PRIMARY POSTPARTUM HAEMORRHAGE IN FEDERAL MEDICAL CENTRE, OWERRI, NIGERIA: A SIX YEAR REVIEW

Onyegbule A Onyema, Amajuoyi C Cornelius, Ejelonu T Uchenna, Onyeabochukwu A Duke

Available online Jul 19, 2018.

[ Original ] Volume 24, Issue 3, 2015, Pages 242-245


Abstract

BACKGROUND:Primary postpartum hemorrhage is an obstetric emergency and is a leading cause of maternal
morbidity and mortality in developing countries. It a condition that requires vigilance, prompt and appropriate
management.
OBJECTIVE: To determine the prevalence and determinants of primary post partum haemorrhage in Federal
Medical Centre Owerri
METHODS: All cases of all cases of primary post partum haemorrhage managed at FMC Owerri The case notes
were retrieved from the hospital's Records Department and information on socio-demographic characteristics,
nature of labour (spontaneous,induced or augmented) duration of labour and mode of delivery and birth weight,
estimated blood loss and the need for blood transfusion were obtained.
RESULTS:Out of a total of 4889 deliveries,3725(76.2%) women had vaginal delivery while 1164 (23.8%) women
had caesarean section.Out of these deliveries,166 women had Primary Post Partum Hemorrhage (PPH), giving a
prevalence of 3.4%. Multiparous women had higher prevalence compared to nulliparas: 88 (48.3%) versus 37
(22.2%) respectively. The commonest cause of primary PPH was uterine atony 72 (43.4%) and cervical laceration
was the least cause constituting 13 (7.7%). Caesarean section was associated with higher prevalence of post
partum haemorrhage 94 (56.4%). Duration of second and third stages of labour lasting more than 30minutesand
10 minutes respective were associated with higher risk of primary PPH:82 (49.5%) and 87 (52.3) respectively.
CONCLUSION: Supervised antenatal care, active management of labour and emergency obstetric care, if
employed religiously will drastically reduce post partum haemorrhage and thus its associated complications


Keywords

Prevalence. Post Partum Haemorrhage, Owerri,

July - September 2015

Volume 24 | Issue 3

Page Nos. 242-245

Online since Jul 12, 2018

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