Prevalence and Risk Factors of Primary Postpartum Hemorrhage after Vaginal Deliveries in the Bonassama District Hospital, Cameroon

Halle-Ekane, Gregory; Emade, Francine Ketchem; Ndemazie, Nkafu Bechem; Palle, John Ngunde; Fongaing, Duplex; Henri, Essome; Fomulu, Nelson

doi:10.9734/ijtdh/2016/23078

Cited by 33 publications

(51 citation statements)

References 11 publications

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“…A definition of woman's health as defined by Koblinsky et al l [10] stated "A woman's health is her total wellbeing, not determined solely by biological factors and reproduction, but also the effects of work load, nutrition, stress, war and migration, among others" [11] . Therefore, from the results, self-employed was the highest factor to contribute to PPH which was similar to study done by Gregory Hella Ekane et al [ 12] followed by occupation in government sector, private and least housewife. This might be due to financial instability among self employed primigravida which could lead to stress.…”

Section: Discussionsupporting

confidence: 88%

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

Yusof¹

2020

Preprint

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Introduction: According to WHO, postpartum haemorrhage is defined as blood loss of more than 500 mL following vaginal delivery. Postpartum haemorrhage is still one of the leading causes of maternal deaths in Malaysia. The risk factors of postpartum hemorrhage in this study was divided into three which were pre-pregnancy, antenatal and intrapartum. Methods: A case control study was performed to identify the risk factors for postpartum hemorrhage among primigravida in Sungai Buloh Hospital from 2016 to 2018. From the calculation done by using simple random sampling method, the required respondents were 150 for both case and control. The data collection method was in an audit form. The data obtained was entered using SPSS 21 (a statistical software). Results: From 2016 to 2018, 75 cases and 75 random controls of postpartum hemorrhage among primigravida were identified . The risk factors associated with postpartum hemorrhage in primigravida that is significant were age (P=0.001), occupation mainly self-employed ( P= 0.001), anemia during antenatal (P= 0.001), uterine fibroid (P=0.007), prolonged labour more than 8 hours (P=0.005), instrumental delivery (p=0.001) ,extensive vaginal wall tear (P= 0.009), cervical tear (P =0.013), 3rd and 4th degree tear (P=0.006), uterine atony (P=0.001) and vascular lower segment during caesarean section (P=0.029). Conclusion: The results showed that the risk factors for post-partum hemorrhage in primigravida were age, occupation (self-employed), antenatal anemia, uterine fibroid, prolonged labour more than 8 hours, instrumental delivery, extensive vaginal wall tear, cervical tear, 3rd and 4th degree tear, uterine atony and vascular lower segment during Caesarean section.

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Section: Discussionsupporting

confidence: 88%

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

Yusof¹

2020

Preprint

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“…Similar finding reported by Ononge S et al, and Halle-Ekane GE et al 10,11 In the study conducted by Ononge S et al, it was observed that 31 (29.0) cases were of primigravida and 76 (71.0) cases were of multigravida. Similar findings reported in present study.…”

Section: Discussionsupporting

confidence: 85%

“…Most of the studies reported same findings. 11,12,14 In present study, it was observed 56 (70.0) cases had medical management and 24 (30.0) cases had surgical management. Among the medical management, 34 (42.5) cases had used uterotonic drugs used and 22 (27.5) cases had bimanual uterine compression.…”

Section: Discussionmentioning

confidence: 49%

“…PPH occur in 5% of all deliveries, majorities of death occur within four hours of delivery indicating that it is a consequence of third stage of labour. 11 The unacceptably high maternal death of 540 per 100,000 live births in India in last few decades remain a major challenge.…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of the cause of bleeding, physicians should immediately summon additional personnel and begin appropriate emergency hemorrhage protocols. 11 Hysterectomy is the traditional treatment for cases of refractory PPH, when all other methods to arrest bleeding fails. Advances in interventional radiology and surgical techniques have provided safe and effective alternatives to hysterectomy in many cases.…”

Section: Discussionmentioning

confidence: 99%

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Study of management of postpartum hemorrhage and its complications

