Browsing by Author "BiniyamDenekew"

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    Incidence, Perinatal and Maternal Outcome and Associated Factors of Antepartum Hemorrhage at AAU
    (Addis Ababa University, 2025-07-16) BiniyamDenekew; Eskinder Kebed; Tesfaye Adem
    Background:-Antepartum hemorrhageisanobstetricemergencyoccursin2-5%of pregnancies.itissignifi cantcontributortoperinatalandmaternalmorbidityand ecauses. mortality.APHtakes30%ofmaternaldeathsofwhich50%ofthedeathsaredueto preventabl Objective:-TomeasureAntepartum hemorrhage’sincidence,perinatalandmother ix outcomes,andcontributi ngvariablesatAAU,2024/5 Methods:-AProspectivecross-secti onalstudywasusedinAddisAbaba’s3teaching hospital s.Allwomenwhoexperiencedantepartum hemorrhagemettheinclusion criteri awerechoosenunlessthemaximum samplesizeof422isreached.Thedata werecollectedbyintervi ewandchartreviewmethod.SPSSversion25.00wasusedfor entryandanalysisofdata.Inordertoidentifyfactorsthathavebeenlinkedtothe dependentvariabl e,logisti cregressionanalysi swasimplemented.Variableswithap valueoflessthan0.05werechosenasstatisti callysi gnifi interval . cantusingthe95%confidence Result:-TheincidenceofAPHwas4.4%.Mostaffectedwomenweremultiparous (66.4%).Majori tyoftheAPHwerecausedbyAP(61.2%)followedbyPP(30.4%). Maternalcomplicationsoccurred in 22.2% ofAPH cases,withanemia(76.1%), postpartum hemorrhage(26.1%),andhypovolemicshock(18.1%)beingthemost common.Cesareandeliverywasperformedin78.4%ofcases.Determinantsofpoor maternaloutcomesincludedruralresi dence(AOR=1.8),grandmultiparity(AOR=6.7), hypertensi vedisordersduri ngpregnancy(AOR=1.9),abnormalvitalsignsatadmission 5th (AOR=12.2),andmaternalage≥35years(AOR=2.4).Poorcompositeperinatal outcomeswereobservedin36%ofcases.Amongthese,4.5%werestillbirths.Firstand minuteAPGARscorewereLow in11%and2.9%oflivebirths,respectively.Lowbirth weightaffected23.9%ofneonates,and30%requiredNICUadmission,mainlydueto prematurity (40.1%)and low birth weight(39.4%).NICU mortality was 12.4%. Determinantsofpoorperinataloutcomesincludedmaternalhypertensivedisorders (AOR=1.6),abnormalmaternalvitalsi gns(AOR=6.3),maternalhemoglobin<11g/dL (AOR=2.9),andadversematernaloutcomes(AOR=3.8). Conclusion:APH posesasubstantialrisktobothmaternalandperinatalhealth. Effecti vescreeningandearlyinterventi on,parti cularl improvingoutcomes.