Management outcome and associated factors among women with antepartum hemorrhage in mettu karl referral hospital, oromia regional state, illu ababora zone, south west Ethiopia

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.