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Post Partum Haemorhage Among Women Delivered at Mbeya Referral Hospital in 2008

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Abstract:

OBJECTIVES To assess the prevalence, associated risk factors and outcome of post partum hemorrhage (PPH) among women delivering at the hospital setting. DESIGN Descriptive retrospective hospital based cross-section study RESULTS The targeted respondents were 344 pregnant women. Prevalence of PPH was 11.9% with re-admission rate of 41.5% and 12.2% deaths secondary to PPH where most of the women (35.2%) were given blood transfusion after re-admission and surgery as an immediate measure taken. Also it has been found that increase in blood loss is statistically associated with delivery by LSCS. (P=0.02) Risk factors for PPH found in this study are low hemoglobin (HB), pregnancy induced hypertension (PIH), trauma after delivery, history of birth before arrival (BBA), advanced age group (>32years old) and multiparity (> 3 parity). CONCLUSION Although the prevalence seems to be low as compared to overall for Africa (33.4%), still PPH is associated with high mortality (12.2%) and morbidity where majority of risk factors found in this study are preventable.

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