Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia
Abstract Background Postpartum maternal morbidity is maternal illness that occurs after one hour of expulsion of placenta up to six weeks of childbirth. Though the true burden of this problem is not well known estimates of WHO, UNICEF and UNFPA showed that 1.4 million women experience acute obstetri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | Maternal Health, Neonatology and Perinatology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40748-018-0086-0 |
| _version_ | 1819071621905776640 |
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| author | Asmare Talie Abere Yekoye Megbaru Alemu Belsity Temesgen Yibeltal Aschale |
| author_facet | Asmare Talie Abere Yekoye Megbaru Alemu Belsity Temesgen Yibeltal Aschale |
| author_sort | Asmare Talie |
| collection | DOAJ |
| description | Abstract Background Postpartum maternal morbidity is maternal illness that occurs after one hour of expulsion of placenta up to six weeks of childbirth. Though the true burden of this problem is not well known estimates of WHO, UNICEF and UNFPA showed that 1.4 million women experience acute obstetric morbidity annually. Knowledge of magnitude and predicting factors postpartum morbidity is central to understand the extent of the problem and will help as a cornerstone in designing and implementing better preventive strategies. Objectives To assess the magnitude and factors associated with postpartum morbidity in public health institutions in Debre Markos town. Method Institutional based cross sectional study was conducted in Debre Markos town public health institutions by reviewing delivery charts, delivery records and reporting log books. Total deliveries in each health institution in the previous year were identified and number of records to be included from each institution was determined by probability proportion to size. Systematic sampling technique was employed to select 308 charts for review. Data was collected by trained midwifes using structured checklist; entered by epi info and analyzed using SPSS 20. To present findings descriptive statistics using frequencies, charts and figures were used accordingly. Finally binary and multiple logistic regressions were performed to identify predicting factors. Results The magnitude of postpartum morbidity was found to be 101(32.8%). Divorced/widowed women [AOR = 10.920, 95% CI: (2.168, 54.998)], women who didn’t have ANC follow up [AOR = 3.710, 95% CI: (1.749, 7.870)], abnormal labour [AOR =3.496, 95% CI: (1.69, 7.22)], women delivered by doctor [AOR =0.111, 95% CI: (0.027, 0.454)] and women who were not attended postpartum visit [AOR =0.088, 95% CI: (0.040, 0.194)] were the factors associated with postpartum maternal morbidity. Conclusion Maternal morbidity in Debre Markos health institution was found to be major maternal health issue. Being divorced/widowed, absence of ANC visit, intrapartum abnormalities, delivery attended by skilled professionals and no post-partum visit were important predictors of maternal postpartum morbidity. |
| first_indexed | 2024-12-21T17:24:45Z |
| format | Article |
| id | doaj.art-57a2a4ddf03b445f833b356d43a274ad |
| institution | Directory Open Access Journal |
| issn | 2054-958X |
| language | English |
| last_indexed | 2024-12-21T17:24:45Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Maternal Health, Neonatology and Perinatology |
| spelling | doaj.art-57a2a4ddf03b445f833b356d43a274ad2022-12-21T18:56:05ZengBMCMaternal Health, Neonatology and Perinatology2054-958X2018-10-01411710.1186/s40748-018-0086-0Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West EthiopiaAsmare Talie0Abere Yekoye1Megbaru Alemu2Belsity Temesgen3Yibeltal Aschale4Department of Midwifery, College of Health Sciences, Debre Markos UniversityDepartment of Midwifery, College of Health Sciences, MekelleUniversityDepartment of Immunology, Microbiology and Parasitology, College of Health Science, Bahir Dar UniversityDepartment of Midwifery, College of Health Sciences, Debre Markos UniversityDepartment of Medical Parasitology, College of Health Sciences, Debre Markos UniversityAbstract Background Postpartum maternal morbidity is maternal illness that occurs after one hour of expulsion of placenta up to six weeks of childbirth. Though the true burden of this problem is not well known estimates of WHO, UNICEF and UNFPA showed that 1.4 million women experience acute obstetric morbidity annually. Knowledge of magnitude and predicting factors postpartum morbidity is central to understand the extent of the problem and will help as a cornerstone in designing and implementing better preventive strategies. Objectives To assess the magnitude and factors associated with postpartum morbidity in public health institutions in Debre Markos town. Method Institutional based cross sectional study was conducted in Debre Markos town public health institutions by reviewing delivery charts, delivery records and reporting log books. Total deliveries in each health institution in the previous year were identified and number of records to be included from each institution was determined by probability proportion to size. Systematic sampling technique was employed to select 308 charts for review. Data was collected by trained midwifes using structured checklist; entered by epi info and analyzed using SPSS 20. To present findings descriptive statistics using frequencies, charts and figures were used accordingly. Finally binary and multiple logistic regressions were performed to identify predicting factors. Results The magnitude of postpartum morbidity was found to be 101(32.8%). Divorced/widowed women [AOR = 10.920, 95% CI: (2.168, 54.998)], women who didn’t have ANC follow up [AOR = 3.710, 95% CI: (1.749, 7.870)], abnormal labour [AOR =3.496, 95% CI: (1.69, 7.22)], women delivered by doctor [AOR =0.111, 95% CI: (0.027, 0.454)] and women who were not attended postpartum visit [AOR =0.088, 95% CI: (0.040, 0.194)] were the factors associated with postpartum maternal morbidity. Conclusion Maternal morbidity in Debre Markos health institution was found to be major maternal health issue. Being divorced/widowed, absence of ANC visit, intrapartum abnormalities, delivery attended by skilled professionals and no post-partum visit were important predictors of maternal postpartum morbidity.http://link.springer.com/article/10.1186/s40748-018-0086-0Postpartum morbidityHealth institutionMagnitudeDebre MarkosEthiopia |
| spellingShingle | Asmare Talie Abere Yekoye Megbaru Alemu Belsity Temesgen Yibeltal Aschale Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia Maternal Health, Neonatology and Perinatology Postpartum morbidity Health institution Magnitude Debre Markos Ethiopia |
| title | Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia |
| title_full | Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia |
| title_fullStr | Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia |
| title_full_unstemmed | Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia |
| title_short | Magnitude and associated factors of postpartum morbidity in public health institutions of Debre Markos town, North West Ethiopia |
| title_sort | magnitude and associated factors of postpartum morbidity in public health institutions of debre markos town north west ethiopia |
| topic | Postpartum morbidity Health institution Magnitude Debre Markos Ethiopia |
| url | http://link.springer.com/article/10.1186/s40748-018-0086-0 |
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