DOI: https://doi.org/10.36347/sjams.2025.v13i02.007

Pages: 326-333

Background: Post-partum hemorrhage (PPH) remains a significant contributor to maternal mortality worldwide, responsible for 25% of maternal deaths. In Bangladesh, PPH accounts for 28.37% of maternal deaths, making it the leading cause of maternal mortality in the country. The shift from home births to facility-based deliveries presents an opportunity to reduce PPH-related mortality. The World Health Organization (WHO) introduced the concept of bundling evidence-based interventions for PPH to enhance the quality of care. Objectives: This study aimed to observe the existing practice of Care Bundle Approach in managing primary PPH and level of adherence to guideline. Method: A Cross-sectional Observational study was conducted in Dhaka Medical College Hospital (DMCH) from June 2022 to July 2023. Women with primary PPH following vaginal delivery attending the Department of Obstetrics and Gynecology were included to study by non-random purposive sampling. A pre-tested semi-structured questionnaire was used for data collection. Descriptive statistics was conducted and Chi-square test done. SPSS version 25.0 was used for statistical Analysis. Results: The study included a total of 101 participants, Majority (46.5%) belonged to 21-25 years’ age group with a mean age of 26.04 years (±4.67). majority of respondents were housewives (78.2%) and 37.6% had primary education. The majority of participants were multi parous (69.3%) and 83.2% of patients had gestational age more than 36+ weeks. The mode of delivery was predominantly vaginal (96%). Majority of the patients (78%) delivered outside DMCH while 37. 7% had delivered by unskilled birth attendant. Majority of PPH was due to atonic uterus (62.4%) followed by retained bits of placenta (13%). First response bundle actions were implemented effectively and only 11% of patients required refractory PPH care. Administration of prophylactic uterotonics was 100%. Blood transfusion was given in 85.1% of cases. The first response to ...