MATERNAL AND PERINATAL OUTCOME OF ANTEPARTUM HEMORRHAGE AT HIWOT FANA COMPREHENSIVE SPECIALIZED UNIVERSITY HOSPITAL, EASTERN ETHIOPIA

Abstract

Background: Antepartum hemorrhage has been one of the most common complications in obstetrics. Antepartum hemorrhage is a grave obstetric emergency contributing to a ix significant amount of maternal and perinatal morbidity and mortality in our country. There is a paucity of evidence on maternal and perinatal outcomes among women who had antepartum hemorrhage in Ethiopia, particularly in Hiwot Fana Comprehensive Specialized University Hospital. Objective: The main purpose of this study was to assess the maternal and perinatal outcomes among pregnant women who experienced antepartum hemorrhage at Hiwot Fana Comprehensive Specialized University Hospital. Harar, eastern Ethiopia from August 1, 2021 to August 31, 2023 which will be abstracted from October 1, 2023 to October 30, 2023. Methods: A hospital-based retrospective cross-sectional study was conducted Among 358 pregnant women with antepartum hemorrhage and who gave birth in Hiwot Fana Comprehensive Specialized University Hospital. Systematic sampling method was applied to select study participants’ medical record from the Hospital archive. Data were extracted from medical records using structured checklist that was constructed through Google sheets. Collected data checked were exported from Google sheet to SPSS 26 for cleaning and analysis. Descriptive statistical analysis was carried out to compute frequency, percent, mean, and standard deviation. Findings were presented using table, and texts accordingly. Results: A total of 8231 deliveries were recorded at Hiwot Fana Hospital from August 1, 2021 to August 30, 2023. Of these recorded deliveries, 358 pregnant women were diagnosed to have antepartum hemorrhage. Abruptio placenta was the most frequent diagnosis in 3.6% of women and accounted for 82.1% of APH cases. Placenta previa was the second most common diagnosis reported in 0.7% of all deliveries and accounts for 16.5% of the APH cases. Five women (0.1%) were diagnosed with other causes representing 0.06% all deliveries and 1.4% of APH cases. Conclusions: Antepartum hemorrhage in the present study is associated with high maternal and perinatal morbidity and mortality with increased rates of anemia, postpartum hemorrhage, blood and blood products transfusion, caesarean section rates, low birth weight, NICU admission, IUFD and early neonatal death. More than half x of and one third of women had poor maternal and perinatal outcomes respectively