Risk Factors for Immediate Postpartum Hemorrhages in the Maternity of the University Teaching Hospital of Parakou

Abstract

Objective: Study the risk factors for immediate postpartum hemorrhage (IPPH) in the maternity of the University Teaching Hospital of Parakou (UTH/P). Method: We carried out a descriptive and analytical case-control study between May 1 and August 31, 2014. The study population consisted of 63 IPPH cases versus 126 controls matched according to age, parity, number of fetuses and number of uterine scars. Results: IPPH incidence was 9.8% (IC 95% 7.5-12.1). The socio-demographic profile was characterized by young women; most of them were married and affiliated with Islamic religion. They had average socioeconomic status and the most represented were traders. The risk factors statistically significant for the occurrence of the immediate post-partum hemorrhage were: Fulani ethnicity, rural place of residence, illiteracy, female circumcision, induced abortions or miscarriages, previous IPPH, lack of antenatal care, anemia during pregnancy, child delivery at home or on the way, lack of labor monitoring by partograph, labor duration exceeding 12 hours, lack of Active Management of the Third Stage of Labor (AMTSL) and lack of postpartum monitoring. Conclusion: The consideration of these risk factors associated with the occurrence of the immediate post-partum haemorrhage (IPPH) in a contest of improving care for pregnant and parturient must help to reduce the occurrence of this pathology.