Per-Partum Anaemia and Missed Post-Partum Haemorrhage in Low Resources Settings ()
Affiliation(s)
1University of Yaoundé I, Yaoundé, Cameroon.
2University Teaching Hospital of Yaoundé, Yaoundé, Cameroon.
3Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine (CHRACERH), Yaoundé, Cameroon.
4Gynaeco-Obstetric and Paediatric Hospital of Yaoundé, Yaoundé, Cameroon.
5Central Hospital of Yaoundé, Yaoundé, Cameroon.
ABSTRACT
Background: Post-partum haemorrhage is the leading cause of maternal death throughout the
world, and anaemia is one of its indirect causes. Anaemia during labour
increases the risk of PPH and may lead to maternal mortality even after
moderate PPH. Undiagnosed PPH and post-partum anaemia increases the risk of
late maternal death in the community. The aim of this study was to assess the
prevalence of anaemia on admission for labour, the occult early post-partum
haemorrhage and the magnitude of post-partum anaemia in a low resource setting. Methods: This was a longitudinal study. We included pregnant women in
labour. Haemoglobin concentration was measured on admission (H0), then 24 hours
(H24) and 48 (H48) hours later. The post-partum blood loss was estimated by
delta haemoglobin, using the criteria of M. Driessen et al. Results: We recruited 245 pregnant women. The mean
age was 27.0 ± 6.0 years. The mean hemoglobin concentration was 11.7 ± 1.9 g/dl, the frequency of anaemia was 30.6% and
was related to ethnicity (P = 0.042) gestational age (p < 0.001) marital
status (p = 0.014) and the inter pregnancy time space (p = 0.001).
Twenty-two-point two percent had post-partum haemorrhage among which 40% were
undiagnosed. The mean blood loss was 375 ml and post-partum anaemia rate was
44.5%. Conclusion: Anaemia on admission was related to socio-demographic
characteristics. The frequencies of anaemia during labour, missed PPH and
undiagnosed post-partum anaemia were high. Haemoglobin concentration on
admission for labour and after delivery, reliable method to assess PPH should
be mandatory, to better identify per and post-partum anemia, and the management
of PPH, in low income environments.
Share and Cite:
Koh, V. , Ndoa, C. , Sama, J. , Tefee II, R. and Njotang, P. (2018) Per-Partum Anaemia and Missed Post-Partum Haemorrhage in Low Resources Settings.
Open Journal of Obstetrics and Gynecology,
8, 1557-1568. doi:
10.4236/ojog.2018.814156.
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