Incidence, treatment and outcomes of postpartum haemorrhage among women admitted at a large regional referral hospital in Eastern Uganda: a one-year prospective observational study
Authors' conclusion
One in 14 women delivered at a large Ugandan hospital developed PPH. Rates of PPH and death are far higher than in high-income countries.
Study context
- Population
- Women admitted for obstetric care to a large regional referral hospital in eastern Uganda, February 2021 to March 202222.0% of 10,842 deliveries
- Participants
- 2,358 women
- Outcome
- In-hospital PPH
Methodological detailssingle referral hospital, 166 randomly selected days, direct observation
- Single referral hospital
- 166 randomly selected days
- Direct observation
Main finding
As reported in the abstract
PPH rate
PPH rate 167/2,358
7.1%
Observational data: associations, not effects.
Secondary outcomes
| Outcome | PPH | No PPH | OR (CI) | P value | |
|---|---|---|---|---|---|
| In-hospital maternal mortality, PPH vs no PPH | 2.4% | 0.1% | 26.9 (4.9–147.9) | P < 0.0001 | |
| 0.050.21520Odds ratio (log scale) |
Risk factors for PPH (multivariable logistic regression)
| OR (CI) | P value | ||
|---|---|---|---|
| Preeclampsia | 2.25 (1.1–4.6) | P = 0.027 | |
| Twin pregnancy | 3.2 (1.7–6.2) | P < 0.001 | |
| Caesarean deliveryCI as printed | 0.5 (0.3–09) | P = 0.009 | |
| Delivery between 4-10 pm | 0.6 (0.4–0.9) | P = 0.032 | |
| 0.10.31310Odds ratio (log scale) |
PPH treatment resources (448 women treated for PPH, incl. 281 delivered elsewhere)
- Treated by an obstetrician at the bedside
- 3.3%
- Could have immediately received blood if needed
- 44.0%
- Could have immediately received TXA if needed
- 47.0%
Original publication
Incidence, treatment and outcomes of postpartum haemorrhage among women admitted at a large regional referral hospital in Eastern Uganda: a one-year prospective observational study. Int J Obstet Anesth. Published 19 June 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →