Evaluating the prevalence of different types of obstetric hemorrhage and its related factors in the second-and third-level hospitals affiliated to Isfahan university of medical sciences, Iran, during the third quarter of year 2016

Abstract

Background: Obstetrics hemorrhage is a common reason of mortality among all of countries and also the country of Iran. Therefore, assessment of its incidence could be one of the most important strategies for the policy makers to improve mothers’ health. This study aimed to determine the prevalence of obstetric hemorrhage and its related factors in the second-and third-level hospitals affiliated to Isfahan University of Medical Sciences, Iran, during the third quarter of year 2016. Methods: This descriptive-analytic study was conducted on 2477 pregnant mothers. Data were collected by daily visiting of the labor, and gynecology and high-risk pregnant mothers’ wards. Data were analyzed using descriptive and inferential statistics via SPSS software. Findings: The prevalence of obstetric hemorrhage was 7.8, and significant relation was between performing and the number of prenatal care (P < 0.01), care provider (P < 0.01), and also underling diseases (P < 0.01) with obstetric hemorrhages; however, no significant relation existed between preconception care and obstetric hemorrhages (P > 0.05). Logistic regression showed that prenatal care and underlying disease were more predictable for hemorrhage than other variables (P < 0.01). Conclusion: The prevalence of obstetric hemorrhages was close to the reference textbooks in the referral hospitals affiliated to Isfahan University of Medical Sciences, which indicated the possibility of managing this incidence in all of the hospitals of Isfahan Province. Since obstetric hemorrhages are mostly preventable, it has been emphasized to benefit from all of the opportunities, especially in promotion of prenatal care and controlling of underlying disease. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.