Magnitude, Associated Factors and Maternal Outcome of Postpartum Hemorrhage at Black Lion Specialised Hospital From Jan.1, 2009 To Dec.30, 2013 G.C
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Date
2014-06
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Addis Ababa University
Abstract
Back Ground: Postpartum hemorrhage (PPH) continues to be the leading direct cause of
maternal mortality worldwide.
Objective: To determine maternal and perinatal outcomes in mothers who had postpartum
hemorrhage.
Methods: A facility based retrospective cross-sectional study was conducted on all women who
came to Black Lion Hospital, with a diagnosis of PPH during the five years, from Jan.1, 2009 to
Dec.30, 2013 GC. Data were collected using a structured questionnaire from the mothers and
their neonate’s charts and labor ward reporting log book .Data were collected by the principal
investigator and trained labor ward nurses.
Results: There were 12,995 deliveries at TASH during the five year. Generally there were 185
cases of PPH who delivered in Black Lion Hospital as well referred from other health facilities
which makes the magnitude of 1.4% during the five year. However, 160 cases of PPH whose
medical charts were retrieved were used for its completeness.
The maternal age of the study population was ranging between 17 and 44 years with mean age
of 28.56 years. Most of the post partum women who had PPH, 105(65.6%) were from AA and
the remaining were out of AA.
Conclusion
The magnitude of PPH was 1.4% during the study period and it was associated with
significant maternal and perinatal complications. Retained placenta or conceptus material
was the most leading cause for PPH in this study which accounts for 37.5%. Shock and
severe anemia were the most common complications they were encounters.
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Black Lion Specialised Hospital