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Risk factors for self‐reported postpartum hemorrhage in Ga East, Ghana
Author(s) -
Valdes Viviane,
Adongo Philip B.,
Nwameme Adanna U.,
Tabong Philip T.N.,
Fernandes Michelle
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12523
Subject(s) - medicine , odds ratio , confidence interval , logistic regression , demography , abortion , psychological intervention , pregnancy , obstetrics , cross sectional study , environmental health , nursing , sociology , biology , genetics , pathology
Abstract Objective To document the prevalence of self‐reported postpartum hemorrhage (PPH) in Ga East, Accra, Ghana, and examine the demographic, biological, and social risk factors for PPH. Methods The present study was a cross‐sectional secondary analysis of data collected during 2010–2012 from the Ghana Essential Health Interventions Program, a quasi‐experimental interventional study surveying households in the urban Ga East Municipal District. The analysis included data from randomly selected parous women of childbearing age (15–49 years), excluding those with a history of abortion (spontaneous or induced) or stillbirth. The χ 2 test and logistic regression were used to identify significant risk factors for self‐reported PPH. Results The current analysis included 2136 women. Self‐reported PPH was recorded for 95 (4.4%) participants. The maternal age at delivery, the duration of labor, and the number of skilled delivery providers were significantly associated with self‐reported PPH. Prolonged labor (odds ratio 3.70, 95% confidence interval 2.27–5.94; P <0.001) and maternal age (odds ratio 0.96, 95% confidence interval 0.94–0.99; P =0.020) were predictors of self‐reported PPH. Conclusion Prolonged labor and younger maternal age were related to a higher burden of reported PPH. These findings were congruent with global and regional data on the prevalence and risk factors for objectively measured PPH and could help focus intervention strategies to high‐risk groups, particularly in resource‐limited settings.