Magnitude, risk factors and outcomes of postpartum hemorrhage at nekemte referral hospital oromia regional state, west Ethiopia.

Abstract

Background: Postpartum Hemorrhage (PPH) is among the leading cause of maternal death in developing countries and result from problems during the immediate after birth of the neonate. Postpartum Hemorrhage is unpredictable and rapid cause of maternal death worldwide. Seventy to ninety percent of immediate Postpartum Hemorrhage is attributed to uterine atony. Objective: To determine the magnitude, risk factors and management outcome of Postpartum Hemorrhage at Nekemte referral Hospital, 2014/15 Method: Hospital based case control study design was used to include 3,400 mothers who gave birth during the study period. Data was collected using data collection checklists from logbook and patient folder by trained data collectors. The collected data was cleaned and entered and analyzed using SPSS Version 22 computer software. The results were presented by tables, diagrams, charts and text as appropriate. Result: About 93.6% of mothers were gave birth at the health facility. The magnitude of PPH was 2.5%. Factors like age (AOR, 7.83; 95%CI: 1.78-34.57 ), parity (AOR, 0.37; 95%CI: 0.17-0.8) , place of delivery (AOR, 39 ; 95%CI10.10-146.94:), route of delivery(AOR, 2.00; 95%CI: 0.84-4.60) and presence of antenatal and intra-partum risk factors(AOR, 2.53 ;95%CI:1.16-5.50) and (AOR, 0.20 ; 95%CI: 0.07-0.60), respectively, are associated with PPH. From the total, about 4.7% of cases were died in the courses of their treatment. Conclusion: Majority of deliveries were done in health facility. The prevalence of PPH was 2.5%. Multiparity was the major antenatal risk factor that contributes to PPH while, prolonged labor was the major intra-natal risk factor and 4.7% of mothers who were admitted with PPH were died during the study period. Recommendations: Risk factors for developing PPH found in this study are all preventable and urgent attention should given for improving the quality of maternal health service; scaling up evidence based interventions; and measuring progress.