Jornal de Cuidados com a Saúde da Mulher
Acesso livre
ISSN: 2167-0420
ISSN: 2167-0420
Mastewal Arefaynie Temesgen
Background: Postpartum hemorrhage refers loss of more than 500 and/or 1000 ml of blood within 24 hour following vaginal, caesarean delivery respectively. It is significant public health problem both in developed and developing countries, causing considerable maternal mortality and morbidity. It is highly fatal if diagnosis and treatment is not provided early. In Ethiopia, the government launches different strategies to prevent postpartum hemorrhage. But still more than half of the maternal mortalities occurred after delivery due to hemorrhage. Even though postpartum hemorrhage is one of the major direct causes of maternal death in Ethiopia, there are only few studies done in the country. Therefore, determining magnitude and associated factors that causes postpartum hemorrhage is important to make different interventions.
Objective: The aim of this study is to assess magnitude and factors associated with postpartum hemorrhage in Dessie referral hospital.
Methods and materials: Institutional based cross-sectional study was conducted in Dessie referral hospital from 5th January 2017 to 10th January 2017. A one year document review (8th July 2015-7th July, 2016) was conducted. Data was collected using structured data extraction format from patient cards, admission and discharge summary registrations, operation registration log books and delivery registration log books. Descriptive statistics were done to characterize the study population using different variables. Bivariate and multiple logistic regression models were fitted to control confounding factors. Odds ratios with 95% confidence intervals were computed to identify determinants of preeclampsia.
Result: In this study, the overall magnitude of postpartum hemorrhage was 5.8%. Delivering women who have not ANC follow-up were about eleven (AOR, 11.3, 95% CI, 4.2-30.2) times more risk of developing PPH than those who have ANC follow-up. Delivering women who had 24 hour and more duration of labor were eight (3.0, 23.0) (AOR, 8.3, 95% CI, 3.0-23.0) times more risk of PPH development as compared to these who had less than 24 hour duration of labor.
Conclusion and Recommendation: The overall magnitude of postpartum hemorrhage is low in this study when compared with previous studies. But still it needs the attention of the government to reduce maternal and child mortality and morbidity. Non utilization of ANC, cesarean section, prolonged duration of labor and multiparty are predictors of postpartum hemorrhage. Health care providers should give high attention to initiate ANC, women who give birth by cesarean section.