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Prevalence, Related Factors and Maternal Outcomes of Primary Postpartum Haemorrhage in Governmental Hospitals in Kabul-Afghanistan Publisher Pubmed



Shahbazi Sighaldeh S1, 3 ; Nazari A2, 5 ; Maasoumi R1, 3 ; Kazemnejad A4 ; Mazari Z2, 5
Authors
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Authors Affiliations
  1. 1. Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box 6459, Tehran, Iran
  2. 2. Midwifery Department, School of Nursing and Midwifery, Kabul Medical University, Kabul, Afghanistan
  3. 3. Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box 6459, Tehran, Iran
  4. 4. Department of Biostatistics, Tarbiat Modares University, P.O. Box 8288, TMU, Tehran, Iran
  5. 5. Midwifery Department, School of Nursing and Midwifery, Kabul Medical University, Kabul, Afghanistan

Source: BMC Pregnancy and Childbirth Published:2020


Abstract

Background: To determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul Afghanistan. Methods: An observational study was designed to determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul-Afghanistan. The population of this study consisted of all women who gave birth to a child between August and October 2018. The structured checklist was used to collect the data from patients who were suffering from primary PPH. Results: Among the 8652 women who were observed, 215 (2.5%) of them suffered from primary PPH and 2 (0.9%) of them died under caesarean section. The most common related factors of primary PPH were uterine atonia (65.6%), previous PPH (34.9%), prolonged labor (27%), genital tract trauma (26.5%), and induction of labor (20.5%). The most common maternal outcomes of primary PPH were respiratory failure (7%), hysterectomy (6%), and hypovolaemic shock (5.1%). Conclusions: According to our findings, the major cause of postpartum bleeding was uterine atonia. Therefore, postpartum care of women is essential, especially for those with previous PPH and prolonged labor that require more attention. © 2020 The Author(s).
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