MAGNITUDE OF POSTPARTUM HEMORRHAGE AND ASSOCIATED FACTORS AMONG WOMEN DELIVERED AT HIDAR 11 HOSPITAL, NORTHEAST ETHIOPIA.

Abstract

BACKGROUND: Postpartum hemorrhage is a significant public health problem, causing considerable maternal mortality and morbidity. There was limited evidence on postpartum hemorrhage in the study area. Hence, this study aimed to assess the magnitude of postpartum hemorrhage and associated factors among women delivered in Hidar 11 Hospital.

METHOD: A retrospective cross-sectional study was conducted in Hidar 11 hospital from December 30/2018 to January 25/2019. A two year (from December 1/ 2016 to December 1/2018) document review was conducted to select 232 samples. The collected data were analyzed using SPSS version 23. Bi-variable and multivariable logistic regression model were used to identify factors associated with postpartum hemorrhage. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was used as a measure of association. Statistical significance was declared at a P - value less than 0.05.

RESULT: The overall magnitude of postpartum hemorrhage was 12.1%. Being rural in residence (AOR=3.60, 95%CI: (1.36, 19.37)), pre delivery hematocrit level ?33% (AOR=3.36, 95%CI: (1.11, 10.1)), presence of premature rapture of membrane (AOR=4.68, 95%CI: (1.56, 14.0)) and gestational age> 42 week (AOR=17.1, 95%CI: (1.82, 161.3)) were significantly associated with postpartum hemorrhage.

CONCLUSION: The magnitude of postpartum hemorrhage was high. Residence, pre delivery hematocrit level, premature rupture of membrane and gestational age were factors associated with postpartum hemorrhage. Healthcare providers should screen women for infection and anemia, tell the gestational age during their antenatal care visit and provide a 24 hours ambulance service for pregnant women living in rural area.

KEYWORDS: Postpartum hemorrhage, antenatal care, uterine atony, retained placenta, Ethiopia