Incidence, Perinatal and Maternal Outcome and Associated Factors of Antepartum Hemorrhage at AAU
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Date
2025-07-16
Authors
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Addis Ababa University
Abstract
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.
Description
Keywords
-antepartum hemorrhage, maternaland fetaloutcome, AddisAbaba Universi