TITLE:
How some demographic factors affects postpartum haemorrhage prevention in Maiduguri, Nigeria
AUTHORS:
Sadiq G. Uthman, Mairiga A. Garba, Ado G. Danazumi, Mairo U. Mandara, Nwaosu H. Sylvester
KEYWORDS:
Postpartum Haemorrhage; Tribal Affiliation; Risk-Factors; Maiduguri; Oxytocin; Misoprostol
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.1A,
February
8,
2013
ABSTRACT: Aim: The following work studied how tribal affiliation, educational level and occupation of some women that had PPH in Maiduguri metropolis between September 2007 and March 2009 relate with PPH occurrence. The study was aimed at identifying possible risk factors and also to compare the relative prevention efficacies of oxytocin or misoprostol within the matrix of these factors. Method: A total of 1800 pregnant women who have received either oxytocin injection or oral misoprostol in third stage of labour as a prophylaxis of postpartum haemorrhage, were enrolled within three health care facilities in Maiduguri, Nigeria. Each patient was observed at parturition and for 24 h after, during which blood lost was estimated to the nearest millilitres. Demographic characteristics were recorded in a structured proforma. The relationship of the occurrence of PPH (occurrence of blood loss > 500 ml) and mean blood loss (MBL) was studied with respect to the prophylactic medication used and some demographic factors. Results: The incidence of PPH was higher in Igbo, and some “minority” tribes of Borno state (Babur, Bura, Mafa). The tribes that constituted the majority of the study population (Kanuri, and Hausa) exhibited low incidences of PPH. Significant relationships were demonstrated between PPH and educational levels and occupations of participants. Conclussions: It was concluded that PPH occurrence is related to tribal affiliation, educational level and occupation, and the relative efficacies of oxytocin and misoprostol varies between the tribal groups.