Outcome of Postpartum Hemorrhage among Patients Managed with the Modified Emotive Bundle at a Tertiary Care Center

Syeda Amna Asim Kazmi; Bushra Iftikhar; Nasreen Hassan Niazi; Ayesha Mushtaq; Asma Sattar; Summiya Manzoor

doi:10.71104/jsogp.v16i3.1101

Syeda Amna Asim Kazmi Post graduate resident (FCPS=II), of Gynae & Obs, CMH Malir, Karachi
Bushra Iftikhar Associate Professor of Gynae & Obs, CMH Malir, Karachi
Nasreen Hassan Niazi Associate Professor of Gynae & Obs, CMH Malir, Karachi
Ayesha Mushtaq Senior Registrar of Gynae and OBS, Sir Syed Hospital, Karachi
Asma Sattar Senior Registrar of Gynae and OBS, Sir Syed Girls College/Hospital Karachi
Summiya Manzoor Consultant Gynecologist, Usman Memorial Hospital Karachi

DOI: https://doi.org/10.71104/jsogp.v16i3.1101

Keywords: Postpartum hemorrhage, Modified Emotive bundle

Abstract

Objective: To determine the outcomes of postpartum hemorrhage (PPH) among patients managed with the Modified Emotive Bundle at a tertiary care health center.

Methodology: This prospective cohort study was conducted at the Department of Gynaecology and Obstetrics, CMH Malir, Karachi, from April to September 2025. A total of 68 women aged 18–55 years, with a gestational age of ≥34 weeks and diagnosed with PPH, were included. Patients were managed using the Modified Emotive Bundle, and blood loss was measured with calibrated drapes. Outcomes were assessed in terms of the incidence of severe PPH, need for blood transfusion, surgical intervention, and intensive care unit (ICU) admission. Data were collected using a predefined study proforma and entered and analyzed using SPSS version 26.0. Data were stratified according to potential effect modifiers, and associations were assessed using the chi-square test. A p-value of ≤0.05 was considered statistically significant

Results: The mean maternal age was 35.36 ± 11.10 years, mean gestational age was 37.38 ± 1.93 weeks, and mean BMI was 27.26 ± 5.81 kg/m². Severe PPH occurred in 5 patients (7.4%). Blood transfusion was required in 9 patients (13.2%), surgical intervention in 3 (4.4%), and ICU admission in 2 (2.9%). No significant associations were found between the assessed outcomes and maternal or obstetric characteristics (p > 0.05).

Conclusion: The Modified Emotive Bundle was associated with effective control of PPH, with low rates of blood transfusion, surgical intervention, and ICU admission.