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

• Published in: PloS one 2024-07, Vol.19 (7), p.e0297700
• Main Authors: Zegeye, Ambaye Minayehu, Bazezew, Yibelu, Adare, Ashete, Jaleta, Paulos, Kumlachew, Wale, Liben, Seid Wodajo, Tarik, Yaregal Dessalew, Kebede, Getahun Degualeh, Dagnaw, Yilkal, Zeleke, Fentahun Tamene, Belay, Dawit Misganaw
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Anemia; Biology and Life Sciences; Birth weight; Blood transfusions; Case studies; Case-Control Studies; Cervix; Cesarean section; Confidence intervals; Data collection; Developing countries; Ethiopia; Ethiopia - epidemiology; Female; Health aspects; Health promotion; Hemorrhage; Hemorrhagic shock; Hospitals; Hospitals, Public; Humans; Hysterectomy; Independent variables; Intensive care; LDCs; Maternal mortality; Medical records; Medicine and Health Sciences; Midwives; Morbidity; Mortality; Mothers; Newborn babies; Obstetrics; Placenta; Pregnancy; Pregnancy complications; Pregnancy Outcome - epidemiology; Premature labor; Prenatal Care; Questionnaires; Regression models; Risk Factors; Rural populations; Sample size; Sampling techniques; Sociodemographics; Statistical analysis; Stillbirth; Uterine Hemorrhage - epidemiology; Variables; Womens health; Young Adult
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0297700

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. 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 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. 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. 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.