Journal de la grossesse et de la santé infantile

Abstrait

Magnitude of Post-Partum Hemorrhage among Women Who Received Postpartum Care at Bedele Hospital South West, Ethiopia, 2018

Tesfaye Abera Gudeta, Dereje Sisay Kebede, Garoma Abire Negeri, Mark Kong Dow and Seid Hassen

Excessive bleeding after childbirth is a leading cause of maternal deaths worldwide, has gained international attention among medical and research communities for decades. Postpartum hemorrhage has long and short term impacts like, chronic illness, disability, increased risk of death and/or poor growth and development of their children, hepatic dysfunction, respiratory distress syndrome and renal failure and postpartum hemorrhage continues to be the leading single direct cause of maternal mortality worldwide.
Objective: To assess magnitude of post-partum hemorrhage among women who received postpartum care at Bedele hospital Southwest, Ethiopia, 2018.
Method: Institutional based cross sectional study design was employed and systematic sampling technique was used to select study participants. The total sample (200) were selected from mother’s chart every six interval and from the selected charts, the data was collected by using well prepared check list. Pre-test was performed to evaluate the appropriateness of instrument and after data collection it was processed and analyzed in a line of its objective and frequency and percentage of the result were presented in tables, graphs and narrative forms.
Result: Out of the total 200 charts, 196 charts were included in the study which gives 98% of response rate. The Magnitude of postpartum hemorrhage among women who got post natal service at Bedele hospital was 19 (9.69%). According to this study the postpartum hemorrhage was more prevalent among age group ≥ 35 and <20 years old. Among mothers who encountered postpartum hemorrhage were 13 (68 %) 4 (21%) and 2 (11%) give birth at hospital, health center and home respectively.
Conclusion and recommendation: The magnitude of postpartum hemorrhage was high despite many women receiving uterotonic during delivery of the babies. To reduce the prevalence of postpartum hemorrhage every health care provider conducting delivery have to performs active management of third stage of labor, manual removal of retained placenta.