Frequency of Post-Partum Hemorrhage and Associated Factors in Primiparous Women

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Published Dec 30, 2023
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Vol. 2 No. 04 (2023): December

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Wahida Ahmady
Mohammad Haroon Rahemi
Orzala Saidal
Mohammad Azim Azimee

Abstract

Background: Postpartum hemorrhage refers to excessive blood loss during or after delivery, it defined as blood loss greater than or equal to 1000 ml or blood loss within 24 hours after the birth. The objective of this study is to investigate frequency of post-partum hemorrhage and associated factors in primiparous women.
Materials and Methods: A hospital based cross sectional study was conducted among 104 women aged 18-48 years, during six months (01/Oct/2022 to 30/March/2023). Women diagnosed post-partum hemorrhage and admitted in Nangarhar university teaching hospital (gestational age 36-42 weeks) were included in the study.
Findings: Among 104 women, who were observed, mean age was 25.70 ± 5.24, most affected (71.15%) age group interval was (20 to 29-year age group). About 63(60.60%) were Primiparous and (39. 40%) women were multi parous. About fourth-five (80.80%), two third (67.30%), and one -third (31.70%) of participant were, illiterate and house wives, lived in rural areas and expressed as the economic condition as poor, respectively.
Conclusion: History of pre-delivery anemia, maternal age, prolong labor, type of delivery, oxytocin use, low economic status, low education level and hypertension in pregnancy were associated factors for postpartum hemorrhage. 20-29-year age group, atony of uterus, prolonged labour, use of oxytocin, toxemia of pregnancy, and C/S delivery was statistically significant risk factors between primiparous and multiparous women. Close observation in antenatal, pre partum periods and intrapartum period is needed to identify women who have associated factors and early intervention to prevent post-partum hemorrhage.

Keywords

Associated factors, Atony of uterus, Labor, Post-partum hemorrhage

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How to Cite
Ahmady, W., Rahemi, M. H., Saidal, O., & Azimee, M. A. (2023). Frequency of Post-Partum Hemorrhage and Associated Factors in Primiparous Women. NUIJB, 2(04), 01–08. Retrieved from https://nuijb.nu.edu.af/index.php/nuijb/article/view/95

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