Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

Ambaye Minayehu Zegeye; Yibelu Bazezew; Ashete Adare; Paulos Jaleta; Wale Kumlachew; Seid Wodajo Liben; Yaregal Dessalew Tarik; Getahun Degualeh Kebede; Yilkal Dagnaw; Fentahun Tamene Zeleke; Dawit Misganaw Belay

doi:10.1371/journal.pone.0297700

Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

PLoS One. 2024 Jul 8;19(7):e0297700. doi: 10.1371/journal.pone.0297700. eCollection 2024.

Affiliations

¹ Department of Midwifery, College of Health Sciences, Assosa University, Assosa, Ethiopia.
² Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
³ Department of Anatomy, College of Biomedical Sciences, Arsi University, Asella, Ethiopia.
⁴ Department of Nursing, College of Health Sciences, Assosa University, Assosa, Ethiopia.
⁵ Department of Midwifery, College of Health Sciences, Wolkite University, Wolkite, Ethiopia.

Abstract

Background: Antepartum hemorrhage continues to be a major cause of maternal and perinatal morbidity and mortality in developing countries including Ethiopia and it complicates 2-5% of all pregnancies with an increased rate of maternal and perinatal morbidity and even mortality. Despite many activities, still, poor fetomaternal outcomes of antepartum hemorrhage are still there. Moreover, studies around the current study area emphasize the magnitude and associated factors for antepartum hemorrhage rather than its feto-maternal outcomes. Thus, there is a need to identify the determinants associated with the fetomaternal outcomes of antepartum hemorrhage to guide midwives and obstetricians in the early diagnosis and treatment.

Method: An institution-based case-control study was conducted in four-year delivery charts diagnosed with antepartum hemorrhage from April 2, 2022, to May 12, 2022, at Awi Zone public hospitals. To see the association between dependent and independent variables logistic regression model along with a 95% confidence interval (CI) and a p-value of <0.05 were used.

Result: No antenatal care follow-up (AOR: 2.5, 95% CI 1.49-4.2), rural residence (AOR: 1.706, 95%CI 1.09-2.66), delay to seek care >12 hours (AOR: 2.57, 95% CI: 1.57-4.23) and advanced maternal age (AOR: 3.43, 95% CI 1.784-6.59) were significant factors associated with feto-maternal outcomes of antepartum Hemorrhage.

Conclusion: This study revealed that rural residence, delay in seeking the care of more than 12 hours, not having antenatal care follow up and advanced maternal age were significant factors associated with feto-maternal outcomes of Antepartum hemorrhage.

Recommendation: The findings of our study suggest the need for health education about the importance of antenatal care follow-up which is the ideal entry point for health promotion and early detection of complications, especially for rural residents.

Copyright: © 2024 Zegeye et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

MeSH terms

Adolescent
Adult
Case-Control Studies
Ethiopia / epidemiology
Female
Hospitals, Public*
Humans
Pregnancy
Pregnancy Outcome / epidemiology
Prenatal Care*
Risk Factors
Uterine Hemorrhage / epidemiology
Young Adult

Grants and funding

We received a small grant from Assosa University and Debre Markos University for data collection, these institutions have no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript.