Maternal and perinatal outcome among mothers managed for antepartum hemorrhage in Attat Hospital, Southern ETHIOPIA

Abstract

Background: 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 intervention recommended to avert both maternal and newborn unfavorable outcomes after antepartum hemorrhage. In Ethiopia particularly in Attat hospital, the magnitude and consequences of antepartum hemorrhage were not well studied. Objective: The objective of the study was to determine maternal and perinatal outcome among mothers managed for antepartum hemorrhage in Attat hospital. Methods: A hospital-based cross-sectional study was conducted on 106 mothers with antepartum hemorrhage in Attat hospital from February 1 to July 30, 2017. All eligible mothers and their newborns were included till the sample size was achieved. Data were collected by using pre-tested structured interviewer administered questionnaire and reviewing medical records of mothers and their newborns. The data were entered and analyzed using SPSS version20.Binary logistic regression analysis was used to test associations between the independent and dependent variable. Variables with P-value<25% during bivariate analysis were included to multivariable logistic regression model. Finally, variables with P-value ≤5% were expressed as factors associated with maternal and perinatal outcome of antepartum hemorrhage. Results: One hundred six mothers with antepartum hemorrhage gave birth in Attat hospital. Majorities 79 (74.5%) of the mothers were multipara and 100(89.3%) of new born were singleton birth. The incidences of maternal and perinatal unfavorable outcome of antepartum hemorrhage were 60(56.6 %) and 83(74.1%) respectively. Antenatal care (AOR=0.34, 95% CI: 0.13, 0.9) was found factor associated with maternal outcome. On the other hand, duration of complaint <12hours (AOR=0.36, 95% CI: 0.08, 0.98), non-reassure fetal status (AOR=5, 95% CI: 1.23, 20.5) and low gestational age (AOR=24.6, 95% CI: 7, 87.7) were found factors associated with perinatal outcome. Conclusion: The incidences of maternal and perinatal outcome were lower than a study done in Ethiopia. It also pointed out factors associated with maternal and perinatal outcome of antepartum hemorrhage as antenatal care, duration of complaint, low gestational age and non-reassure fetal status. Work hard to improve maternal and perinatal outcome on the area of antenatal care and visit health facility within 12hours onset of complaint.