Magnitude Of Postpartum Hemorrhage And Associated Factors Among Women Who Gave Birth At Health Facilties In Ambo Town, Oromia, Central Ethiopia

Abstract

Background: According to World health organization (WHO) Postpartum hemorrhage defined as the blood loss of more than 500 milliliters following a vaginal delivery or more than 1000 ml following caesarian section after placenta Deliveries. Postpartum hemorrhage is direct leading cause of maternal morbidity and mortality in the worldwide. Objective: To determine the magnitude of postpartum hemorrhage and associated factors among mothers who give birth at health facilities in Ambo Town, Oromia, and central Ethiopia2024. Methods: A Facility based a cross-sectional study was conducted from January 1, to April 30, 2024. Systematic random selected among 389 mothers who give birth at health facilities in Ambo Town. Data were collected using an interviewer administered, structured, and pretested questionnaire. Epi info version 7.2.5 and SPSS version 20 were used to enter and analyze the data, respectively. Candidate variables with p-value of <0.25 in bivariable Analysis were entered in to multivariable logistic regression analysis were done. Adjusted odds ratio with 95% confidence interval (CI) was used to measure the presence and strength of association between the independent and the outcome variables. A P-value ≤.0.05 (5%) was considered to declare statistical significance. Result:-The Result of the study indicated that, the magnitude of postpartum hemorrhage was 8.7% [95% CI: 6.2, 11.8]. Cesarean Delivery [AOR=28(5.305, 152.37)], having Previous of postpartum hemorrhage [AOR=7.9(1.564, 39.633)], Not attend ANC [AOR=5.5(1.101, 27.653)] and Being Age>=35 [AOR=3.1(1.3, 6.8)], were factors significantly associated with magnitude of postpartum hemorrhage. Conclusions and recommendation: - The magnitude of postpartum hemorrhage in the study area was relatively high and it results in serious postpartum mortality and morbidities. Caesarian section Delivery, Age of mothers >=35, Not attend Antenatal care, having history of Previous postpartum hemorrhage, was found to be the most common cause of PPH. Therefore, it is crucial to screen and closely monitor high-risk mothers during ANC visit, including those who have a history of cesarean delivery.