Abstract:
Objective: This study sought to assess the antepartum factors associated with
primary postpartum haemorrhage among women seeking maternity care at
Thika level five hospital in Kiambu county, Kenya
Design: The study adopted an unmatched case control study.
Setting: The study was carried out in maternity unit at Thika level five hospital in
Kiambu County, Kenya
Subjects: The study population comprised of women of reproductive age who had
delivered at Thika Level five hospital and had or did not have Postpartum
Haemorrhage (PPH).
Study tools: The study used semi-structured questionnaire to gather data from
mothers who experienced PPH within 24 hours of delivery for case group; while
for control group on mothers who did not have PPH within 24 hours of delivery.
Data analysis: Data was analyzed using descriptive and inferential statistics (Binary
logistic regression).
Results: Therefore, the study focused on 76 women (19 cases and 57 controls)
Among the antepartum factors, history of postpartum haemorrhage was
significantly associated with primary postpartum haemorrhage. Mothers’ with
history of postpartum haemorrhage were 14.04 times more likely to have PPH than
their counterparts (OR = 14.04; 95% CI[2.40 – 82.20]; P=<0.001).
Conclusion: The study concludes that the history of postpartum haemorrhage was
significantly associated with PPH. This study’s result highlights the importance
of clinicians being aware of a woman's history of PPH during antepartum care.
Such awareness could lead to better monitoring and timely interventions to
prevent or manage PPH
