{"id":"https://openalex.org/W2991950410","doi":null,"title":"Maternal morbidity and mortality due to primary PPH--experience at Ayub Teaching Hospital Abbottabad.","display_name":"Maternal morbidity and mortality due to primary PPH--experience at Ayub Teaching Hospital Abbottabad.","publication_year":2008,"publication_date":"2008-04-01","ids":{"openalex":"https://openalex.org/W2991950410","mag":"2991950410","pmid":"https://pubmed.ncbi.nlm.nih.gov/19385460"},"language":"en","primary_location":{"id":"pmid:19385460","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19385460","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College, Abbottabad : JAMC","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038536953","display_name":"Humaira Naz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I137562272","display_name":"Ayub Medical College","ror":"https://ror.org/03aypnd11","country_code":"PK","type":"education","lineage":["https://openalex.org/I137562272"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Humaira Naz","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan. drmaira@hotmail.com","Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan. drmaira@hotmail.com","institution_ids":["https://openalex.org/I137562272"]},{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan","institution_ids":["https://openalex.org/I137562272"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014257992","display_name":"Iram Sarwar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Iram Sarwar","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016854427","display_name":"Anisa Fawad","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anisa Fawad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Aziz Un Nisa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aziz Un Nisa","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.6288,"has_fulltext":false,"cited_by_count":39,"citation_normalized_percentile":{"value":0.76760598,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"20","issue":"2","first_page":"59","last_page":"65"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10693","display_name":"Blood transfusion and management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":0.9390000104904175},{"id":"https://openalex.org/keywords/maternal-morbidity","display_name":"maternal morbidity","score":0.7990000247955322},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.9980000257492065},{"id":"https://openalex.org/keywords/uterine-atony","display_name":"uterine atony","score":0.9789999723434448},{"id":"https://openalex.org/keywords/disseminated-intravascular-coagulation","display_name":"disseminated intravascular coagulation","score":0.8370000123977661},{"id":"https://openalex.org/keywords/postpartum-anemia","display_name":"postpartum anemia","score":0.7789999842643738},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.7639999985694885},{"id":"https://openalex.org/keywords/hypovolemic-shock","display_name":"hypovolemic shock","score":0.7749999761581421},{"id":"https://openalex.org/keywords/subtotal-hysterectomy","display_name":"subtotal hysterectomy","score":0.8600000143051147},{"id":"https://openalex.org/keywords/perineal-tears","display_name":"perineal tears","score":0.7649999856948853},{"id":"https://openalex.org/keywords/cervical-tears","display_name":"cervical tears","score":0.6140000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9706478714942932},{"id":"https://openalex.org/C2780659260","wikidata":"https://www.wikidata.org/wiki/Q1418513","display_name":"Uterine atony","level":3,"score":0.727428138256073},{"id":"https://openalex.org/C10885799","wikidata":"https://www.wikidata.org/wiki/Q80015","display_name":"Obstetrics and gynaecology","level":3,"score":0.5743257403373718},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.48846855759620667},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.4879559874534607},{"id":"https://openalex.org/C2780017575","wikidata":"https://www.wikidata.org/wiki/Q55639806","display_name":"Atony","level":2,"score":0.4786444902420044},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4540896415710449},{"id":"https://openalex.org/C2779936836","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulopathy","level":2,"score":0.43171778321266174},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4011719822883606},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.35439229011535645},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3343272805213928},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006473","descriptor_name":"Postpartum Hemorrhage","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006784","descriptor_name":"Hospitals, Teaching","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008428","descriptor_name":"Maternal Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009017","descriptor_name":"Morbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010154","descriptor_name":"Pakistan","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011256","descriptor_name":"Pregnancy Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014593","descriptor_name":"Uterine