TITLE:
Factors Associated with Postpartum Haemorrhage amongst Primigravidae Women; the Case of Two Hospitals within the Bamenda Health District
AUTHORS:
William Ako Takang, Fouelifack Ymele Florent, Egbe Thomas Obichemti, Obande Valery Fukara
KEYWORDS:
Postpartum Hemorrhage, Primigravidae, VEBL, Maternal, Death, BHD
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.8,
August
23,
2022
ABSTRACT: Background: Approximately 830 women die from pregnancy-related conditions daily with 99% of these maternal deaths
occurring in low resource countries. Primary postpartum haemorrhage
(PPH) accounts for 25.7% of maternal deaths
in Africa. In Cameroon, postpartum hemorrhage remains the leading cause of maternal death, with little
information on the primigravidae population compared to multigravida or
multiparity. Objective: The aim of this study was to assess the factors associated with postpartum haemorrhage
amongst primigravidae women giving birth in
two hospitals within the Bamenda Health District. Methods: This study
was a multicentric, non-randomized cross-sectional descriptive and
analytic study. Of the 221 women interviewed regarding their willingness to
participate in the study, 197 consented. Quantification of blood loss was done
by visual estimate and with the assistance of the pathfinder international wall chart for visual estimation of blood loss.
Data was collected using a structured questionnaire and analyzed using SPSS
version 23. A P-value of sidered statistically
significant. Results: The prevalence of postpartum hemorrhage in primigravidae was 7.1%. The risk
factors of postpartum hemorrhage were: induction of labour (P-value (P-value
macrosomia (P-value ny and obstetrical lacerations (P value Conclusion: The prevalence of postpartum hemorrhage amongst primigravidae was high. The
main causes of post-partum hemorrhage were uterine atony and obstetric
lacerations. PPH was associated with uterine hypotonia, retained products and
genital lacerations. No maternal mortality was recorded. These findings
highlight the pressing need for good quality em ergency obstetric care and the
availability of more accurate techniques of postpartum blood loss measurement.
Secondly, hospitals need blood banks to manage patients with severe hemorrhage.