OJOG  Vol.3 No.1 A , February 2013
How some demographic factors affects postpartum haemorrhage prevention in Maiduguri, Nigeria
ABSTRACT

Aim: The following work studied how tribal affiliation, educational level and occupation of some women that had PPH in Maiduguri metropolis between September 2007 and March 2009 relate with PPH occurrence. The study was aimed at identifying possible risk factors and also to compare the relative prevention efficacies of oxytocin or misoprostol within the matrix of these factors. Method: A total of 1800 pregnant women who have received either oxytocin injection or oral misoprostol in third stage of labour as a prophylaxis of postpartum haemorrhage, were enrolled within three health care facilities in Maiduguri, Nigeria. Each patient was observed at parturition and for 24 h after, during which blood lost was estimated to the nearest millilitres. Demographic characteristics were recorded in a structured proforma. The relationship of the occurrence of PPH (occurrence of blood loss > 500 ml) and mean blood loss (MBL) was studied with respect to the prophylactic medication used and some demographic factors. Results: The incidence of PPH was higher in Igbo, and some “minority” tribes of Borno state (Babur, Bura, Mafa). The tribes that constituted the majority of the study population (Kanuri, and Hausa) exhibited low incidences of PPH. Significant relationships were demonstrated between PPH and educational levels and occupations of participants. Conclussions: It was concluded that PPH occurrence is related to tribal affiliation, educational level and occupation, and the relative efficacies of oxytocin and misoprostol varies between the tribal groups.


Cite this paper
Uthman, S. , Garba, M. , Danazumi, A. , Mandara, M. and Sylvester, N. (2013) How some demographic factors affects postpartum haemorrhage prevention in Maiduguri, Nigeria. Open Journal of Obstetrics and Gynecology, 3, 203-207. doi: 10.4236/ojog.2013.31A037.
References
[1]   WHO (2005) World health report 2005—Make every mother and child count. World Health Organization, Geneva.

[2]   Abou Zahr, C. (1998) Antepartum and postpartum haemorrhage. Health dimensions of sex and reproduction. MA7 Harvard School of Public Health on Behalf of the World Health Organization and the World Bank, Cambridge, 165-189.

[3]   Mairiga, A.G., Kawuwa, M.B. and Kyari, O. (2008) A fourteen-year review of maternal mortality at the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria. Nigerian Hospital Practice, 2, 115-118

[4]   Cameron, M.J. and Robson, S.C. (2006) Vital statistics: An overview in a text book of post partum haemorrhage. Sapiens Publishing, Dunccow, 2006.

[5]   American College of Obstetricians and Gynecologists (2006) ACOG practice bulletin: Clinical management guidelines for obstetrician gynecologists. Obstetrics & Gynecology, 108, 1039-1047

[6]   WHO (2007) Guidelines for the prevention of postpartum haemorrhage. World Health Organization, Geneva.

[7]   Combs, C.A., Murphy, E.L. and Laros Jr., R.K. (1991) Factors associated with postpartum hemorrhage in vaginal birth. Obstetrics and Gynaecology, 77, 69-76.

[8]   Combs, C.A., Murphy, E.L. and Laros Jr., R.K. (1991) Factors associated with hemorrhage in cesarean deliveries. Obstetrics and Gynaecology, 77, 77-82

[9]   Magann, E.F., Evans, S., Chauhan, S.P., Lanneau, G., Fisk, A.D. and Morrison, J.C. (2005) The length of the third stage of labor and the risk of postpartum hemorrhage. Obstetrics and Gynaecology, 105, 290-293. doi:10.1097/01.AOG.0000151993.83276.70

[10]   Family Care International and the Safe Motherhood Inter-Agency Group (1998) Safe motherhood fact sheets.

[11]   bij de Vaate, A., Coleman, R., Manneh, H. and Walraven, G. (2002) Knowledge, attitudes and practices of trained traditional birth attendants in the Gambia in the prevention, recognition and management of postpartum haemorrhage. Midwifery, 18, 3-11.

[12]   Drakum, E.E. (1982) Cultural influences in birth practices in Papua New Guinea. Australian Nurses Journal, 11, 14-15.

[13]   Bates, B. and Turner, A.N. (1985) Imagery and symbolism in the birth practices of traditional cultures. Birth, 12, 29-35. doi:10.1111/j.1523-536X.1985.tb00927.x

[14]   Fajemilehin, R.B. (1991) Factors influencing high rate of “born-before-arrival” babies in Nigeria—A case control study in Ogbomosho. International Journal of Nursing Studies, 28, 13-18. doi:10.1016/0020-7489(91)90045-5

[15]   Pan American Health Organization (2004) Maternal and child mortality among the indigenous peoples of the Americas. Healing our spirit worldwide: Newsletter for indigenous people.

[16]   Graham, W. (1992) Maternal health and the measurement trap. Social Science and Medicine, 35, 961-911. doi:10.1016/0277-9536(92)90236-J

[17]   Koblinsky, M., Campbell, O. and Harlow, S. (1992). Mother and more: A broader perspective on women’s health. In: Koblinsky, M., Timyan, J. and Gay, J., Eds., The Health of Women: A Global Perspective. Westview Press, Boulder.

[18]   WHO (1992) Reproductive health: A key to a brighter future. World Health Organization, Geneva.

 
 
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