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OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO

Authors: ABIODUN Olumide

Publication Type: Journal article

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Abstract

Background: Obstetric hemorrhage (OH) has remained the leading cause of maternal mortality, despite National efforts to combat it. Objective: This audit aimed to determine the contribution of OH to Adverse Maternal Outcomes and determinants of survival at a private Teaching Hospital, which had provided comprehensive essential obstetric care for 3 years. Methods: A retrospective review of all Severe Maternal Outcomes (SMO) due to OH using the Near-Miss approach. Results: There were 682 deliveries, 101 (14.8%) were SMOs; composed of 97 Maternal Near Misses (MNM) and 4 Maternal Deaths (MD). OH accounted for 37/101(36.6%) of the total SMO and 33/97 (34.0%) of the total MNM observed. All MD were due to OH, n=4(100%), with a Case Fatality Rate (CFR) of 3.3%. Coagulopathy (CFR=25%) and ruptured uterus (CFR=20%) were major causes of MD. Most of the MNM 19/33 (57.6%) and MD 3/4 (75%) were unbooked; with MD more likely when a referred patient lived >5km from the hospital (OR=3.53). Significantly more MD (p=0.021, OR= 1.36, 95%CI=1.005-1.850), were associated with deviations from standard management protocol. Conclusion: OH was the commonest cause of Adverse Maternal Outcome. Survival, however depended on the quality of antenatal care, pre-referral care and adherence to standard management protocol for definitive care.

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ABIODUN,O. . (0000). OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO, 0 (), 0-0.

ABIODUN,O. . "OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO" 0, no (), (0000): 0-0.

ABIODUN,O. and . (0000). OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO, 0 (), pp0-0.

ABIODUNO, . OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO. 0000, 0 ():0-0.

ABIODUN,Olumide , . "OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO", 0 . (0000) : 0-0.

A.Olumide , "OBSTETRIC HEMORRHAGE AND ADVERSE MATERNAL OUTCOMES: EXPERIENCE OF A PRIVATE TEACHING HOSPITAL IN SO" vol.0, no., pp. 0-0, 0000.

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