<b>FREQUENCY OF POSTPARTUM HEMORRHAGE IN WOMEN WITH HYPERTENSIVE DISORDER IN PREGNANCY IN TERTIARY CARE HOSPITAL IN QUETTA</b>

Background: Postpartum hemorrhage is a leading cause of maternal morbidity and mortality in all parts of the world. Women with hypertensive disorders of pregnancy are vulnerable to more obstetric complications, including postpartum hemorrhage. The frequency of occurrence of this complication can be identified, which can assist in enhancing preventive and management interventions in high-risk pregnancies. Objective: To estimate the frequency (proportion) of postpartum hemorrhage (PPH) among women with hypertensive disorders of pregnancy (HDP) who are admitted to the labor and delivery ward of a tertiary care hospital in Quetta. Place and Duration of study: From May 2025 to October 2025 Gynecology and Obstetrics Department Bolan Medical College/Hospital, Quetta. Methodology: This cross-sectional Study was carried out in the Department of Obstetrics and Gynecology of a tertiary care hospital in Quetta over a period of six months. Gestational hypertension, preeclampsia, or eclampsia were identified in 216 pregnant women with an age range of 18-45 years who were enrolled through consecutive non-probability sampling. Women who had coagulation disorders, placenta previa, or traumatic postpartum bleeding were excluded. Postpartum hemorrhage was considered the blood loss that is more than 500 mL after vaginal delivery or more than 1000 mL after a cesarean section. SPSS version 26 was used to analyze the data. Results: The 216 participants, the mean age was 29.4 ± 5.8 years. Gestational hypertension was present in 47.2%, preeclampsia in 38.9%, and eclampsia in 13.9% of patients. Postpartum hemorrhage occurred in 19 women, giving a frequency of 8.8%. The incidence was significantly higher in women with severe preeclampsia/eclampsia compared with gestational hypertension (p = 0.032). Patients who developed postpartum hemorrhage had higher mean systolic blood pressure at admission (162.5 ± 14.2 mmHg vs 149.8 ± 12.7 mmHg; p = 0.018). Blood transfusion was required in 12 cases. Conclusion The postpartum hemorrhage is a serious complication in women with hypertensive disorders of pregnancy, especially in severe illness. Early identification and strict obstetric care can help decrease the maternal morbidity related to it.