Factors contributing to postpartum hemorrhage among pregnant women delivering in Kampala International University-Teaching Hospital
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Date
2016-10
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Publisher
Kampala International University, School of Health Sciences
Abstract
Statement of the problem: Postpartum hemorrhage is the World’s leading cause of maternal death and accounts for an estimated 127,000 deaths each year. Identification of some of the risk factors such as; previous postpartum hemorrhage, multiple pregnancies, macrosomia, induction of labour, operative vaginal deliveries and cesarean section would help in preventing PPH. In Uganda PPH accounts for 25% of maternal death related to PPH. Purpose of the study: To assess the factors contributing to Postpartum Hemorrhage (PPH) among pregnant women who attend delivery services in Kampala International University, Teaching Hospital (KIU-TH). Study design and rationale: This study used a cross-sectional descriptive designed where by a cross-section of respondents involving 68 respondents were sampled to represent the target population in these case women who receive maternity service from KIU-TH. Only quantitative methods of data collection using questionnaires with closed ended questions were employed for both mothers and Health Workers. A cross sectional study is the one that is carried out at one point in a time or over a short period of time. Results: During the study period 58 women who delivered in the unit and 20 women developed postpartum haemorrhage giving the frequency of postpartum haemorrhage 34.6%. The majority of the women 30% were between 30-34 years of age. Among the women who developed PPH retained placental tissues was the most common cause 50% followed by uterine atony which was 30%. The rest of the causes of PPH were laceration 20%. Conclusion: Postpartum haemorrhage is still a leading but preventable cause of maternal morbidity and mortality in our country due to underutilization of health facilities, the major cause is retained placental tissues followed by uterine atony.
Description
A research report submitted to Uganda Nurses and Midwives Examination Board in partial fulfillment of the requirement for the award of the Diploma in Nursing Kampala International University, Western Campus
Keywords
Post-partum hemorrhage, Pregnant women, KIU-Teaching Hospital