Prevalence and associated risk factors of ante-partum hemorrhage among Arab women in an economically fast growing society

Bener, Abdülbari; Nm, Saleh; Yousafzai, Mohammad Tahir

doi:10.4103/1119-3077.97315

Cited by 19 publications

(24 citation statements)

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“…The overall prevalence in a study from Qatar was found to be 15.3%[7] and poor education, family history of hypertension, G6PD, and Down's syndrome were found to be significantly associated with increased APH in that study. [7] However, in a study from Osun, South-Western Nigeria, the prevalence was 1.5% and the major cause of antepartum hemorrhage was found to be placenta previa followed by abruption and lastly by unknown causes.…”

Section: Introductionmentioning

confidence: 94%

“…[7] However, in a study from Osun, South-Western Nigeria, the prevalence was 1.5% and the major cause of antepartum hemorrhage was found to be placenta previa followed by abruption and lastly by unknown causes. [8] In Lagos, Nigeria, an incidence of 3.5% was reported and placenta previa constituted 58.4% of the cases, while placental abruption was a factor in 35.6%.…”

Section: Introductionmentioning

confidence: 99%

“…[1] On the other hand, maternal characteristics associated with lower sociodemographic status, namely low education was the main variable associated with APH in a study from Qatar. [7]…”

Section: Introductionmentioning

confidence: 99%

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Antepartum hemorrhage: A retrospective analysis from a northern nigerian teaching hospital

Takai

Sayyadi

Galadanci

2017

Int J App Basic Med Res

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Background:Antepartum hemorrhage (APH) contributes significantly to maternal and perinatal morbidity and mortality globally, particularly in the developing world like ours. Prevention, early detection, and prompt management cannot be overemphasized to significantly reduce the morbidity and mortality associated with this condition.Objectives:The study is aimed at determining the prevalence, etiology, sociodemographic characteristics, and the fetomaternal outcome of pregnancies complicated by APH in Aminu Kano Teaching Hospital, Kano.Materials and Methods:A 5 years retrospective study of all pregnancies complicated by APH at Aminu Kano Teaching Hospital, Kano, Nigeria, between January 1, 2009, and December 31, 2013, was conducted.Results:A total of 224 cases of APH were recorded out of the 18,273 cases admitted for delivery during the study period, giving an institutional prevalence rate of 1.2%. Two hundred and eighteen folders were retrieved and analyzed giving a retrieval rate of 97.3%. The mean gestational age at presentation was 35.3 ± 2 weeks and the most common causes were abruptio placenta and placenta previa constituting 68.3% and 30.0%, respectively. Sociodemographic characteristics associated with the occurrence of APH included age, booking status, parity, and socioeconomic status. The peak prevalence of APH was observed in the 35–39 year age group accounting for 33.0%. There were 123 live births and 92 stillbirths. The cesarean section rate was 53.5%. Major complications were intrauterine fetal deaths in 42.8%, postpartum hemorrhage in 24.2% of cases, and anemia necessitating blood transfusion in 61.5%. There were three maternal deaths all due to abruptio placentae during the study period giving a case specific fatality rate of 2%.Conclusion:The prevalence of APH in our setting is high. The major causes were abruptio placenta and placenta previa. The major fetal complication was intrauterine fetal death, and the major maternal complications were postpartum hemorrhage and anemia with consequent high blood transfusion rate. Early detection, provision of antenatal care, and emergency obstetric care services can reduce the negative effects of APH.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Antepartum hemorrhage: A retrospective analysis from a northern nigerian teaching hospital

Takai

Sayyadi

Galadanci

2017

Int J App Basic Med Res

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“…Obstetric hemorrhage is a leading cause of fetomaternal mortality and morbidity in Sub-Saharan Africa [4]. Placenta previa has further been linked to maternal hypovolemia, anemia, and long hospital stay, as well as adverse fetal outcomes such as low birth weight, congenital abnormalities, stillbirth, and early neonatal death [5–9]. …”

