Postpartum haemorrhage and associated factors among mothers who gave birth in South Gondar Zone public health facilities, Ethiopia: a cross-sectional study

Dagne, Asrat Hailu; Zewude, Shimeles Biru

doi:10.1136/postgradmedj-2020-139382

Cited by 3 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of this study showed that the likelihood of primary postpartum hemorrhage was high among women with APH, uterine atony, twin delivery, and prolonged labor. Almost all of these described factors agree with the findings of many other studies conducted both in developed and developing countries ( 2 , 6 , 10 – 19 , 32 , 35 , 36 , 39 , 40 ). Therefore, these similarities implied that those factors might be the common contributors to the occurrence of primary postpartum hemorrhage.…”

Section: Discussionsupporting

confidence: 90%

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

Zenebe

Alemu²,

Ewunie³

et al. 2023

Front. Med.

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 90%

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

Zenebe

Alemu²,

Ewunie³

et al. 2023

Front. Med.

View full text Add to dashboard Cite

show abstract

“…The current systematic review and meta-analysis included 21 primary studies with a total of 93,898 study participants. Of the total of 21 studies; 7 studies were conducted in Amhara region [11,[36][37][38][39][40][41], 6 studies in South nation nationality and people (SNNP) region [30,[42][43][44][45][46], 2 studies in Oromia region [10,47], 2 studies in Addis Ababa City administration [29,48], 1 study in Tigray region [49], 1 study in Dire Dawa City administration [50], 1 study in Harar region [51] and 1 study was conducted national-wide [52] (Table 1). Only 4 studies were conducted in rural area, the rest 17 were conducted in urban area.…”

Section: Characteristics Of the Included Articlesmentioning

confidence: 99%

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

et al. 2022

View full text Add to dashboard Cite

Background Postpartum hemorrhage or postpartum bleeding (PPH) is often defined as loss of > 500 ml of blood after vaginal delivery or > 1000 ml after cesarean delivery within 24 h. Postpartum hemorrhage is a leading direct cause of maternal morbidity and mortality in Ethiopia. Therefore, the main objective of this systematic review and meta-analysis was to estimate the pooled magnitude of postpartum hemorrhage and the pooled effect size of the associated factors in Ethiopia. Methods Primary studies were searched from PubMed/MEDLINE online, Science Direct, Hinari, Cochrane Library, CINAHL, African Journals Online, Google and Google Scholars databases. The searching of the primary studies included for this systematic review and meta-analysis was limited by papers published from 2010 to October 10/2021. The data extraction format was prepared in Microsoft Excel and extracted data was exported to Stata Version 16.0 statistical software for analysis. A random effect meta-analysis model was used. Statistical heterogeneity was evaluated by the I2 test and Egger’s weighted regression test was used to assess publication bias. Result A total of 21 studies were included in this meta-analysis. The pooled magnitude of postpartum hemorrhage in Ethiopia was 8.24% [(95% CI 7.07, 9.40]. Older age [OR = 5.038 (95% CI 2.774, 9.151)], prolonged labor [OR = 4.054 (95% CI 1.484, 11.074)], absence of anti-natal care visits (ANC) [OR = 13.84 (95% CI 5.57, 34.346)], grand-multiparty [OR = 6.584 (95% CI 1.902, 22.795)], and history of postpartum hemorrhage [OR = 4.355 (95% CI 2.347, 8.079)] were factors associated with the occurrence of postpartum hemorrhage. Conclusions The pooled magnitude of postpartum hemorrhage among post-natal mothers in Ethiopia was moderately high. The finding of this study will strongly help different stakeholder working in maternal and child health to focus on the main contributors’ factors to reduce post-partum hemorrhage among postnatal mothers. Health professionals attending labor and delivery should give more attention to advanced aged mothers, grand-multipara mothers and mothers who had a history of post-partum hemorrhage due to higher risk for postpartum hemorrhage. Encouraging to continue ANC visit and prevent prolonged labor should also be recommended to decrease postpartum hemorrhage.

show abstract

Incidence, Causes and Outcomes of Postpartum Hemorrhage in Eastern Ethiopia: A Multicenter Surveillance Study

Girma,

Tura,

Ahmed

et al. 2024

Matern Child Health J

View full text Add to dashboard Cite

Objectives Maternal mortality remains an unfinished global agenda and postpartum hemorrhage (PPH) remains one of the leading causes. The aims of this study were to describe the incidence, underlying causes, and case fatality rate of PPH in public hospitals in eastern Ethiopia. Methods This study was part of a larger Ethiopian Obstetric Surveillance System (EthOSS) project — a multicenter surveillance of women admitted to 13 public hospitals in eastern Ethiopia due to any of the five major obstetric conditions: obstetric hemorrhage, eclampsia, uterine rupture, sepsis, and severe anemia – conducted from April 1, 2021 to March 31, 2022. All registers in maternity units of those hospitals were reviewed to identify eligible women and collect data on sociodemographic and obstetric characteristics, management and maternal outcomes at discharge or death. Findings were reported using descriptive statistics. Results Among 38,782 births registered during the study period, 2043 women were admitted with at least one of the five major obstetric conditions. Of these 2043, 306 women (15%) had PPH corresponding with an incidence rate of 8 (95% CI: 7–9) per 1000 births. Uterine atony was the main underlying cause in 77%; 81% of women with PPH received at least one uterotonic drug, and 72% of women for whom blood was requested received at least one unit. Of the 70 hospital based maternal deaths, 19 (27%) died from PPH, making a case fatality rate of 6 per 100. Conclusions Although the overall incidence of PPH appeared low, it was still the underlying cause of death in one out of four women who died. The contributing factors might be that one in five women with PPH did not receive any uterotonic drug and the low blood transfusion. Ongoing audit, followed by targeted action, is essential to improve care quality and reduce adverse maternal outcome. The relatively low incidence may reflect under-recording in paper-based records, implying that further research into methods to optimize the surveillance is needed.

show abstract

Postpartum haemorrhage and associated factors among mothers who gave birth in South Gondar Zone public health facilities, Ethiopia: a cross-sectional study

Cited by 3 publications

References 21 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

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

Incidence, Causes and Outcomes of Postpartum Hemorrhage in Eastern Ethiopia: A Multicenter Surveillance Study

Contact Info

Product

Resources

About