Incidence, Perinatal and Maternal Outcome and Associated Factors of Antepartum Hemorrhage at AAU
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Date
2025-07-10
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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:-AProspectivecrosssectionalstudywasusedinAddisAbaba’s3teaching
hospitals.Allwomenwhoexperiencedantepartum hemorrhagemettheinclusion
criteriawerechoosenunlessthemaximum samplesizeof422isreached.Thedata
werecollectedbyinterviewandchartreviewmethod.SPSSversion25.00wasusedfor entryandanalysisofdata.Inordertoidentifyfactorsthathavebeenlinkedtothe
dependentvariable,logisticregressionanalysiswasimplemented.Variableswithapvalueoflessthan0.05werechosenasstatisticallysignifiinterval.cantusingthe 95%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
maternaloutcomesincludedruralresidence(AOR=1.8),grandmultiparity(AOR=6.7),hypertensivedisordersduringpregnancy(AOR=1.9),abnormalvitalsignsatadmission5th(AOR=12.2),andmaternalage≥35years(AOR=2.4).Poorcompositeperinataloutcomeswereobservedin36%ofcases.Amongthese,4.5%werestillbirths.FirstandminuteAPGARscorewereLowin11%and2.9%oflivebirths,respectively.Lowbirthweightaffected23.9%ofneonates,and30%requiredNICUadmission,mainlyduetoprematurity (40.1%)and low birth weight(39.4%).NICU mortality was12.4%.Determinantsofpoorperinataloutcomesincludedmaternalhypertensivedisorders(AOR=1.6),abnormalmaternalvitalsigns(AOR=6.3),maternalhemoglobin<11g/dL(AOR=2.9),andadversematernaloutcomes(AOR=3.8).
Conclusion:APH posesasubstantialrisktobothmaternalandperinatalhealth.
Effectivescreeningandearlyintervention,parti cularlimprovingoutcomes
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antepartum hemorrhage maternaland fetaloutcome AddisAbaba University