Open AccessRisk factors for uterine atony in two semi-urban hospitals
Author(s) -
Elie Nkwabong,
Celestine Koumwo Mouafo,
Théophile Najamen
Publication year - 2020
Publication title -
international journal of pregnancy and child birth
Language(s) - English
Resource type - Journals
ISSN - 2574-9889
DOI - 10.15406/ipcb.2020.06.00195
Subject(s) - uterine atony , medicine , obstetrics , logistic regression , preeclampsia , pregnancy , statistical significance , exact test , gestational age , cesarean delivery , malaria , gynecology , surgery , hysterectomy , biology , immunology , genetics
Objective: To look for uterine atony (UA) risk factors (RFs). Methods: This case-control study was carried out between 1st February and 31st May 2019. All women with or without UA were recruited. The main variables recorded included gestational age at delivery, past-history of macrosomic baby (≥4000g), third trimester malaria, intrapartum fever, time spent from four cm cervical dilatation to delivery (TFD), birthweight, UA or not. Data were analysed using SPSS 21.0. Fisher’s exact test, t-test and logistic regression were used for comparison. The level of significance was P<0.05. Results: UA was present among 49 women (5.5%). Significant RFs for UA included multiple pregnancy (aOR 7.14, 95%CI 2.01-21.43), delivery before 34 weeks (aOR 5.72, 95%CI 1.24-22.04), TFD ˃10 hours (aOR 5.57, 95%CI 1.34-26.03), macrosomic baby (aOR 3.64, 95%CI 1.37-9.46), recent malaria or preeclampsia (aOR 3.11, 95%CI 1.11-9.79).Conclusion: Measures to manage UA should be made ready when these RFs are present