Browsing by Author "Masresha Kibret Beyene"

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    Assessment of Post-Partum Hemorrhage Management Outcome and Associated Factors Among Women Who Gave Birth in Addis Ababa Public Hospitals: A Retrospective Study
    (Addis Ababa University, 2025-06-04) Masresha Kibret Beyene; Haweni Adugna
    Background: Four main parts of national guidelines of post-partum hemorrhage management and prevention include risk identification and prevention, active management of third stage of labor, emergency responses protocols and training and implementations Postpartum hemorrhage management remains a significant challenge, with limited studies on outcomes and associated factors. Assessing management outcomes of post-partum hemorrhage among Addis Ababa selected public hospitals is crucial for guidelines implementation. Objective: To assess postpartum hemorrhage management outcome and associated factors among women who gave birth in selected Addis Ababa public hospital. Methods: A hospital-based retrospective study design used to include 315 mothers who develop postpartum hemorrhage during the study period. Simple random sampling method was implemented. Secondary data collected by trained data collectors. The collected data cleaned, entered, and analyzed using SPSS computer software. Bi-variate regression analysis was used to identify independent predictors of the PPH management outcome of mothers. By multiple logistic regression predictors which had p-value<0.05 were identified the results presented in tables, charts, and text as appropriate. Result: The study analyzed post-partum hemorrhage management outcome from 315 mothers who developed post-partum hemorrhage from those 62.9% had favorable outcome (recovered with out of developed complications) whereas 37.1% had unfavorable outcomes (recovered cope up of complications or died). Anemia history linked to a lower odds ratio of 0.020(95%CI :0.004-0.060, p-value <0.001) of unfavorable outcomes. The nonsurgical intervention elevated the likelihood of unfavorable outcomes by AOR of 7.13(95%CI,2.27-19.0, p-value <0. 001). Lack of blood transfusion by AOR0.27 (95%CI,0.13-0.17, p-value <0.001). and lack of fluid resuscitation (AOR = 2.481(95% CI: 1.238-4.972, p-value =0.02)) with unfavorable outcomes. Conclusion and recommendations: The study suggests that risk identification, emergency response, and effective implementation of guidelines can improve post-partum hemorrhage outcomes, despite the high number of complications and deaths.