Magnitude of postpartum hemorrhage and its associated factors in Ethiopia: a systematic review and meta-analysis

Nigussie, Jemberu; Girma, Bekahegn; Molla, Alemayehu; Tamir, Takla; Tilahun, Ruth

doi:10.1186/s12978-022-01360-7

Cited by 17 publications

(18 citation statements)

References 61 publications

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“…A structured, pre-tested, and interview-administered questionnaire was used to collect the data. The data collection tool was updated and contextualized to meet the local condition and the research purpose after being adopted from various works of literature (6,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). The questionnaire was prepared in an English version and then translated into local languages (Gedeuffa and Amharic) and finally retranslated into an English version to ensure consistency.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

“…The prevalence of PPH, both primary and secondary, was different across developed and developing countries and regions (6,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). For example, it ranges from 6.1% in 2003 to 8.3% in 2011 in New South Wales, Australia (6), and 10.5% in sub-Saharan Africa (19).…”

Section: Introductionmentioning

confidence: 99%

“…Most maternal deaths could have been avoided if women had received proper medical care during their pregnancies and labor, and the key is early diagnosis, which includes risk factors and proper treatment (3). The prolonged third stage of labor, abnormal placentation, use of oxytocin, ante-partum hemorrhage, and hypertension are common risk factors for developing PPH (6,(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Many of these risk factors are detectable during prenatal care or in the first stages of labor, making it appropriate to refer women to a hospital-based institution for prevention and treatment.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, it was 9% in Uganda in 2016 ( 18 ). A systematic review result in Ethiopia showed that the pooled magnitude of PPH was 8.24% ( 17 ). The magnitude of PPH varied from region to region; which was 1.4% ( 16 ) in Addis Ababa, 16.6% in the South Nation Nationality People region ( 11 ), and 9.4% in the Sidama region ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

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Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Zenebe

Alemu²,

Ewunie³

et al. 2023

Front. Med.

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IntroductionPrimary postpartum hemorrhage is still the main cause of maternal death worldwide, especially in low-resource nations like Ethiopia where there are insufficient healthcare facilities and a shortage of skilled medical personnel. Data on the prevalence of primary postpartum hemorrhage in the study population are scarce or non-existent.ObjectiveThe aim of this study was to assess the prevalence of primary postpartum hemorrhage and its associated factors among delivering women in Gedeo Zone, Southern Ethiopia, in 2021.MethodsA facility-based cross-sectional study was carried out from January 1 to March 30, 2021, in public health facilities in the Gedeo Zone. A randomly selected 577 participants were involved in the study. Data were gathered using an interview-administered, pre-tested, structured questionnaire. The gathered information was imported into Epi Info 3.5.1 and analyzed with SPSS 23. Descriptive data was presented using tables and graphs. A logistic regression model was fitted. A bivariable and multivariable logistic regression model was computed to identify the presence and strength of association. To run multivariable logistic regression analyses, variables with P-values of <0.2 were used. The odds ratio, a 95% confidence interval (CI), and a P-value of <0.05 were used to identify variables that were associated with primary postpartum hemorrhage.ResultsThe magnitude of primary postpartum hemorrhage was 4.2% (95% CI: 2.4–6.0). Postpartum hemorrhage was significantly associated with current antepartum hemorrhage (AOR = 11.67; 95%CI: 7.17–16.17), twin delivery (AOR = 6.59, 95%CI: 1.48–11.70), uterine atony (AOR = 8.45, 95%CI: 4.35–12.55), and prolonged labor (AOR = 5.6, 95%CI: 2.9–8.50).ConclusionsThe prevalence of primary postpartum hemorrhages in the Gedeo Zone, Southern Ethiopia was 4.2%. Current ante partum hemorrhage, twin delivery, uterine atony, and prolonged labor were predictors of primary postpartum hemorrhage. The results back up the necessity for care in the early postpartum period so that clinicians may quickly identify any issues, prevent and start treating excessive blood loss early, and, taking into account the aforementioned factors, possibly reduce the frequency of primary postpartum hemorrhage.

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Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Zenebe

Alemu²,

Ewunie³

et al. 2023

Front. Med.

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“…Histerektomi pada akhirnya menjadi pilihan dalam penanganan ruptur uteri dan menjadi bagian dari komplikasi maternal akibat partus macet (Mengesha et al, 2020). Selain itu kelelahan dinding rahim menyebabkan kontraksi uterus tidak adekuat sehingga kala dua memanjang yang berisiko 5 kali lebih tinggi mengakibatkan perdarahan postpartum karena retensio plasenta di kala tiga dan atonia uteri di kala empat persalinan (Nigussie, Girma, Molla, Tamir, & Tilahun, 2022). Selaras dengan hasil studi ini yang juga menunjukkan bahwa komplikasi yang terjadi pada ibu akibat partus macet yaitu retensio plasenta (Niemczyk et al, 2022), ruptur uteri, perdarahan postpartum, anemia, syok (Desta et al, 2022) dan kematian maternal (Ukke et al, 2017) sedangkan pada bayi yaitu asfiksia, gangguan pernapasan, sindrom aspirasi mekoneum (Rohan, 2019), kematian perinatal dan neonatal (Niemczyk et al, 2022).…”

Section: Pembahasanunclassified

Literature Review: Komplikasi Maternal dan Neonatal Akibat Persalinan Macet

Yuniarti¹,

Ivantarina²

2022

SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat

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Obstructed labor significantly occur in developing countries including Indonesia, contributing to maternal and neonatal health. The burden of obstructed labor and adverse fetomaternal outcomes appears to remain high and is a common challenge. One of them is caused by delays in making decisions regarding referral approval due to lack of information about complications that occur in maternal and neonatal. Therefore, identification of the outcomes of obstructed labor that occurs in maternal and neonatal is very important with the aim of knowing the maternal and neonatal complications resulting from obstructed labor. The method used is a literature study using an online database, namely Pubmed and Google Scholar based on inclusion criteria. The results of this study obtained 13 articles showing maternal complications due to obstructed labor, namely uterine rupture, postpartum hemorrhage, anemia, shock, sepsis, blood transfusion, hysterectomy, bladder rupture and injury, fistula, perineal and cervical lacerations, pelvic floor sequelae, musculoskeletal disorders, genitourinary, postpartum depression and death while fetal complications were sepsis, asphyxia, respiratory distress, meconium aspiration syndrome, seizures, jaundice, stillbirth, perinatal and neonatal death. Prevention of obstructed labor is carried out through a multidisciplinary approach aimed in the short term to identify high-risk cases since pregnancy. In the long term, improving education and better health from health workers for mothers and families related to maternal and neonatal complications due to evidence-based obstructed labor so as not to hesitate in making decisions regarding approval of referral actions so that cases of obstructed labor can be handled on time and do not cause dangerous complications. for mother and baby.

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Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action

Sheikh,

Allotey,

Kew

et al. 2024

eClinicalMedicine

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Magnitude of postpartum hemorrhage and its associated factors in Ethiopia: a systematic review and meta-analysis

Cited by 17 publications

References 61 publications

Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Literature Review: Komplikasi Maternal dan Neonatal Akibat Persalinan Macet

Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action

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