Intrapartum and Post-Partum Factors Associated with Postpartum Haemorrhage among Women Seeking Maternity Care at Thika Level 5 Hospital in Kiambu County, Kenya DOI: https://dx.doi.org/10.4314/ajhs.v37i2.12

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Anne Mwikali Mawia
Sherry Oluchina

Abstract

INTRODUCTION: Postpartum haemorrhage (PPH) is the major cause of maternal morbidity and mortality in the world. Notably, anecdotal literature obtained from patient records posits that Thika Level 5 Hospital (TL5H) reports approximately 30 PPH cases in a month. Thus, this study sought to assess intrapartum factors associated with PPH among women seeking maternity care at this health facility.


METHODOLOGY: The study adopted an institutional-based, unmatched case-control design. A sample size of 76 women (19 cases and 57 controls) were recruited using a simple random sampling technique from among women who had delivered at Thika Level five hospital and had or did not have a PPH diagnosis within 24 hours. Data were collected using a semi-structured questionnaire and analyzed using Statistical Package of Social Sciences (SPSS) version 26. Binary logistic regression was fitted to assess the association between dependent and independent variables. The crude odds ratios, together with their 95% confidence intervals were used to identify the strength of the association.


RESULTS: Most respondents were aged 18 to 35 years (84%), with 42.7% having secondary education and 69.3% married. Notably, 45.3% were self-employed. A significant percentage reported labour starting between 38-40 weeks (case: 84.2%; control: 87.5%), with nearly half experiencing labour lasting 6 to 9 hours. While most cases (68.4%) did not receive labour-inducing medication, compared to 57.1% of controls, binary logistic regression showed no significant association between socio-demographic or intrapartum factors and postpartum haemorrhage (p > 0.5).


CONCLUSIONS: None of the intrapartum and postpartum factors investigated in this study influenced the occurrence of postpartum haemorrhage. However, it remains a significant threat to maternal health; therefore, health managers need to review strategies for preventing postpartum haemorrhage among women of reproductive age.

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Intrapartum and Post-Partum Factors Associated with Postpartum Haemorrhage among Women Seeking Maternity Care at Thika Level 5 Hospital in Kiambu County, Kenya: DOI: https://dx.doi.org/10.4314/ajhs.v37i2.12. (2024). African Journal of Health Sciences, 37(2). https://ojs.ajhsjournal.or.ke/index.php/home/article/view/351
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How to Cite

Intrapartum and Post-Partum Factors Associated with Postpartum Haemorrhage among Women Seeking Maternity Care at Thika Level 5 Hospital in Kiambu County, Kenya: DOI: https://dx.doi.org/10.4314/ajhs.v37i2.12. (2024). African Journal of Health Sciences, 37(2). https://ojs.ajhsjournal.or.ke/index.php/home/article/view/351