Risk factors for postpartum haemorrhage in the Northern Province of Rwanda: A case control study

Bazirete, Oliva; Nzayirambaho, Manassé; Umubyeyi, Aline; Karangwa, Innocent; Evans, Marilyn

doi:10.1371/journal.pone.0263731

Cited by 18 publications

(34 citation statements)

References 60 publications

(107 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…which revealed that women in urban areas use contraception more than those in rural areas, possibly due to more exposure to numerous streams of information, proximity to health services, and easier access to a wider range of methods to choose from. This study's findings, however, confirm those of a prior study [ 1 ], which revealed that contraceptive use is highest in the Northern region of Rwanda, despite a primarily hilly terrain and difficulties in reaching health facilities [ 53 ], most likely due to the region's high presence of non-governmental health organizations that emphasize access to sexual and reproductive health services.…”

Section: Discussionsupporting

confidence: 82%

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Kawuki

Gatasi

Sserwanja³

et al. 2022

BMC Women's Health

View full text Add to dashboard Cite

Background Modern contraceptive use has been shown to influence population growth, protect women’s health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factors associated with modern contraceptive use among sexually active adolescent girls in Rwanda. Methods We used secondary data from the Rwanda Demographic and Health Survey (RDHS) 2020 data of 539 sexually active adolescent girls (aged 15 to 19 years). Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to assess the association between various socio-demographics and modern contraceptive use using SPSS version 25. Modern contraception included the use of products or medical procedures that interfere with reproduction from acts of sexual intercourse. Results Of the 539 sexually active girls, only 94 (17.4%, 95% CI: 13.8–20.1) were using modern contraceptives. Implants (69.1%) and male condoms (12.8%) were the most used options. Modern contraceptive use was positively associated with older age (AOR = 10.28, 95% CI: 1.34–78.70), higher educational level (AOR = 6.98, 95% CI: 1.08–45.07), history of having a sexually transmitted infection (AOR = 8.27, 95% CI: 2.54–26.99), working status (AOR = 1.72, 95% CI: 1.03–2.88) and being from a female-headed household (AOR = 1.96, 95% CI: 1.12–3.43). However, not being in a union (AOR = 0.18, 95% CI: 0.10–0.35) and region (AOR = 0.28, 95% CI: 0.10–0.80) had negative associations. Conclusions To promote utilisation of modern contraceptives, family planning campaigns need to place more emphasis on the younger, unmarried adolescents, as well as those with lower educational levels. Consideration of household and regional dynamics is also highlighted.

show abstract

Section: Discussionsupporting

confidence: 82%

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Kawuki

Gatasi

Sserwanja³

et al. 2022

BMC Women's Health

View full text Add to dashboard Cite

show abstract

“…This contradicts prior research [47,48] which revealed that women in urban areas use contraception more than those in rural areas, possibly due to more exposure to numerous streams of information, proximity to health services, and easier access to a wider range of methods to choose from. This study's ndings, however, con rm those of a prior study [1], which revealed that contraceptive use is highest in the North of Rwanda, despite a primarily hilly terrain and di culties in reaching health facilities [49], most likely due to the region's high presence of non-governmental health organizations that emphasize access to sexual and reproductive health services.…”

