| dc.description.abstract | Early Post-Partum Hemorrhage (early
PPH) is the leading cause of maternal mortality
worldwide, where nearly one-quarter of all maternal
deaths in most low-income countries. The study
aimed to assess the factors associated with early
postpartum hemorrhage among mothers during the
postpartum period at Castle Street Hospital for
Women. A retrospective Cohort Study was
conducted among a sample of 300 mothers in the
post-partum period to identify and evaluate the risk
factors for early PPH at Castle Street Hospital for
Women in Sri Lanka. Data was collected using a
systematic sampling method and extracted from the
delivery records during the 2017 and 2018 years
into a data extraction sheet. It consisted of, Part ADemographic
data, Part B - Current antenatal and
obstetric history, Part C - Past obstetric history, Part
D - Past medical and surgical history, Part E - History
of current delivery. Data were analyzed using SPSS
23 version in percentages and Chi squire. The mean
age of the sample was 30.39±5.17 years. The
majority, 39.9% of mothers, were educated up to
secondary level and 33% of mothers were “O
positive” in the blood group. Among the sample
anemia, diabetes, hypertension, heart disease, renal
diseases, and hyperthyroidism were presented
respectively 12.0%, 15.3%, 11.0%, 1.0%, 0.7%, and
4.3%. In conclusion, the identified risk factors for
early PPH have shown a significant association with
anemia, diabetes hypertension (p=0.001) and
hyperthyroidism (p=0.009) conditions of the
mothers’ method of delivery (p=0.001), duration of
labour in normal vaginal delivery (p=0.001), vaginal
tears (p=0.001), retained placenta (0.001), and
prostaglandin administration (p=0.001). | en_US |
