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Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals.
Objective: To determine the prevalence of primary postpartum haemorrhage (PPH), risk factors, and maternal and neonatal outcomes in a multicentre study across Nigeria. Design: A secondary data analysis using a cross-sectional design. Setting: Referral-level hospitals (48 public and six private facil...
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2024
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/11830 | ||
| 042 | |a dc | ||
| 720 | |a Adebayo, T. |e author | ||
| 720 | |a Adefemi, A. |e author | ||
| 720 | |a Adewumi, I. |e author | ||
| 720 | |a Akinajo, O. |e author | ||
| 720 | |a Akinkunmi, B. |e author | ||
| 720 | |a Awonuga, D. |e author | ||
| 720 | |a Aworinde, O. |e author | ||
| 720 | |a Ayegbusi, E. |e author | ||
| 720 | |a Dedeke, I. |e author | ||
| 720 | |a Fajolu, I. |e author | ||
| 720 | |a Imam, Z. |e author | ||
| 720 | |a Jagun, O. |e author | ||
| 720 | |a Kuku, O. |e author | ||
| 720 | |a Ogundare, E. |e author | ||
| 720 | |a Oluwasola, T. |e author | ||
| 720 | |a Oyeneyin, L. |e author | ||
| 720 | |a Adebanjo-Aina, D. |e author | ||
| 720 | |a Adenuga, E. |e author | ||
| 720 | |a Adeyanju, A. |e author | ||
| 720 | |a Akinsanya, O. |e author | ||
| 720 | |a Campbell, I. |e author | ||
| 720 | |a Kuti, B. |e author | ||
| 720 | |a Olofinbiyi, B. |e author | ||
| 720 | |a Salau, Q. |e author | ||
| 720 | |a Tongo, O. |e author | ||
| 720 | |a Ezekwe, B. |e author | ||
| 720 | |a Lavin, T. |e author | ||
| 720 | |a Oladapo, O. T. |e author | ||
| 720 | |a Tukur, J. |e author | ||
| 720 | |a Adesina, O. |e author | ||
| 260 | |c 2024 | ||
| 520 | |a Objective: To determine the prevalence of primary postpartum haemorrhage (PPH), risk factors, and maternal and neonatal outcomes in a multicentre study across Nigeria. Design: A secondary data analysis using a cross-sectional design. Setting: Referral-level hospitals (48 public and six private facilities). Population: Women admitted for birth between 1 September 2019 and 31 August 2020. Methods: Data collected over a 1-year period from the Maternal and Perinatal Database for Quality, Equity and Dignity programme in Nigeria were analysed, stratified by mode of delivery (vaginal or caesarean), using a mixed-effects logistic regression model. Main outcome measures: Prevalence of PPH and maternal and neonatal outcomes. Results: Of 68 754 women, 2169 (3.2%, 95% CI 3.07%–3.30%) had PPH, with a prevalence of 2.7% (95% CI 2.55%–2.85%) and 4.0% (95% CI 3.75%–4.25%) for vaginal and caesarean deliveries, respectively. Factors associated with PPH following vaginal delivery were: no formal education (aOR 2.2, 95% CI 1.8–2.6, P < 0.001); multiple pregnancy (aOR 2.7, 95% CI 2.1–3.5, P < 0.001); and antepartum haemorrhage (aOR 11.7, 95% CI 9.4–14.7, P < 0.001). Factors associated with PPH in a caesarean delivery were: maternal age of >35 years (aOR 1.7, 95% CI 1.5–2.0, P < 0.001); eferral from informal setting (aOR 2.4, 95% CI 1.4–4.0, P = 0.002); and antepartum haemorrhage (aOR 3.7, 95% CI 2.8–4.7, P < 0.001). Maternal mortality occurred in 4.8% (104/2169) of deliveries overall, and in 8.5% (101/1182) of intensive care unit admissions. One-quarter of all infants were stillborn (570/2307), representing 23.9% (429/1796) of neonatal intensive care unit admissions. Conclusions: A PPH prevalence of 3.2% can be reduced with improved access to skilled birth attendants. | ||
| 024 | 8 | |a 1471-0528 | |
| 024 | 8 | |a ui_art_adebayo_burden_2024 | |
| 024 | 8 | |a International journal of Obstetrics & Gynaecology 131(3), pp. 64–77 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/11830 | |
| 653 | |a maternal mortality | ||
| 653 | |a maternal outcomes | ||
| 653 | |a neonatal outcomes | ||
| 653 | |a obstetric haemorrhage | ||
| 245 | 0 | 0 | |a Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals. |