.9 in Latent phase group and 11.6 ± 3.1 and 33.7 ± 4.8 in Active
phase group. Pierson test showed that there is significant difference between 2 groups about Hb
(p<0/007) and Hct (p<0.008). Procedures were done for control of Hemorrhage in 4th stage of Labor
was more in Latent phase group than Active phase but there was significant difference about Uterus
Massage on Abdomen(p=0.001).
Conclusion: The results showed that the rate of Hemorrhage based on Hb and Hct in women in
Latent phase were more than women admitted in Active phase. Therefore admissions of women in
Latent phase are increasing with complications and interference on mothers. It is suggested that
pregnant women should be sufficiently instructed about prenatal care regarding the signs of the
beginning of active labor and they had better refer to the hospital when in the active phase of labor in
order to prevent complications which could be resulted from early admission