Primary Postpartum Haemorrhage at the University of Port Harcourt Teaching Hospital: Prevalence and Risk Factors
Keywords:Post-Partum Haemorrhage, Maternal Morbidity Mortality, Uterine Atony, Caesarean Section
Postpartum haemorrhage (PPH) is a leading global cause of severe maternal morbidity and mortality. Approximately 14 million women suffer postpartum haemorrhage annually and at least 128,000 of these women bleed to death. Most of these deaths, which occur within four hours of delivery and are as a result of problems during the third stage of labour. Majority of PPH related deaths occur in developing countries of the world where facilities are poorly developed in addition to a paucity of trained attendants at delivery. The objective of this study was to determine the prevalence, risk factors, causes and outcome of primary postpartum haemorrhage at the University of Port Harcourt Teaching Hospital (UPTH), south-South, Nigeria.
This was a retrospective study of all consecutive births between January 1" and December 31", 2014 at UPTH. The socio-demographic characteristics, mode of delivery, cause of primary postpartum haemorrhage, antenatal/ intrapartum risk factors, treatment received and outcome were extracted from the patients' case notes, entered into SPSS version 20.0 and analyzed.
Of the 3,694 women who were delivered at the maternity unit of UPTH, 178 had primary postpartum haemorrhage giving a prevalence rate of 4.28%. Uterine atony was the leading cause and delivery by Caesarean section was the leading risk factor. There were 5 mortalities from primary postpartum haemorrhage.
The prevalence of primary postpartum haemorrhage in UPTH is 4.28%. Uterine atony was the leading cause while Caesarean section was the commonest risk factor. Efforts should therefore, be made to reduce the caesarean section rate and improve surgical skills aimed at reducing blood loss at surgery.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to firstname.lastname@example.org.