PREVALENCE OF ANTPARTUM HEAMMORAGE AND IT’S OUTCOME IN MIZAN-TEPI UNIVERSITY TEACHING HOSPITAL, BENCHI-SHEKO ZONE, SOUTHWEST ETHIOPIA,2019

Abstract

Introduction: Antepartem hemorrhage is bleeding from or into the genital tract after 28 weeks of pregnancy but before the birth of baby.it might be due to placenta praevia or abruption placenta or unexplained cause. It is still an important cause of perinatal and maternal morbidity and mortality in the world. Objective: to assess the prevalence and oucome of antepartum hemorrhage in Mizan Tepi University teaching hospital, south west Ethiopia. Methodology: A hospital based cross sectional study design was conducted in Mizan-Tepi University teaching hospital from January 1/2019-1December 30/2019. Data was collected by reviewing medical records. A pretested structured checklist was used to collect data. Data was checked for completeness, cleaned and entered into Epi Data manager version 4.2.0 on daily bases and finally exported to SPSS version 25. Result: The prevalence of ante-partum hemorrhage was 12.7%. We collect the data from 734 medical records with a response a rate of 97.7%. The mean age of the respondents were 25.88 years with SD (±5.090) years. Two hundred seventy six (37.6%) were under the age group of 20- 24years old. Majority of the participant 402(54.8%) were urban in address. Maternal mortality was 3.22% while preterm birth, intrauterine fetal death and still birth were 39%, 15.4% and 26.8 % respectively. Conclusion and recommendations: The prevalence of antepartum hemorrhage was high as we compared from other studies. Regarding the maternal/fetal outcomes, from all mothers with APH, 59.1% developed maternal complication with 3.22% of mothernal death 41.1% of them loss their babies. Mizan Tepi university teaching hospital should continue treating placenta praevia and abruptio as major emergencies to prevent maternal morbidity, preterm birth and stillbirths. It is essential to strengthen the emergency transport facilities from periphery to tertiary care center