Prevalence and Associated Factors of Postpartum Hemorrhage in the Public Hospitals in Sana'a City- Yemen

Abstract

Background of the study Post-partum hemorrhage is a leading cause of maternal mortality worldwide.

Objective: To determine the prevalence and associated risk factors of post-partum hemorrhage among mothers who were delivered in the public hospitals at Sana'a City.

Methods: Descriptive, cross-sectional study was done to assess prevalence and risk factors for post-partum hemorrhage among mothers who were delivered in the public hospitals at Sana'a city during study period from May to December 2020. The sample size was determined using Epi calc program. A consecutive sampling was administered to select 182 participants. Data were collected through structured questionnaire. The questionnaire was including: the demographic characteristics of the participants, Reproductive characteristics of the participants, Risk factors of PPH, the data was analyzed by using Statistical Package of Social Science (SPSS) program version 26.0. Frequencies, Chi- square and t-test were done to find out the association among variables Approval was obtained and oral consent was obtained from participant to participate in the study.

Results: The prevalence of PPH was (6.5%) in the study population. Factors associated with PPH were mode of delivery, rapid labor, prolonged labor, retained product of conception, placenta Previa and chorioamnionitis.

Conclusion: Prevalence of PPH was 6.5%. There were statistically significant associations between the prevalence of PPH and the following risk factors: rabid labor, prolonged labor, retained product of conception, placenta Previa, and chorioamnionitis of the participated mothers at p-value < 0.05. This means these mentioned risk factors of the participated mothers were the most risk factors related factors of PPH. The mean differences between hemoglobin, hematocrit and pulse (before - delivery and post-delivery) were statically significant among participated mothers at p-value < 0.05.