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

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 11.9with re-admission rate of 41.5and 12.2deaths 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