Predictors of puerperal menstruation

George Uchenna Eleje, Emmanuel Onyebuchi Ugwu, Victor Okey Dinwoke, Perpetua Kelechi Enyinna, Joseph Tochukwu Enebe, Innocent Igwebueze Okafor, Livinus Nnanyere Onah, Osita Samuel Umeononihu, Chukwudi Celestine Obiora, Sylvester Onuegbunam Nweze, Ekene Agatha Emeka, Chinekwu Sochukwu Anyaoku and Frank O Ezugwu

PLOS ONE, 2020, vol. 15, issue 7, 1-11

Abstract: Background: Puerperal period is an important and thought-provoking period for puerperal mothers. Surprisingly, reports have indicated that there is increasing number of women resuming menstruation within six weeks of childbirth (puerperal menstruation). To the best of knowledge, there is no prior study on predictors of puerperal menstruation. Objective: To determine frequency and predictors of puerperal menstruation. Methods: This was a single tertiary health institution cross-sectional study at ESUT Teaching Hospital, Parklane, Enugu, Nigeria that included data from May 2015 to December 2018. Women were interviewed at the end of the first six weeks of their childbirth. Women with HIV positive or had uterine rupture or peripartum hysterectomy were excluded. Bivariate analysis was performed by the chi-squared test and conditional logistic regression analysis was used to determine variables associated with puerperal menstruation. Statistical significance was accepted when P- value is 0.05, for all) Conclusion: One in 3 women resumes menstruation within 6 weeks of childbirth. The major predictor was early initiation of family planning, and exclusive breastfeeding with manual removal of placenta a major protective factor. These interesting issues require further investigation to better understand the mechanism of puerperal menstruation.

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0235888

DOI: 10.1371/journal.pone.0235888

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