Thawal

Kolate

Patvekar

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Postpartum hemorrhage (PPH) is globally one of the most common causes of maternal death, especially in developing country like India. Pregnancy and childbirth involve significant health risks, even to women with no preexisting health problem. The objective of this study was to analyze the role of various interventions in the management of PPH and its complications.Methods: This prospective observational study was conducted in the department of obstetrics and gynecology of Department of Obstetrics and Gynecology, Dr. D Y Patil Medical college, Pimpri, Pune, Maharashtra, India. A total number of 80 cases of postpartum hemorrhage that fulfilled the selection criteria were included. Data collected and analyzed in PPH patients with medical and surgical management.Results: In present study, most of cases were multigravida (60%) and more than 50 percent of patients required blood and blood products. In present study, most of the postpartum bleeding or postpartum hemorrhage (PPH) cases managed by medical methods. Uterotonic drugs (42.5%) This was possible due to early identification and timely intervention.Conclusions: Active management of third stage of labour is recommended in all cases. Seventy percent cases were managed by medical methods while rest of the cases required surgical management. Among the medical management uterotonic drugs and bimanual uterine compression was used while among the surgical methods repair of cervical and vaginal laceration was mostly required.

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Impact of long-lasting insecticidal nets onPlasmodium falciparuminfection among women attending antenatal clinic at the Bonassama District Hospital, Littoral Region of Cameroon

Ajonina,

Ajonina-Ekoti,

Ngulefac

et al. 2024

Preprint

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Malaria during pregnancy continues to be a significant cause of morbidity and mortality for both infants and mothers, particularly in sub-Saharan African (SSA) countries, despite increased efforts to control it. The utilization of long-lasting insecticide-treated nets (LLINs) during pregnancy is a well-established strategy to reduce the prevalence of malaria. Nonetheless, inadequate adherence remains a persistent challenge in certain regions with high malaria endemicity. This research aimed to assess the effectiveness of long-lasting insecticidal nets in preventing asymptomatic malaria infections among pregnant women attending antenatal care at the Bonassama District Hospital in the Littoral Region of Cameroon. A hospital-based cross-sectional study was conducted from March to June 2022. Data on sociodemographic characteristics and LLIN usage were collected through a structured questionnaire, while asymptomatic malaria infections were identified using a PfHRP2/pLDH malaria qualitative rapid diagnostic kit. The relationship between categorical variables was analyzed using the chi-square test and logistic regression at a significance level of 5%. Out of the 411 pregnant women included in the study, 156 (35.4%) were diagnosed with malaria. The LLIN utilization rate was 65.1% (287). The risk of malaria infection was 2.7 times higher (AOR = 2.75, 95% CI = 1.83-4.14, p < 0.001) among women who did not consistently use LLINs compared to those who did. The majority (65.1%) of pregnant women always used LLINs, while 34.9% did not consistently use them. Pregnant women aged 20-29 were 3.5 times more likely to use LLINs (AOR = 3.53, 95% CI = 1.61-7.75, p = 0.002) compared to those in the 30-39 and >39 age groups. Furthermore, women practicing Christianity were 1.7 times more likely (AOR = 1.72, 95% CI = 1.01-2.96, p = 0.047) to consistently use LLINs than those of the Islamic faith. Pregnant women in their first trimester (AOR = 3.40, 95% CI = 1.24-4.64, p = 0.010) and second trimester (AOR = 1.90, 95%CI = 0.99 -3.62, p = 0.055) were more likely to sleep under net when compared to those in the third trimester. Among the reasons reported by participants for not frequently using LLINs were heat [55.2% (85)], suffocation [13.6% (21)] and the smell of nets [8.4% (13)]. The use of LLIN was moderately high among the participants in this study, though still below national target. Age group, occupation, religion and gestation period were the major factors determining the use of LLINs. Considering the proven effectiveness of LLINs in reducing malaria morbidity and mortality, it is imperative for the National Malaria Control Programme (NMCP) to remain focused in promoting both LLIN ownership and utilization to achieve the national target of 100% and 80%, respectively.

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Prevalence and Risk Factors of Primary Postpartum Hemorrhage after Vaginal Deliveries in the Bonassama District Hospital, Cameroon

Cited by 33 publications

References 11 publications

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

Study of management of postpartum hemorrhage and its complications

Impact of long-lasting insecticidal nets onPlasmodium falciparuminfection among women attending antenatal clinic at the Bonassama District Hospital, Littoral Region of Cameroon

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