Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand
Abstract Background Postpartum hemorrhage (PPH) is a preventable complication, however, it remains being the leading cause of maternal mortality and morbidity worldwide including Thailand. Methods A case-control study to examine the risk factors associated with PPH across the hospitals under the Min...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-020-2846-x |
| _version_ | 1819170383254781952 |
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| author | Phat Prapawichar Ameporn Ratinthorn Ketsarin Utriyaprasit Chukiat Viwatwongkasem |
| author_facet | Phat Prapawichar Ameporn Ratinthorn Ketsarin Utriyaprasit Chukiat Viwatwongkasem |
| author_sort | Phat Prapawichar |
| collection | DOAJ |
| description | Abstract Background Postpartum hemorrhage (PPH) is a preventable complication, however, it remains being the leading cause of maternal mortality and morbidity worldwide including Thailand. Methods A case-control study to examine the risk factors associated with PPH across the hospitals under the Ministry of Public Health in Thailand, was conducted. A total of 1833 patient birth records and hospital profiles including human and physical resources from 14 hospitals were obtained. A multiple logistic regression was used identifing the factors that are significantly associated with PPH. Results The results show that the rate of PPH varied across the hospitals ranging from 1.4 to 10.6%. Women with past history of PPH were more likely to have increased risk of having PPH by 10.97 times (95% CI 2.27,53.05) compared to those who did not. The odds of PPH was higher in district and general hospitals by 14 (95% CI 3.95,50.04) and 7 (95% CI 2.27,23.27) times respectively, compared to regional hospitals. The hospitals which had inadequate nurse midwife to patient ratio (OR 2.31,95% CI 1.08,4.92), lacked nurse midwives with working experience of 6–10 years (OR 2.35, 95% CI 1.41,3.92), as well as inadequate equipment and supplies for emergency obstetric care (OR 6.47, 95% CI 1.93,21.63), had significantly higher incidence of having PPH, respectively. Conclusions This study provides interesting information that the rate of PPH varies across the hospitals in Thailand, in particular where essential nurse midwives, equipment, and supplies are limited. Therefore, improving health care services by allocating sufficient human and physical resources would contribute to significantly reduce this complication. |
| first_indexed | 2024-12-22T19:34:31Z |
| format | Article |
| id | doaj.art-965d38429b3a43999271f3b36eacd36a |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-22T19:34:31Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-965d38429b3a43999271f3b36eacd36a2022-12-21T18:15:00ZengBMCBMC Pregnancy and Childbirth1471-23932020-03-0120111210.1186/s12884-020-2846-xMaternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in ThailandPhat Prapawichar0Ameporn Ratinthorn1Ketsarin Utriyaprasit2Chukiat Viwatwongkasem3Faculty of Nursing Science, Mahidol UniversityFaculty of Nursing, Mahidol UniversityFaculty of Nursing, Mahidol UniversityDepartment of Biostatistics, Faculty of Public Health, Mahidol UniversityAbstract Background Postpartum hemorrhage (PPH) is a preventable complication, however, it remains being the leading cause of maternal mortality and morbidity worldwide including Thailand. Methods A case-control study to examine the risk factors associated with PPH across the hospitals under the Ministry of Public Health in Thailand, was conducted. A total of 1833 patient birth records and hospital profiles including human and physical resources from 14 hospitals were obtained. A multiple logistic regression was used identifing the factors that are significantly associated with PPH. Results The results show that the rate of PPH varied across the hospitals ranging from 1.4 to 10.6%. Women with past history of PPH were more likely to have increased risk of having PPH by 10.97 times (95% CI 2.27,53.05) compared to those who did not. The odds of PPH was higher in district and general hospitals by 14 (95% CI 3.95,50.04) and 7 (95% CI 2.27,23.27) times respectively, compared to regional hospitals. The hospitals which had inadequate nurse midwife to patient ratio (OR 2.31,95% CI 1.08,4.92), lacked nurse midwives with working experience of 6–10 years (OR 2.35, 95% CI 1.41,3.92), as well as inadequate equipment and supplies for emergency obstetric care (OR 6.47, 95% CI 1.93,21.63), had significantly higher incidence of having PPH, respectively. Conclusions This study provides interesting information that the rate of PPH varies across the hospitals in Thailand, in particular where essential nurse midwives, equipment, and supplies are limited. Therefore, improving health care services by allocating sufficient human and physical resources would contribute to significantly reduce this complication.http://link.springer.com/article/10.1186/s12884-020-2846-xPostpartum hemorrhageRisk factors of postpartum hemorrhageIntrapartum careComplication after delivery |
| spellingShingle | Phat Prapawichar Ameporn Ratinthorn Ketsarin Utriyaprasit Chukiat Viwatwongkasem Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand BMC Pregnancy and Childbirth Postpartum hemorrhage Risk factors of postpartum hemorrhage Intrapartum care Complication after delivery |
| title | Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand |
| title_full | Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand |
| title_fullStr | Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand |
| title_full_unstemmed | Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand |
| title_short | Maternal and health service predictors of postpartum hemorrhage across 14 district, general and regional hospitals in Thailand |
| title_sort | maternal and health service predictors of postpartum hemorrhage across 14 district general and regional hospitals in thailand |
| topic | Postpartum hemorrhage Risk factors of postpartum hemorrhage Intrapartum care Complication after delivery |
| url | http://link.springer.com/article/10.1186/s12884-020-2846-x |
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