Magnitude of postpartum hemorrhage and associated factors among women who gave birth in Ethiopia: a systematic review and meta-analysis

Tolossa, Tadesse; Fetensa, Getahun; Zewde, Edgeit Abebe; Besho, Merga; Jidha, Tafese Dejene

doi:10.1186/s12978-022-01498-4

Cited by 3 publications

(3 citation statements)

References 43 publications

(80 reference statements)

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“…Antecedents of postpartum hemorrhage and multiparity are risk factors for postpartum hemorrhage. Prenatal visits are essential for detecting women at high risk [ 50 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Maternal Mortality in Africa: Regional Trends (2000–2017)

Onambele

Ortega-Leon

Guillen-Aguinaga

et al. 2022

IJERPH

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Background: United Nations Sustainable Development Goals state that by 2030, the global maternal mortality rate (MMR) should be lower than 70 per 100,000 live births. MMR is still one of Africa’s leading causes of death among women. The leading causes of maternal mortality in Africa are hemorrhage and eclampsia. This research aims to study regional trends in maternal mortality (MM) in Africa. Methods: We extracted data for maternal mortality rates per 100,000 births from the United Nations Children’s Fund (UNICEF) databank from 2000 to 2017, 2017 being the last date available. Joinpoint regression was used to study the trends and estimate the annual percent change (APC). Results: Maternal mortality has decreased in Africa over the study period by an average APC of −3.0% (95% CI −2.9; −3,2%). All regions showed significant downward trends, with the greatest decreases in the South. Only the North African region is close to the United Nations’ sustainable development goals for Maternal mortality. The remaining Sub-Saharan African regions are still far from achieving the goals. Conclusions: Maternal mortality has decreased in Africa, especially in the South African region. The only region close to the United Nations’ target is the North African region. The remaining Sub-Saharan African regions are still far from achieving the goals. The West African region needs more extraordinary efforts to achieve the goals of the United Nations. Policies should ensure that all pregnant women have antenatal visits and give birth in a health facility staffed by specialized personnel.

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“…Antecedents of postpartum hemorrhage and multiparity are risk factors for postpartum hemorrhage. Prenatal visits are essential for detecting women at high risk [ 50 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Maternal Mortality in Africa: Regional Trends (2000–2017)

Onambele

Ortega-Leon

Guillen-Aguinaga

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Antecedents of postpartum hemorrhage and multiparity are risk factors for postpartum hemorrhage. Prenatal visits are essential to detecting women with high risk [52].…”

Section: Literature Reviewmentioning

confidence: 99%

Maternal Mortality in Africa, Regional Trends (2000-2017)

Onambele¹,

Ortega-Leon²,

Guillen-Aguinaga³

et al. 2022

Preprint

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Background: United Nations Sustainable Development Goals state that by 2030, the Global maternal mortality rate (MMR) should be lower than 70 per 100,000 live births. MMR is still one of Africa's leading causes of death among women. This research aims to study regional trends in maternal mortality in Africa. Methods: We extracted data for Maternal mortality rates per 100,000 births from the UNICE data bank from 2000 to 2017, being 2017 the last date available. Joinpoint regression was used to study the trends and estimate the annual percent change (APC). Results: Maternal mortality has decreased in Africa over the study period by an average APC of -3.0% (95% CI -2.9;-3,2%). All regions showed significant downward trends, with the sharpest decreases in the South. Only the North African region is close to the United Nations' sustainable development goals for Maternal mortality. The remaining sub-Saharan African regions are still far from achieving the goals. Conclusions: maternal mortality has decreased in Africa, especially in the South Africa region. The only region closed to the United Nations target is North Africa. The remaining sub-Saharan African regions are still far from achieving the goals. These results could be used for the development of Regional Policies.

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“…Postpartum hemorrhage (PPH) is the leading cause of maternal mortality and morbidity worldwide. 1 World Health Organization (WHO) statistics suggested that 60% of maternal deaths in developing countries were due to PPH, accounting for more than 100,000 maternal deaths per year worldwide. 2 Most PPH deaths can be avoided with timely detection and management; however, critical challenges persist.…”

Section: Introductionmentioning

confidence: 99%

Postpartum hemorrhage: clinical features and management in a tertiary care center of Nepal

Pradhan Malla,

Acharya,

Thapa

2023

J Patan Acad Health Sci

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Introduction: Obstetric haemorrhage continues to account for a substantial proportion of maternal deaths in Nepal, despite implementation of different strategies. The most common type of obstetric haemorrhage is postpartum hemorrhage (PPH), mainly primary. Understanding its burden in the health care setting was the objective of this study by assessing its prevalence, associated factors and management. Method: This was a retrospective study conducted at Patan Academy of Health Sciences from Mar 2019 to Mar 2022. Demographic, obstetrical, medical factors and management of primary PPH was collected from medical record. Statistical analysis was done using Statistical Packages for Social Sciences (SPSS-20). Results were expressed using frequencies, tables and figures. Result: From a total 17,770 deliveries, primary PPH was seen in 84(0.47%). Most of them 49(58.3%) were multipara. The frequency and impact of PPH can be effectively reduced by reducing avoidable risk factors, especially those related to obstetric interventions as increased caesarean section rate which was 48(57.1%) among primary PPH. Other associated risk factors were induction of labor 32(38.1%), pre-existing medical diseases 32(38.1%), history of antepartum hemorrhage 15(17.9%), previous caesarean section 19(22.6%). Uterine atony 43(51.2%), abnormal placentation disorder 16(19%), genital trauma 9(10.71%), retained tissue 5(5.95%) were the leading causes of PPH. PPH in morbidly adherent placenta like placenta accreta spectrum was 8(9.5%) and placenta increta 1(1.2%). PPH was controlled by conservative management in 24(28.6%). Surgical intervention was required in 34(40.5%) including hysterectomy in 14(16.7%). Conclusion: PPH can be minimized by extra vigilance and planned conjoined management.

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Magnitude of postpartum hemorrhage and associated factors among women who gave birth in Ethiopia: a systematic review and meta-analysis

Cited by 3 publications

References 43 publications

Maternal Mortality in Africa: Regional Trends (2000–2017)

Maternal Mortality in Africa: Regional Trends (2000–2017)

Maternal Mortality in Africa, Regional Trends (2000-2017)

Postpartum hemorrhage: clinical features and management in a tertiary care center of Nepal

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