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. 2023 Feb 14:10:1096501.
doi: 10.3389/fmed.2023.1096501. eCollection 2023.

Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Getachew Assefa Zenebe  1 , Wagaye Alemu Zenebe  1 , Temesgen Muche Ewunie  2 , Selamawit Dires  3
Affiliations

Primary postpartum hemorrhage and associated factors among delivering women in Gedeo Zone, Southern Ethiopia

Getachew Assefa Zenebe et al. Front Med (Lausanne). .

Abstract

Introduction: Primary postpartum hemorrhage is still the main cause of maternal death worldwide, especially in low-resource nations like Ethiopia where there are insufficient healthcare facilities and a shortage of skilled medical personnel. Data on the prevalence of primary postpartum hemorrhage in the study population are scarce or non-existent.

Objective: The aim of this study was to assess the prevalence of primary postpartum hemorrhage and its associated factors among delivering women in Gedeo Zone, Southern Ethiopia, in 2021.

Methods: A facility-based cross-sectional study was carried out from January 1 to March 30, 2021, in public health facilities in the Gedeo Zone. A randomly selected 577 participants were involved in the study. Data were gathered using an interview-administered, pre-tested, structured questionnaire. The gathered information was imported into Epi Info 3.5.1 and analyzed with SPSS 23. Descriptive data was presented using tables and graphs. A logistic regression model was fitted. A bivariable and multivariable logistic regression model was computed to identify the presence and strength of association. To run multivariable logistic regression analyses, variables with P-values of <0.2 were used. The odds ratio, a 95% confidence interval (CI), and a P-value of <0.05 were used to identify variables that were associated with primary postpartum hemorrhage.

Results: The magnitude of primary postpartum hemorrhage was 4.2% (95% CI: 2.4-6.0). Postpartum hemorrhage was significantly associated with current antepartum hemorrhage (AOR = 11.67; 95%CI: 7.17-16.17), twin delivery (AOR = 6.59, 95%CI: 1.48-11.70), uterine atony (AOR = 8.45, 95%CI: 4.35-12.55), and prolonged labor (AOR = 5.6, 95%CI: 2.9-8.50).

Conclusions: The prevalence of primary postpartum hemorrhages in the Gedeo Zone, Southern Ethiopia was 4.2%. Current ante partum hemorrhage, twin delivery, uterine atony, and prolonged labor were predictors of primary postpartum hemorrhage. The results back up the necessity for care in the early postpartum period so that clinicians may quickly identify any issues, prevent and start treating excessive blood loss early, and, taking into account the aforementioned factors, possibly reduce the frequency of primary postpartum hemorrhage.

Keywords: Gedeo Zone; Southern Ethiopia; delivering women; primary postpartum hemorrhage; vaginal bleeding.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Causes of PPH in women who give birth in the district areas health centers of Gedeo Zone, Southern Ethiopia, 2021 (N = 577).
See this image and copyright information in PMC

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References

    1. Ford L. The Briefing: Why do Women Still Die Giving Birth?. London: The Gurdian; (2018).
    1. Bhavana G, Abhishek M, Mittal S. A study of risk factors of postpartum hemorrhage and indications for caesarean section. Int J Reprod Contracept Obstet Gynecol. (2016) 5:2017–22. 10.18203/2320-1770.ijrcog20161709 - DOI
    1. World Health Organization . WHO Recommendations Uterotonics for the Prevention of Postpartum Haemorrhage: Web Annex 7: Choice of Uterotonic Agents. Geneva: World Health Organization; (2018). - PubMed
    1. Gülmezoglu AM. WHO Guidelines for the Management of Postpartum Haemorrhage and Retained Placenta. Geneva: World Health Organization; (2009). - PubMed
    1. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. (2006) 367:1066–74. 10.1016/S0140-6736(06)68397-9 - DOI - PubMed

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