ASSESSEMENT OF PREVALENCE AND TREATMENT OUTCOME OF ANTEPARTUM HEMORRHAGE IN SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE FROM SEPTEMBER1, 2008 - AUGUST 30, 2008E.C

Abstract

Abstract Back ground: Antepartum hemorrhage complicates three to five percent of pregnancies contributing to perinatal and maternal morbidity and mortality. Timely access to quality obstetric services is the major determinant of both maternal and newborn outcomes after antepartum hemorrhage. In Ethiopia, the magnitude and consequences of antepartum hemorrhage was not well studied. Hence this study focused on assessing the overall prevalence and treatment outcome of Antepartum hemorrhage patients over a period of one year (2008E.C) at Saint Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia. Objective: To determine the prevalence and treatment outcome of Antepartum hemorrhage in Saint Paul’s Hospital Millennium Medical College. Method: A hospital based retrospective cross-sectional study was conducted at Saint Paul’s Hospital Millennium Medical College. The study focused on chart reviews of all the APH cases admitted to the hospital from September1, 2008-August30, 2008E.C. Socio demographic data and possible treatment outcome of patients were collected from patients’ medical records retrospectively and the data entered into a computer using SPSS software version 20.0 and then means, percentages and were calculated and cross tab analysis was done and finally, the results were assessed and presented by use of charts, tables and texts. Results: Between September and August, 2008 Ethiopian calendar, 10135 women gave birth in SPHMMC and hospital's Health Management Information System (HMIS) of SPHMMC reported 207 APH cases were reported, from these only 193 cases were found at medical record room and APH cases, giving that the actual prevalence of antepartum hemorrhage 2%. The major causes of antepartum hemorrhage were abruptio placentae and placenta previa occurring in 101(52.3%) and 86(44.6%) of cases of included in this study, respectively. Of the 196 babies born; 4(2%) were stillborn and additional 9 (4.6%) newborns died during the first seven days of life making perinatal mortality rate of 6.63%. Conclusion and Recommendation: Abrutio placenta and placenta previa were most common cause of APH and improvement in treatment outcome of APH in SPHMMC but still effort to improve geographical access, effective referral service and quality of comprehensive emergency obstetric care and NICU is needed. Key words: Antepartum hemorrhage, retrospective study, prevalence, treatment outcome