MAGNITUDE OF POSTPARTUM HEMORRHAGE AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH AT GELEMSO GENERAL HOSPITAL, OROMIA REGION, EASTERN ETHIOPIA

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.