MAGNITUDE, SOCIO-DEMOGRAPHIC CHARACTERISTICS AND RISK FACTORS OF PRIMARY POSTPARTUM HAEMORRHAGE: A RETROSPECTIVE REVIEW IN A TERTIARY HOSPITAL IN JIGAWA, NORTH-WEST NIGERIA

Abdullahi Abba Habib*, Nabila Ado Ya’u and Achanya Enemona Sunday

ABSTRACT

Introduction: Postpartum hemorrhage is a major cause of maternal mortality, with most of the death occurring within the first 24 hours following delivery. Early identification of women at risk of primary PPH is a known contribute to its prevention and management. Objective: To determine the prevalence, causes and risk factors of primary postpartum hemorrhage. Materials and methods: It was a retrospective study carried out in the department of Obstetrics and Gynaecology of Rasheed Shekoni Federal University Teaching Hospital. Data obtained was analyzed with IBM SPSS version 21.0. Measured variables were expressed in percentage. Test for association was done using chi-square non-parametric test, setting P-value at <0.05. Results: The prevalence of PPH in this study was 3.31%. The mean age of the women was 27.33± 5.9. Majority (54.2%) of the women were multiparous. Uterine atony was the most common cause of PPH and induction of labour was the most common (18.8%) risk identified. Conclusion: The prevalence of PPH in this study was 3.31%. Induction of labour, grandmultiparity, fetal macrosomia and caesarean section were prevalent risk factors in Primary PPH.

Keywords: Postpartum, hemorrhage, Atony, Jigawa.