Abstract:
Background: Postpartum hemorrhage continues to be the leading cause of maternal mortality
and morbidity among the complications related with pregnancy and child birth, accounting about
one-third of all maternal deaths and 99% of these deaths occur in developing countries. Despite
the severe burden of postpartum hemorrhage in different low-income countries, only few studies
were conducted in Ethiopia including the study area.
Objective: To assess the magnitude of postpartum hemorrhage and associated factors among
women who gave birth at Gelemso General Hospital from September31, 2018 to August 31,
2018.
Methods: Facility based cross-sectional study was conducted on systematically selected 538
women who gave birth at Gelemso General Hospital from July 11, 2018 to July 20, 2018. Data
were collected using checklists from the mothers’ individual charts by trained four diploma
midwiferies.. Data were entered onto Epi-Data version 3.1 computer software and exported to
SPSS statistical software version 22 for analysis. Bi-variable binary logistic regression was used
to see the association between each independent variable and dependent variable. All variables
with P-value < 0.25, during bi-variable analyses were considered for multivariable logistic
regression analyses to control for all possible confounders and to identify factors associated with
postpartum hemorrhage. Odds ratio along with 95%CI were estimated to measure the strength of
the association. Level of statistical significance was declared at p value less or equal to 0.05.
Results: The magnitude of Postpartum Hemorrhage in this study was 6.7 %( 95%CI ;( 4.5, 8.9).
Maternal age greater than34 years[AOR=3.2, (95%CI: (1.32,7.67)], lack of antenatal care
follow up[AOR= 4.2,(95%CI: (1.84,9.66)], cesarean section mode of delivery[AOR=
3.9,(95%CI: (1.61,9.53)] , and prolonged duration of labor[AOR=3.8 ,(95%CI: (1.66,8.64)] were
significantly associated with postpartum hemorrhage.
Conclusion: The magnitude of postpartum hemorrhage in this study was 6.7%. Maternal age (-
≥35years-), lack of ante natal care follow up, prolonged duration of labor and cesarean section
mode of delivery were significantly associated with postpartum hemorrhage. So strengthen and
improve antenatal care coverage, and quality of the service given to the women helps to reduce
the occurrence of postpartum hemorrhage.