Section: Resultssupporting

confidence: 79%

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Kawuki

Gatasi²,

Sserwanja³

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Modern contraceptive use has been shown to influence population growth, protect women’s health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factors associated with modern contraceptive use among sexually active adolescent girls in Rwanda. Methods We used secondary data from the Rwanda Demographic and Health Survey (RDHS) 2020 data of 539 sexually active adolescent girls (aged 15 to 19 years). Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to assess the association between various socio-demographics and modern contraceptive use using SPSS version 25. Modern contraception included the use of products or medical procedures that interfere with reproduction from acts of sexual intercourse. Results Of the 539 sexually active girls, only 94 (17.4%, 95%CI: 13.8–20.1) were using modern contraceptives. Implants (12.1%) and male condoms (2.1%) were the most used options. Modern contraceptive use was positively associated with older age (AOR = 10.28, 95%CI: 1.34–78.70), higher educational level (AOR = 6.98, 95%CI: 1.08–45.07), history of having a sexually transmitted infection (AOR = 8.27, 95%CI: 2.54–26.99), working status (AOR = 1.72, 95% CI: 1.03–2.88) and being from a female-headed household (AOR = 1.96, 95% CI: 1.12–3.43). However, marital status (AOR = 0.18, 95%CI: 0.10–0.35) and region (AOR = 0.28, 95% CI: 0.10–0.80) had negative associations. Conclusions To promote utilisation of modern contraceptives, family planning campaigns need to place more emphasis on the younger, unmarried adolescents, as well as those with lower educational levels. Consideration of household and regional dynamics is also highlighted.

show abstract

“…This vascular triad is a life-threatening condition that predisposes patients to critical obstetric bleeding. Additionally, the present study suggests that this vascular triad is not associated with the occurrence of atonic bleeding, which is another common cause of critical obstetric bleeding [ 27 – 29 ]. Different mechanisms underlying obstetrical critical bleeding are implied; (1) conditions with vasospasm resulting in the development of aforementioned vascular triad and (2) conditions with other causes bringing atonic postpartum hemorrhage including functional and traumatic causes.…”

Section: Discussionmentioning

confidence: 79%

Prenatal hypertension as the risk of eclampsia, HELLP syndrome, and critical obstetric hemorrhage

Akaishi,

Tarasawa,

Hamada

et al. 2023

Hypertens Res

View full text Add to dashboard Cite

Critical bleeding is a common cause of maternal mortality in obstetric patients. However, the non-obstetric factors underlying critical obstetric bleeding remain uncertain. Therefore, this study aimed to clarify the impact of chronic hypertension on obstetric hemorrhage by evaluating a nationwide administrative database in Japan. Women who gave birth between 2018 and 2022 were enrolled. The primary outcome was critical hemorrhage requiring massive red blood cell (RBC) transfusion during childbirth. In total, 354, 299 eligible women were selected from the database. The maternal mortality rate was >1.0% among those who received a massive RBC transfusion (≥4000 cc), and this amount was used as the cutoff of the outcome. Critical hemorrhage was less frequent with elective Caesarean section (CS) compared with vaginal childbirth or emergent CS (odds ratio [OR], 0.38; 95% confidence interval, 0.30–0.47). Multiple logistic regression analysis adjusting for these obstetric risks revealed that a higher maternal age (adjusted OR [aOR] per 1 year, 1.07 [1.05–1.09]); oral medications with prednisolone (aOR, 2.5 [1.4–4.4]), anti-coagulants (aOR, 10 [5.4–19]), and anti-platelets (aOR, 2.9 [1.3–6.4]); and a prenatal history of hypertension (aOR, 2.5 [1.5–4.4]) and hypoproteinemia (aOR, 5.8 [1.7–20]) are the risks underlying critical obstetric hemorrhage. Prenatal history of hypertension was significantly associated with obstetric disseminated intravascular coagulation (OR, 1.9 [1.5–2.4]); Hemolysis, Elevated Liver enzymes, and Low platelet count (HELLP) syndrome (OR, 3.3 [2.7–4.2]); and eclampsia (OR, 6.1 [4.6–8.1]). In conclusion, a maternal prenatal history of hypertension is associated with the development of HELLP syndrome, eclampsia, and resultant critical hemorrhage.

show abstract

Risk factors for postpartum haemorrhage in the Northern Province of Rwanda: A case control study

Cited by 18 publications

References 60 publications

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

Prenatal hypertension as the risk of eclampsia, HELLP syndrome, and critical obstetric hemorrhage

Contact Info

Product

Resources

About