Inertia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:19385460","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19385460","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Ayub Medical College, Abbottabad : JAMC","raw_type":"Journal Article"},{"id":"mag:2991950410","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19385460","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W74460266","https://openalex.org/W1541988215","https://openalex.org/W1570675326","https://openalex.org/W1980241624","https://openalex.org/W1988566804","https://openalex.org/W2003565231","https://openalex.org/W2007690302","https://openalex.org/W2016487769","https://openalex.org/W2031208673","https://openalex.org/W2032165335","https://openalex.org/W2403269540"],"related_works":["https://openalex.org/W2922214631","https://openalex.org/W7216813400","https://openalex.org/W4409556441","https://openalex.org/W3119083092","https://openalex.org/W3215316354","https://openalex.org/W4287722384","https://openalex.org/W3172426927","https://openalex.org/W4320726518","https://openalex.org/W4307809427","https://openalex.org/W4312447035"],"abstract_inverted_index":{"BACKGROUND:":[0],"Postpartum":[1],"Haemorrhage":[2],"(PPH)":[3],"remains":[4],"a":[5,130],"significant":[6],"cause":[7,209],"of":[8,36,48,58,75,81,111,116,136,187,190,201,210,257,294,312],"maternal":[9,53,149,168,316],"mortality":[10],"and":[11,31,50,77,142,153,164,172,180,224,275,281,315,324],"morbidity":[12,54,251,317],"like":[13],"hypovolemic":[14],"shock,":[15],"anaemia,":[16],"multi":[17],"organ":[18],"failure,":[19],"consumptive":[20],"coagulopathy,":[21],"disseminated":[22],"intra":[23],"vascular":[24],"coagulation":[25],"(DIC),":[26],"blood":[27],"transfusion":[28],"related":[29],"complications":[30,169],"hysterectomy":[32,243],"leading":[33],"to":[34,44,91,156],"loss":[35],"childbearing":[37],"potential.":[38],"The":[39,67,95,148,199,207,288],"present":[40],"study":[41,68,96,107,123,197,289],"was":[42,69,125,151,178,203,212,244,252],"conducted":[43],"determine":[45],"the":[46,51,56,73,82,106,113,119,122,196,259,292],"frequency":[47,200,293],"PPH":[49,104,192,202,211,296,314],"associated":[52],"at":[55],"Department":[57,74],"Gynaecology":[59,78],"Unit":[60,79],"'B',":[61],"Ayub":[62,83],"Teaching":[63],"Hospital":[64,85],"Abbottabad.":[65],"METHODS:":[66],"carried":[70],"out":[71],"in":[72,118,216,227,246,254,264,271,277,283,297,301],"Obstetrics":[76],"B":[80],"teaching":[84],"Abbottabad":[86],"from":[87],"18th":[88],"April":[89],"2006":[90],"17":[92],"July":[93],"2006.":[94],"population":[97],"included":[98,161],"all":[99,232],"cases":[100,189,280],"admitted":[101],"with":[102,303,321],"primary":[103,191,295,313],"during":[105,121,195],"period.":[108,198],"For":[109],"calculation":[110],"frequencies,":[112],"total":[114,186],"number":[115],"deliveries":[117],"setting":[120,299],"period":[124],"used.":[126],"All":[127,167],"subjects":[128],"underwent":[129],"complete":[131],"obstetrical":[132],"clinical":[133],"workup":[134],"comprising":[135],"history,":[137],"general":[138],"physical":[139],"examination,":[140,144],"abdominal":[141],"pelvic":[143],"relevant":[145],"laboratory":[146],"investigations.":[147],"condition":[150],"assessed":[152],"managed":[154,235],"according":[155],"established":[157],"hospital":[158],"protocols":[159],"which":[160],"both":[162],"pharmacological":[163],"surgical":[165,239],"intervention.":[166,240],"were":[170,193,234,262],"noted":[171],"recorded":[173,194],"on":[174,327],"pre-designed":[175],"proformas.":[176],"Data":[177],"entered":[179],"analyzed":[181],"by":[182,221,238],"computer.":[183],"RESULTS:":[184],"A":[185],"50":[188],"calculated":[204],"as":[205,310],"7.1%.":[206],"major":[208,260],"uterine":[213],"atony":[214],"found":[215],"29":[217],"(58%)":[218],"cases,":[219,267],"followed":[220,237],"cervical,":[222],"vaginal":[223],"perineal":[225],"tears":[226],"12":[228],"(24%)":[229],"cases.":[230,249,286],"Initially":[231],"patients":[233,274],"pharmacologically":[236],"Subtotal":[241],"(haemostatic)":[242],"performed":[245],"10":[247],"(20%)":[248],"Maternal":[250],"detected":[253],"31":[255],"(62%)":[256],"cases;":[258],"morbidities":[261],"DIC":[263],"3":[265,272],"(6%)":[266,273],"Acute":[268],"renal":[269],"failure":[270],"shock":[276],"2":[278],"(9.9%)":[279],"anaemia":[282],"20":[284],"(90.1%)":[285],"CONCLUSION:":[287],"concludes":[290],"that":[291],"this":[298,328],"is":[300],"keeping":[302],"globally":[304],"cited":[305],"frequencies.":[306],"Other":[307],"findings":[308],"such":[309],"causes":[311],"data":[318],"also":[319],"agree":[320],"most":[322],"national":[323],"international":[325],"studies":[326],"topic.":[329]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-12-13T00:00:00"}