Association of Serum Calcium in Primary Postpartum Hemorrhage-An Observational Study

After delivery of study participants in both groups, blood loss will be assessed. The women with traumatic PPH will be excluded. Amniotic fluid expelled during delivery will be collected in separate collection bottle for Measurement of blood loss, the blood collected in trough after delivery of Placenta will be measured in collection bottle prepared with calibration at every 100ml,500ml and then at 1, 1.5, 2liters. Blood loss will be measured for at least one hour, until the active bleeding stops. At the time of shifting the patient, she will be provided with pre weighed standard perineal pads. The number of pads used in 24hrs will be weighed and the difference will be added to already measured blood loss. In case of caesarean deliveries, intraoperative blood loss will be quantified by measuring the blood in suction container and weighing the surgical and after being used during surgery. PPH will be classified on the basis of amount of blood loss as minor(500-1000ml) or major(>1000ml). Major will be further subdivided into moderate(1001-2000ml) and severe(>2000ml). Vital charting of women in study group will be done till 48hrs. After 48hrs of delivery, complete hemogram with hematocrit will be assessed for any change. Chi square test will be applied to compare the occurrence of PPH in both groups.