EARLY POSTPARTUM HEMORRHAGE AND ASSOCIATED FACTORS AMONG WOMEN UNDERGOING VAGINAL DELIVERY AT THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, TRUNG VUONG HOSPITAL

Thanh Thảo Bùi1, , Kim Yến Lư1, Thị Thanh Tuyền Võ1, Thanh Nguyệt Dương1, Thị Bé Nguyễn1, Thị Thanh Tâm Võ1, Thị Thúy Hằng Nguyễn1, Thị Mi Lý1
1 Bệnh viện Trưng Vương

Main Article Content

Abstract

Objectives: To determine the prevalence of early postpartum hemorrhage (PPH) and identify associated factors among women undergoing vaginal delivery at the Department of Obstetrics and Gynecology, Trung Vuong Hospital, from 2020 to 2023.


Methods: A cross-sectional study was conducted on 1,010 women who underwent vaginal delivery at the Department of Obstetrics and Gynecology, Trung Vuong Hospital between January 2020 and December 2023.


Results: The prevalence of early postpartum hemorrhage (PPH) was 4.7%, with uterine atony identified as the leading cause (95.7%). Factors significantly associated with early PPH included place of residence, occupation, and neonatal birth weight. A higher risk of early PPH was observed among women residing in Ho Chi Minh City, civil servants (OR = 2.58), women in other occupations (OR = 2.81), and those delivering infants weighing 3,500–4,000 g (OR = 2.86; p = 0.040). No maternal deaths due to postpartum hemorrhage were recorded.


Conclusions: Early postpartum hemorrhage was predominantly caused by uterine atony. Place of residence, occupation, and neonatal birth weight were significant factors associated with early PPH. Identifying women at high risk based on these factors may facilitate targeted prevention, close monitoring, and timely management.

Article Details

References

1. Wormer, K.C., R.T. Jamil, and S.B. Bryant, Postpartum Hemorrhage, in StatPearls. 2026, StatPearls Publishing Copyright © 2026, StatPearls Publishing LLC.: Treasure Island (FL) ineligible companies. Disclosure: Radia Jamil declares no relevant financial relationships with ineligible companies. Disclosure: Suzanne Bryant declares no relevant financial relationships with ineligible companies.
2. Trần Sơn Thạch, Tạ Thị Thu Thủy, và Nguyễn Vạn Thông, Mũi may B –Lynch cải tiến điều trị BHSS nặng do đờ tử cung, in Tạp chí Phụ sản. 2004: Hội nghị Việt Pháp Châu Á TBD lần V - 2005. p. trang 11-15.
3. Võ Thị Mỹ Dung và Trương Quang Vinh, Nghiên cứu các nguyên nhân băng huyết sau sinh và kết quả điều trị tại Bệnh viện đa khoa tỉnh Ninh Thuận. 2022. Tập 20, Số 4: p. tr.50-55.
4. Mehrnoush V., et al., Prediction of postpartum hemorrhage using traditional statistical analysis and a machine learning approach. AJOG Global Reports, 2023. 3(2): p. pp.1-10.
5. Trần Thị Lợi và Nguyễn Thị Minh Tuyết, Hiệu quả của bóng chèn lòng tử cung điều trị băng huyết sau sanh. Tạp chí y học thành phố Hồ Chí Minh, 2009. Tập 13, Số 1: p. tr.32-38.
6. Nguyễn Gia Định, Nghiên cứu các yếu tố liên quan đến băng huyết sau sinh do đờ tử cung và hiệu quả điều trị bằng chèn bóng lòng tử cung. 2020, Đại học Huế - Trường Đại học Y Dược.
7. Vo H.L. and Truong Q.V., Risk factors of postpartum hemorrhage due to uterine atony: a retrospective cohort study. Vietnam Association of Obstetrics and Gynecology, 2023. 21(1): p. pp.9-15.
8. Tort J., et al., Factors associated with postpartum hemorrhage maternal death in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey. BMC Pregnancy and Childbirth, 2015. 15(1): p. 235.