Prevalence and Factors Associated with Postpartum Hemorrhage Among Women Delivering at Kampala International University Teaching Hospital Bushenyi District

Overview
Cite Work

TABLE OF CONTENTS

APPROVAL ......................................................................................................................................... iii

DEDICATION...................................................................................................................................... iv

ACKNOWLEGMENT.......................................................................................................................... v

TABLE OF CONTENTS ..................................................................................................................... vi

LIST OF FIGURES.............................................................................................................................. ix

LIST OF TABLES................................................................................................................................. x

LIST OF ACRONYMS ......................................................................................................................... x

OPERATION DEFINITIONS ............................................................................................................ xii

ABSTRACT.........................................................................................................................................xiii

1.0 INTRODUCTION ...........................................................................................................................1

1.1 BACKGROUND..............................................................................................................................1

1.2 PROBLEM STATEMENT..............................................................................................................2

1.3 OBJECTIVES..................................................................................................................................3

1.3.1 GENERAL OBJECTIVE .........................................................................................................3

1.3.2 SPECIFIC OBJECTIVES ........................................................................................................3

1.4 RESEARCH QUESTIONS .............................................................................................................3

1.5 SIGNIFICANCE..............................................................................................................................3

1.6 CONCEPTUAL FRAME WORK...................................................................................................5

1.7 SCOPE OF THE STUDY................................................................................................................6

1.7.1 GEOGRAPHICAL SCOPE .........................................................................................................6

1.7.2 TIME SCOPE...............................................................................................................................6

1.7.3 CONTENT SCOPE ......................................................................................................................6

CHAPTER TWO: .................................................................................................................................7

LITERATURE REVIEW .....................................................................................................................7

2.0 INTRODUCTION ...........................................................................................................................7

2.1 PATIENTS’ FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE ...................7

2.2 PREVALENCE OF POSTPARTUM HEMORRHAGE................................................................8

2.3HEALTH FACILITY FACTORS ASSOCIATED WITH POSTPARTUM HAEMORRHAGE..9

CHAPTER THREE............................................................................................................................. 11

3.0 METHODOLOGY ........................................................................................................................ 11

3.1 STUDY DESIGN ........................................................................................................................... 11

3.2 STUDY AREA............................................................................................................................... 11

vii

3.3 VARIABLES: DEPENDENT AND INDEPENDENT.................................................................. 12

3.4 STUDY POPULATION ................................................................................................................ 12

3.5 SAMPLE SIZE DETERMINATION............................................................................................ 12

3.6 SAMPLING METHODS............................................................................................................... 12

3.7 INCLUSION AND EXCLUSION CRITERIA ............................................................................. 13

3.7.1 INCLUSION CRITERIA ........................................................................................................... 13

3.7.2 EXCLUSION CRITERIA .......................................................................................................... 13

3.8 DATA COLLECTION METHODS.............................................................................................. 13

3.9 METHODS OF DATA ANALYSIS.............................................................................................. 13

3.10 DATA QUALITY CONTROL.................................................................................................... 13

3.11 DATA PRESENTATION METHODS........................................................................................ 13

CHAPTER FOUR: FINDINGS OF THE STUDY (RESULTS)........................................................ 15

4.0 INTRODUCTION. ........................................................................................................................ 15

4.1 RESPONDENTS DEMOGRAPHIC DATA................................................................................. 15

OBSTETRICAL DATA ...................................................................................................................... 17

4.2. PREVALENCE FOR POSTPARTUM HEMORRHAGE AMONG WOMEN DELIVERING

IN KIU-TH ISHAKA BUSHENYI. .................................................................................................... 17

4.2.1. PREVALENCE OF POSTPARTUM HEMORRHAGE. ..................................................... 17

4.3. PATIENT FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE AMONG

WOMEN DELIVERING IN KIU-TH, ISHAKA BUSHENYI. ......................................................... 18

4.4. HOSPITAL FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE AMONG

WOMEN DELIVERING IN KIU-TH, ISHAKA BUSHENYI.......................................................... 19

CHAPTER FIVE: DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS. ..................... 20

5.0 INTRODUCTION ......................................................................................................................... 20

5.1 DISCUSSION ................................................................................................................................ 20

5.1.1. PREVALENCE...................................................................................................................... 20

5.1.2. HOSPITAL FACTORS. ........................................................................................................ 20

5.1.3. PATIENT FACTORS............................................................................................................ 20

REFERENCE:..................................................................................................................................... 23

APPENDIX A; CONSENT FORM..................................................................................................... 24

APPENDIX B: QUESTIONNAIRE.................................................................................................... 25

APPENDIX C: WORK PLAN............................................................................................................ 28

APPENDIX D: A MAP OF UGANDA ............................................................................................... 29

APPENDIX E: A MAP OF BUSHENYI............................................................................................. 30

ABSTRACT Background. PPH Is blood loss greater or equal to 500mls in 24 hours delivered by SVD, and when blood loss is greater or equal to 1000mls after Caesarean section within 24 hours (WHO, 2006). Postpartum hemorrhage is one of the leading causes of maternal death in Africa and accounting for almost a half of the total number of deaths in these regions and in sub Saharan Africa is estimated to be 10.5 %.Thus in Uganda prevalence of PPH is 6% and considered as the greatest burden experienced in low income countries (WHO, 2005). PPH is estimated to cause complications like obstetric shock resulting into maternal mortality. Ones’ susceptibility to PPH is related to factors such as maternal age, parity, multiple pregnancies, and antepartum hemorrhage. General Objective The aim of this study was to determine the prevalence and factors associated with postpartum hemorrhage. This study employed a cross section descriptive study with a sample size of 36 patient of the age ranging from 19 to 45 in KIU-TH through examining the risk factors associated withthis condition of PPH. Results Data was collected by administering questionnaires to all those who met the inclusion criteria in my study. The data that was collected was analyzed using Microsoft exceland then presented inform of percentages frequencies/ numbers using tables and charts. From the demographic obtained it showed that women aged between 36-45years were mainly affected while the least affected age was 19-26 years. According to level of education, 41.7% who had never gone to school were the most affected group and the least affected were 8.3% who attended tertiary and university levels. Most affected mothers were the married by 83.3% and unmarried least affected by 16.7%. Most of the affected mothers were of high parity 44.4%, 56% had delivered by caesarian section and 55.6% attributed to induced labour. Discussion and recommendations Parity showed greatest impact since some women with lower paritywere less affected. Results showed that there is inadequate knowledge about the etiology of PPH of which 72% were aware about PPH existence and 28% did not have knowledge about it. Therefore adequate prerequisites are required to perform PPH awareness and family planning to the mothers both in the hospital and the community at large. The above factors tend to underscore the need for MOH to provide funds to aid in the facilitation of campaigns to create awareness and elaborate more on the need for family planning methods.

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Prevalence and Factors Associated with Postpartum Hemorrhage Among Women Delivering at Kampala International University Teaching Hospital Bushenyi District

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