Prevalence and factors associated with postpartum Haemorrhage among Human Immunodeficiency Virus infected women delivered at Kawempe National Referral Hospital

Abstract

Background PPH is the leading cause of maternal mortality in Uganda and globally. In Uganda some studies have investigated HIV infection as a risk factor for PPH but very few of these studies have been conducted in sub-Saharan Africa where maternal mortality and HIV infection are of a high burden. This study therefore investigated the prevalence and factors associated with PPH among HIV positive women delivered at KNRH which is a busy tertiary maternity center. Study objective .To determine the prevalence and factors associated with PPH in HIV infected women delivered at KNRH. Study methods This was a cross sectional chart review conducted at KNRH by reviewing records of all women that delivered between January 2022 to December 2022. The study population was HIV positive women. A data abstraction form was used to collect participants socio-demographic, antenatal, postnatal information, including whether they develop PPH or not. Data was analyzed at bivariate and multivariate level to measure association between dependent and independent variables. At multivariate level, statistically significant was established at a p value < 0.05. Results; The prevalence of PPH in HIV infected women delivered at KNRH in 2022 was 8.4%. The factors associated with PPH were occurrence low level of hemoglobin levels(AOR 0.02, P value 0.001) and no antenatal care attendance.( AOR 46.27 , P value 0.002 ) Conclusion and recommendations; This study showed that the prevalence of PPH in HIV infected women delivered at KNRH at 8.4%. No ANC attendance and low Hb levels were associated with the occurrence of PPH. Recommendations; HIV positive women should have more frequent antenatal care attendance to enable timely intervention to prevent possible causes of PPH.