Abstract:
Antepartum hemorrhage is a grave obstetrical emergency and is one of the leading
causes of maternal and perinatal morbidity and mortality globally. Timely access to quality
obstetric services is the major determinant of both maternal and newborn outcomes after
antepartum hemorrhage. In Ethiopia particularly in Mettu Karl referral hospital, the magnitude
and management outcomes of antepartum hemorrhage were not well studied. Objective: To assess management outcome and associated factors of Antepartum hemorrhage at
Mettu Karl Referral Hospital, from February01 to July 30/2019
Methods: A hospital-based cross-sectional study design was used with sample size of 125. By
using census all pregnant women whose gestational age ≥28
th complete weeks who visited the
Obstetrics and Gynecology department with diagnosis of APH and delivered, their new born at
labor ward and in NICU during the study period was included as study subjects. Data were
collected using structured interviewer administered questionnaire.and reviewing patient’s records. The collected data was analyzed by using SPSS Version 22. Descriptive analysis was presented
by frequency and percentage. The result was presented by tables, graphs and text. Binary and
multivariable logistic regression analysis was applied to identify associated factors at P value
<0.05. Results: During the study period a total of 3224women gave birth in MKRH.One hundred
twenty five (125) women were diagnosed to have APH with prevalence of 3.9%. The prevalence
of placenta previa and abruptio placenta was 1.77% and 1.46% among mothers who gave birth in
MKRH in 2019. A total of 136 babies were born to 125 mothers. Perinatal mortality rate among
births to mothers with APH was 22.8%. Long duration of complaint >12 hours and Deranged
maternal vital sign at presentation were statistical significant with Perinatal mortality. 33(26.2%)
of mothers had developed different complications. From those anemia is the major complication
accounts 24(72.7%). delay >12 hrs, maternal Vital sign at presentation and Hgb at admission
were statistical significant with maternal bad out comes. Conclusions: This study revealed that antepartum hemorrhage is still a leading cause of maternal
morbidity and perinatal mortality in our country. Delay before arrival to current health facility, deranged maternal vital sign at presentation and Hgb at admission were statistically significant
with maternal bad out comes.
