Introduction: According to WHO, postpartum haemorrhage is defined as blood loss of more than 500 mL following vaginal delivery. Postpartum haemorrhage is still one of the leading causes of maternal deaths in Malaysia. The risk factors of postpartum hemorrhage in this study was divided into three which were pre-pregnancy, antenatal and intrapartum.
Methods: A case control study was performed to identify the risk factors for postpartum hemorrhage among primigravida in Sungai Buloh Hospital from 2016 to 2018. From the calculation done by using simple random sampling method, the required respondents were 150 for both case and control. The data collection method was in an audit form. The data obtained was entered using SPSS 21 (a statistical software).
Results: From 2016 to 2018, 75 cases and 75 random controls of postpartum hemorrhage among primigravida were identified . The risk factors associated with postpartum hemorrhage in primigravida that is significant were age (P=0.001), occupation mainly self-employed ( P= 0.001), anemia during antenatal (P= 0.001), uterine fibroid (P=0.007), prolonged labour more than 8 hours (P=0.005), instrumental delivery (p=0.001) ,extensive vaginal wall tear (P= 0.009), cervical tear (P =0.013), 3rd and 4th degree tear (P=0.006), uterine atony (P=0.001) and vascular lower segment during caesarean section (P=0.029).
Conclusion: The results showed that the risk factors for post-partum hemorrhage in primigravida were age, occupation (self-employed), antenatal anemia, uterine fibroid, prolonged labour more than 8 hours, instrumental delivery, extensive vaginal wall tear, cervical tear, 3rd and 4th degree tear, uterine atony and vascular lower segment during Caesarean section.