Risk Factors for Primary Postpartum Hemorrhage in Benghazi, Libya: A Case Control Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
Primary postpartum hemorrhage (PPH) defined as blood loss in excess of 500 ml from the genital tract within the first 24 hours following vaginal delivery. PPH is a main cause of considerable maternal morbidity and mortality worldwide. The objective was to identify and quantify potential risk factors for the disease during 2009. Furthermore, to calculate the population attributable risk percentage for the most significant modifiable risk factor and to assess interaction. A hospital based case control study was done in Benghazi, Libya: 153 newly diagnosed cases of primary PPH admitted to Benghazi main hospital and an age matched group of 200 controls were randomly selected from the same hospital without PPH. Both cases and controls were subjected to a predesigned questionnaire. Significant risk factors for PPH were: previous caesarian section with OR 5.0; 95%CI(2.0-13.0), pregnancy induced hypertension with OR 4.0; 95% CI (1.8-10.6), blood transfusion after labor with OR 26.0; 95%CI (7.8-85.0), previous PPH, OR 2.6; 95% CI (1.15-6.1) posterior placenta, OR 2.0, 95% CI(1.2-3.5) and irregularity of antenatal visits with OR 2.0; 95% CI(1.18-3.7). Population attributable risk percent was calculated for modifiable risk factors and arranged in ascending manner: Regularity of booking =6%, Pregnancy induced hypertension =7%, Anaemia=13%, API (Attributable Proportion of interaction) =64%, Rothman index >3.25 indicated a synergistic effect. Adapted regular booking, management of pregnancy induced hypertension and management of anaemia could prevent postpartum haemorrhage. Education programs focusing on the modifiable risk factors are required in particular with improvements MCH services.
Authors and Affiliations
Safaa Badr, Amenh Bilkasem, Fayek Elkhwsky
Psoriasis and Cardiovascular Comorbidities
Abstract: Psoriasis is one of the most prevalent T-cell-mediated chronic inflammatory disorders affecting the skin, scalp, nails, and joints. Its pathophysiology is characterized by immune responses mediated by type 1 an...
Glial Tumors- Review of Literature and Our Institutional Experience
Abstract:Tumors of central nervous system (CNS) constitute 1 to 2% of all malignancies. Among these, Gliomas are most common in adults, whereas in children both astrocytomas and medulloblastomas are common. These tumors...
Seroprevalence and Seasonal Trend of Dengue Virus Infection at a Teaching Hospital in Tumkur, India
Abstract: Dengue fever is an acute febrile arbo-viral illness which is endemic in India. Continuous surveillance of Dengue infection at the regional level is essential for the proper and timely institution of vector cont...
Abnormal Cervical Smear in a Tertiary Hospital in Nigeria
Cervical cancer is one of the most common cancers affecting women worldwide, constituting 6% of all female malignancies. It is the most common female genital tract malignancy in Calabar, Nigeria. Although the incidence a...
Detection and clinical characteristics of Entamoeba histolytica infection among children in Kirkuk-Iraq
Amoebiasis is one of important health problems in developing countries. It is commonly reported among human beings with different frequency of distribution in different parts of the world. The aim of this study was to de...