Magnitude of Post-Partum Hemorrhage among Women Who Received Postpartum Care at Bedele Hospital South West, Ethiopia, 2018

Abera, Tesfaye; Kebede, Dereje Sisay; Negeri, Garoma Abire; Dow, Mark Kong; Hassen, Seid

doi:10.4172/2376-127x.1000396

Cited by 9 publications

(22 citation statements)

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“…The result of the current study is similar to a study done in Uganda (7.4%) [17]. This finding also comparable with a study done in Bedele hospital (9.69%) [21]. The finding of this study is slightly higher than studies done in Pakistan (6%) [16].…”

Section: Discussionsupporting

confidence: 89%

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The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018

2019

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Objective Since data related to postpartum hemorrhage in Ethiopia is scarce, this study was aimed to assess the magnitude and associated factors of postpartum hemorrhage among mothers who delivered in Debre Tabor general hospital. Results In this study, one hundred forty-four mothers’ charts were reviewed which made the response rate 100%. This study revealed that the magnitude of postpartum hemorrhage was 7.6% (CI 6.2, 9.8). Chi-square test revealed that there was an association between postpartum hemorrhage and gravidity, parity, having antenatal care visit, and the previous history postpartum hemorrhage. This finding confirmed that uterine atony, retained placenta, and genital tract trauma were the most common leading cause of postpartum hemorrhage.

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Section: Discussionsupporting

confidence: 89%

“…The incidence of PPH in Pakistan, Uganda, and India was 6%, 7.4%, and 22.7% respectively [16–18]. In Ethiopia, the incidence of PPH vary from 1.4 to 9.69% [19–21].…”

Section: Introductionmentioning

confidence: 99%

The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018

2019

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“…To the best of our knowledge, this is the rst study to demonstrate the optimal parity cut-off values for indicating the risk of PPH according to the mode of delivery. Previous studies [3][4][5] have shown an association between high parity and PPH. However these studies did not demonstrate the optimal cut-off values.…”

Section: Discussionmentioning

confidence: 99%

“…As parity increase, a women's myometrial muscular strength may decrease due to a reduction of collagen bers [5]. Therefore when parity increases, the probability of experiencing PPH increases.…”

Section: Discussionmentioning

confidence: 99%

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Optimal Parity Cut-off Values for Predicting Postpartum Hemorrhage in Vaginal Deliveries and Cesarean Sections

Miyoshi¹

2020

Preprint

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Background High parity is a major public health concern in developing countries and it is a risk factor for postpartum hemorrhage (PPH). The aim of this study was to analyze the optimal parity cut-off values for predicting PPH in vaginal deliveries and cesarean sections in a rural Zambian setting.Methods All women who delivered at Zimba Mission Hospital in 2017 were reviewed in this retrospective survey. Those whose records were missing data on parity and those with risk factors for developing PPH (e.g. birth weight ≥ 4,000 g, multiple pregnancy, assisted vaginal delivery, and placenta previa) were excluded. We analyzed the association between parity and PPH using multiple logistic regression and ROC curve analyses.Results Among the 1,555 women included in the study, 72 (4.6%) women experienced PPH. The optimal cut-off values for parity in vaginal deliveries and cesarean sections were para 7 and 3, respectively. Using these cut-off values, the adjusted odds ratios (95% confidence intervals) were 3.26 (1.15, 9.21) and 8.28 (2.25, 30.5), respectively.Conclusions Proper preparation is required for vaginal deliveries in women with a history of ≥ 7 births and cesarean sections in women with a history of ≥ 3 births.

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Optimal parity cut-off values for predicting postpartum hemorrhage in vaginal deliveries and cesarean sections

Miyoshi¹,

Khondowe²

2020

Pan Afr Med J

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Introduction high parity is a major public health concern in developing countries and it is a risk factor for postpartum hemorrhage (PPH). The aim of this study was to analyze the optimal parity cut-off values for predicting PPH in vaginal deliveries and cesarean sections in a rural Zambian setting. Methods all women who delivered at Zimba Mission Hospital in 2017 were reviewed in this retrospective survey. Those whose records were missing data on parity and those with risk factors for developing PPH (e.g. birth weight ≥4,000 g, multiple pregnancy, assisted vaginal delivery and placenta previa) were excluded. We analyzed the association between parity and PPH using multiple logistic regression and ROC curve analyses. Results among the 1,555 women included in the study, 72 (4.6%) women experienced PPH. The optimal cut-off values for parity in vaginal deliveries and cesarean sections were para 7 and 3, respectively. Using these cut-off values, the adjusted odds ratios (95% confidence intervals) were 3.26 (1.15, 9.21) and 8.28 (2.25, 30.5), respectively. Conclusion proper preparation is required for vaginal deliveries in women with a history of ≥7 births and cesarean sections in women with a history of ≥3 births.

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Magnitude of Post-Partum Hemorrhage among Women Who Received Postpartum Care at Bedele Hospital South West, Ethiopia, 2018

Cited by 9 publications

References 0 publications

The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018

The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018

Optimal Parity Cut-off Values for Predicting Postpartum Hemorrhage in Vaginal Deliveries and Cesarean Sections

Optimal parity cut-off values for predicting postpartum hemorrhage in vaginal deliveries and cesarean sections

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