Primary postpartum haemorrhage at the Libreville University Hospital Centre: Epidemiological profile of women

Nathalie Ledaga Ambounda, Sylvain Honore Woromogo, Felicite-Emma Yagata-Moussa, Liela Agnes Okoyi Ossouka, Vicky Noel Simo Tekem, Eliane Okira Ango and Alain Jepang Kouanang

PLOS ONE, 2021, vol. 16, issue 9, 1-11

Abstract: In Gabon, the proportion of maternal deaths directly related to Primary PostPartum Haemorrhage (PPPH) is 15 to 25%, despite the different means that the World Health Organization has made available to the providers of Emergency Obstetrical and Neonatal Care (EmONC). The objective of this study was to determine the prevalence and epidemiological characteristics of Primary PostPartum Haemorrhage to improve its management and reduce the rate of maternal deaths. An analytical retrospective study involved 42,728 records, whose data were collected using a chart collection form on the basis of information contained in partograms and other patient records. Sociodemographic variables were expressed using percentage. The relationship between the etiologies of PPPH and certain characteristics of the women was established using the ORs with their 95% confidence intervals. The difference was significant if p 4,000 g (p = 0.006). Those associated with genital tract injuries were young maternal age (p = 0.008) and multiparity (p = 0.028). The most common etiology was haemorrhage from delivery. Multiparity remains the most common risk factor and the young age of the patients. It is important to improve management through better assessment of blood loss in the primary postpartum period as well as capacity building of health providers on EmONC.

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0257544

DOI: 10.1371/journal.pone.0257544

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