DOI: https://doi.org/10.36347/sasjs.2026.v12i01.008

Pages: 41-49

Background: Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality worldwide, representing a major public health concern. In Algeria, despite advances in obstetric care, PPH continues to occur with significant frequency. Objective: This study aimed to evaluate current management practices of PPH and establish a specific, evidence-based protocol aligned with international recommendations at the Omar Boukhris Mother and Child Specialized Hospital in Ouargla. Methods: We conducted a descriptive retrospective epidemiological study over 15 months (January 2023 to March 2024). Medical records of all women who experienced PPH following vaginal delivery or cesarean section were reviewed. Data collected included patient demographics, risk factors, clinical management, and maternal outcomes. Results: Among 9,432 deliveries during the study period, 78 cases of PPH were identified, yielding a prevalence of 0.83%. The mean maternal age was 29.6 years (range: 18-42 years). Multiparity was the predominant risk factor (65%). The most common etiology was cervicovaginal lacerations (29.9%), followed by uterine rupture and retroplacental hematoma (each 6.4%). Blood transfusion was required in 82% of cases, primarily with packed red blood cells. Oxytocin was administered in 76.9% of cases, while sulprostone was not uniformly utilized. Hemostatic hysterectomy was performed in 10 patients (12.8%). Three maternal deaths occurred (4% mortality rate). Conclusion: PPH exposes women to significant risks including permanent infertility and death. Our findings highlight gaps in standardized care protocols and underscore the critical need for systematic implementation of evidence-based guidelines, multidisciplinary team training, improved documentation practices, and enhanced availability of therapeutic resources to reduce maternal morbidity and mortality.