A Retrospective Study Assessing the Causes of Postpartum Hemorrhage in Women Admitted to Kisumueast District Hospital Between January – June 2014

Subscribe to access this work and thousands more

Contents

DECLARATION........................................................................................................................................ iv

CERTIFICATION...................................................................................................................................... v

DEDICATION............................................................................................................................................ vi

ACKNOWLEDGEMENT........................................................................................................................ vii

LIST OF ABBREVIATIONS/ ACRONYMS........................................................................................ viii

ABSTRACT................................................................................................................................................ ix

CHAPTER ONE .........................................................................................................................................1

1.1 Background ...........................................................................................................................................1

1.2 ProblemStatement.................................................................................................................................2

1.3 StudyObjectives.....................................................................................................................................3

1.3.1 BroadObjective ..................................................................................................................................3

1.3.2 SpecificObjectives ..............................................................................................................................3

1.4 Research Questions...............................................................................................................................3

1.5 Study Justification ................................................................................................................................4

CHAPTER TWO ........................................................................................................................................5

2.0 Literature Review .................................................................................................................................5

2.1 Introduction/ Definition........................................................................................................................5

2.2 Burden/ Epidemiology ..........................................................................................................................5

2.3 Risk factors for Postpartum Haemorrhage ........................................................................................6

2.4 Causes of Postpartum Hemorrhage ....................................................................................................8

2.4.1 Tone.....................................................................................................................................................8

2.4.2 Trauma................................................................................................................................................8

2.4.3 Tissue...................................................................................................................................................9

2.4.4 Thrombin............................................................................................................................................9

2.5 Active management of the third stage of labor (AMTSL).................................................................9

CHAPTER THREE..................................................................................................................................12

3.0 Research Methodology .......................................................................................................................12

3.1 Study Design........................................................................................................................................12

3.2 Study Area ...........................................................................................................................................12

iii

3.3 Study Population.................................................................................................................................12

3.4 Sample Size Determination ................................................................................................................12

3.5Data Collection Method.......................................................................................................................13

3.7Inclusion Criteria .................................................................................................................................13

3.8 Exclusion Criteria ...............................................................................................................................13

3.9 Ethical Considerations........................................................................................................................13

3.10 Study Limitations..............................................................................................................................13

CHAPTER FOUR.....................................................................................................................................14

4.0 DATA PRESENTATION AND ANALYSIS....................................................................................14

4.1 MOST COMMON TYPE OF PPH ...................................................................................................14

4.2 CAUSES OF PPH ...............................................................................................................................15

4.3 MANAGEMENT OF PPH.................................................................................................................16

CHAPTER FIVE ......................................................................................................................................18

5.0 DISCUSSION OF FINDINGS ...........................................................................................................18

5.1 The Most Common Type of Postpartum Hemorrhage....................................................................18

5.2 The Causes of Postpartum Hemorrhage...........................................................................................18

5.3 Management of Postpartum Hemorrhage ........................................................................................19

CHAPTER SIX .........................................................................................................................................20

6.0 CONCLUSION AND RECOMMENDATIONS ..............................................................................20

6.1 Conclusion ...........................................................................................................................................20

6.2 Recommendations...............................................................................................................................20

REFERENCES..........................................................................................................................................21

APPENDIX ONE ......................................................................................................................................23

APPENDIX TWO .....................................................................................................................................24

APPENDIX THREE.................................................................................................................................25

ABSTRACT Postpartum Hemorrhage is one of the leading causes of maternal mortality and is a very critical obstetric emergency. This study was designed to determine the causes of Postpartum Hemorrhage (PPH) in women admitted to Kisumu East District Hospital, the most common type of PPH and also to determine the various strategies used in the management of PPH. Data was collected from records of eligible patients. It was noted that the most common type of PPH was primary PPH with 88% of the patients.The causes of PPH were perineal trauma(tears and episiotomies) (48.5%), uterine atony (42.4%), and retained products of conception e.g. placenta and blood clots (9.1%). The major strategies used in the management of PPH were episiotomy/ perineal repair (45.5%), haematinics (36.4%), I.V.oxytocin (33.3%), blood transfusion (27.3%). Others included; antibiotics (12.1%), Manual evacuation of retained placenta (9.1%), uterine massage (9.1%), vaginal packing (9.1%), I.M. ergometrin (6.1%), and sublingual cytotec (3.0%). The management protocols used were effective according to the various causes. There is need for health workers to be constantly reminded on the proper techniques involved in the active management of third stage of labour in order to reduce on the mortality rates associated with PPH.

Subscribe to access this work and thousands more
Save
Need help with your academic research project/paper, technical or creative writing? Hire our expert researchers and writers. Click Here to Submit a Writing Request
Overall Rating

0

5 Star
(0)
4 Star
(0)
3 Star
(0)
2 Star
(0)
1 Star
(0)
APA

AWILI, O (2022). A Retrospective Study Assessing the Causes of Postpartum Hemorrhage in Women Admitted to Kisumueast District Hospital Between January – June 2014. Afribary. Retrieved from https://afribary.com/works/a-retrospective-study-assessing-the-causes-of-postpartum-hemorrhage-in-women-admitted-to-kisumueast-district-hospital-between-january-june-2014

MLA 8th

AWILI, OMONDI "A Retrospective Study Assessing the Causes of Postpartum Hemorrhage in Women Admitted to Kisumueast District Hospital Between January – June 2014" Afribary. Afribary, 25 Jul. 2022, https://afribary.com/works/a-retrospective-study-assessing-the-causes-of-postpartum-hemorrhage-in-women-admitted-to-kisumueast-district-hospital-between-january-june-2014. Accessed 18 Aug. 2022.

MLA7

AWILI, OMONDI . "A Retrospective Study Assessing the Causes of Postpartum Hemorrhage in Women Admitted to Kisumueast District Hospital Between January – June 2014". Afribary, Afribary, 25 Jul. 2022. Web. 18 Aug. 2022. < https://afribary.com/works/a-retrospective-study-assessing-the-causes-of-postpartum-hemorrhage-in-women-admitted-to-kisumueast-district-hospital-between-january-june-2014 >.

Chicago

AWILI, OMONDI . "A Retrospective Study Assessing the Causes of Postpartum Hemorrhage in Women Admitted to Kisumueast District Hospital Between January – June 2014" Afribary (2022). Accessed August 18, 2022. https://afribary.com/works/a-retrospective-study-assessing-the-causes-of-postpartum-hemorrhage-in-women-admitted-to-kisumueast-district-hospital-between-january-june-2014