Determination of risk factors of postpartum hemorrhage among women bamyan in Afghanistan

Abstract

Post-partum hemorrhage (PPH) is a clinical problem that mothers blood loss more than 500 - 1000ml after one hour of delivery within 24hour or 6 weeks. There are two clinical types of PPH. Primary postpartum hemorrhage and secondary postpartum hemorrhage. Primary postpartum hemorrhage is diagnosed as blood loss more than 500 ml within 24 hour after delivery. Secondary postpartum hemorrhage: bleeding occurs after 24 hours of the delivery up to 6 weeks after delivery is called secondary postpartum hemorrhage, usually it happen between 10-14 day. In Afghanistan postpartum hemorrhage happen to every one after delivery. According to the health organization in every 100 women, 20 women live in the consequence of death from domestic infection which is results of home births by local midwives. In Afghanistan generally mortality rate are 400 per 100,000 live births. Our aim of this study to find the risk factors of postpartum hemorrhage among women pregnant and non- pregnant in Bamyan, Afghanistan. With the above aim and objective a cross sectional, descriptive study design was used to collect a sample of 200 women pregnant and non-pregnant with experience postpartum hemorrhage. These information were collected from hospital Agha-Khan, health center CHC Shahidan and community of Bamyan province in Afghanistan. Face to face interview was conducted with study subjects. Data were analyzed by SPSS using descriptive inferential statistics to identify percentage and relationship between different variable and PPH. For determination risk factors of PPH, correlation and crosstab has been done to find out the relationship between delivery at home and PPH(P<0.05 or P=0.019 it means problem PPH related to delivery at home because there no facility and health care for delivery mother. Relationship between visit of mother pregnant midwife and PPH (r=-0.0134 relationship are negative, it means if visit mother become increase in that case PPH will decrease). This study found that most of respondents were illiterate (77%).