Section: Introductionmentioning

confidence: 99%

“…While the precise etiology of placenta previa is not known, previous studies have elucidated predictive factors such as high maternal age, twin pregnancies, previous Caesarean section, previous uterine scar, grand multiparity, malpresentation, and diabetes mellitus [5, 7–11]. …”

Section: Introductionmentioning

confidence: 99%

Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania

Senkoro

Mwanamsangu

Chuwa

et al. 2017

Journal of Pregnancy

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Background and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in Northern Tanzania. Methodology. A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre birth registry spanning 2000 to 2015. All women who gave birth to singleton infants were studied. Adjusted odds ratios (ORs) with 95% confidence intervals for risk factors and adverse fetomaternal outcomes associated with PP were estimated in multivariable logistic regression models. Result. A total of 47,686 singleton deliveries were analyzed. Of these, the frequency of PP was 0.6%. Notable significant risk factors for PP included gynecological diseases, alcohol consumption during pregnancy, malpresentation, and gravidity ≥5. Adverse maternal outcomes were postpartum haemorrhage, antepartum haemorrhage, and Caesarean delivery. PP increased odds of fetal Malpresentation and early neonatal death. Conclusion. The prevalence of PP was comparable to that found in past research. Multiple independent risk factors were identified. PP was found to have associations with several adverse fetomaternal outcomes. Early identification of women at risk of PP may help clinicians prevent such complications.

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Safety and efficacy of low-dose aspirin in ischemic stroke patients with different G6PD conditions

Chen

et al. 2020

International Journal of Stroke

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Background and purpose Aspirin is the first recommended antiplatelet agent to prevention secondary stroke, but its safety and efficacy in stroke patients with glucose-6-phosphate dehydrogenase deficiency remain unclear. We sought to evaluate its safety and efficacy in ischemic stroke patients with and without glucose-6-phosphate dehydrogenase deficiency. Methods Patients with ischemic stroke receiving aspirin (100 mg/day) for three months were recruited for a multicenter, prospective, cohort study. Blood glucose-6-phosphate dehydrogenase activity was examined after stroke. Safety outcomes including acute hemolysis, moderate-to-severe bleeding, and death (vascular, all-cause), and efficacy outcome indicated as stroke recurrence were evaluated at three months. Risk factors associated with moderate-to-severe bleeding and all-cause death were determined using multivariate or Cox regression analysis. Results Among the included 1121 patients, 81 of 130 glucose-6-phosphate dehydrogenase deficient and 576 of 991 glucose-6-phosphate dehydrogenase normal patients received aspirin for three months. Acute hemolysis was observed in one of the glucose-6-phosphate dehydrogenase deficient and in none of the glucose-6-phosphate dehydrogenase normal patients ( p = 0.876). The rates of moderate-to-severe bleeding were 2.5% and 0.3% ( p = 0.045), and the percentages of all-cause death were 6.2% and 1.4% ( p = 0.008) in the glucose-6-phosphate dehydrogenase deficient and glucose-6-phosphate dehydrogenase normal patients. Stroke recurrence rate was similar in the two groups (2.5% vs. 1.7%; p = 0.608). Glucose-6-phosphate dehydrogenase deficiency was significantly associated with increased risk of moderate-to-severe bleeding (adjust p = 0.048) and all-cause death during aspirin use (adjust p = 0.008). Conclusions Long-term low-dose aspirin therapy might relate to worse safety outcomes in patients with glucose-6-phosphate dehydrogenase deficiency and large clinical trials are needed to further confirm these findings.

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Prevalence and associated risk factors of ante-partum hemorrhage among Arab women in an economically fast growing society

Cited by 19 publications

References 0 publications

Antepartum hemorrhage: A retrospective analysis from a northern nigerian teaching hospital

Antepartum hemorrhage: A retrospective analysis from a northern nigerian teaching hospital

Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania

Safety and efficacy of low-dose aspirin in ischemic stroke patients with different G6PD conditions

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