Factors contributing to postpartum hemorrhage among pregnant women delivering in Kampala International University-Teaching Hospital

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Kampala International University, School of Health Sciences
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.
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
Post-partum hemorrhage, Pregnant women, KIU-Teaching Hospital