Assessment of Post-Partum Hemorrhage Management Outcome and Associated Factors Among Women Who Gave Birth in Addis Ababa Public Hospitals: A Retrospective Study
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Date
2025-06-04
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Addis Ababa University
Abstract
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.
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Keywords
favorable, maternal, management outcome, postpartum hemorrhage, unfavorable