Maternal Postpartum Hospital Read Missions and Associated Factors Among Women Who Delivery at Bugando Medical Centre Mwanza, Tanzania.
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz :www.bugando.ac.tzLanguage: English Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] : 2019Description: xi; 31 PagesSubject(s): Summary: Abstract:
Background: Maternal postpartum hospital readmissions are of importance concern in the field of maternal health with most of maternal deaths occurred includes those women who were readmitted in the hospital after initial admission for delivery. The current proposed study is set to examine maternal readmissions and associated factors so as to take specific preventive measures among women who delivered at Bugando Medical Centre.
Objective: The aim of the study was to determine the readmission rate, indications of readmissions and factors associated with higher indication for readmissions of maternal postpartum hospital readmissions among women delivered at BMC, Mwanza-Tanzania.
Methodology: This was a 4-years retrospective descriptive study. Patient files (case notes) of women who were readmitted within 42 days after discharge from initial delivery admission between January 2014 to 31st December 2017 and meet the inclusion criteria will be included.
Results: There were 29664 deliveries in the four years of the study, 73.6% (n =21837) were by vagina deliveries and 26.4% (n=7827) by caesarean section. During this period 285 cases of maternal postpartum readmission were identified, making a readmission rate of 9.6 cases per 1000 deliveries (1%). Two hundred and fifty two case files (88.4%) were available for analysis.The highest indication of maternal postpartum hospital readmissions was puerperal sepsis 50.8% (n=128). There was an identified association between type of labor and blood loss after delivery with MPHR with puerperal sepsis. There were five maternal deaths among the cases, giving a case fatality rate (CFR) of 1.7%.
Conclusion: The rate of maternal postpartum hospital readmission in this study was relatively low as compared to other studies. Majority of the study population were readmitted with puerperal sepsis and elective caesarean sections were less associated with maternal readmission with puerperal sepsis.
Recommendations: In order to reduce incidence of maternal postpartum hospital readmissions, there is a need to keep on maintaining standards of obstetrics care in this institution so as to avoid preventable morbidities after delivery. Another important issue is to put clear strategies protocol and continue to work restless in order to prevent incidences of puerperal sepsis at BMC.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| POSTGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | PD0323 |
Abstract:
Background: Maternal postpartum hospital readmissions are of importance concern in the field of maternal health with most of maternal deaths occurred includes those women who were readmitted in the hospital after initial admission for delivery. The current proposed study is set to examine maternal readmissions and associated factors so as to take specific preventive measures among women who delivered at Bugando Medical Centre.
Objective: The aim of the study was to determine the readmission rate, indications of readmissions and factors associated with higher indication for readmissions of maternal postpartum hospital readmissions among women delivered at BMC, Mwanza-Tanzania.
Methodology: This was a 4-years retrospective descriptive study. Patient files (case notes) of women who were readmitted within 42 days after discharge from initial delivery admission between January 2014 to 31st December 2017 and meet the inclusion criteria will be included.
Results: There were 29664 deliveries in the four years of the study, 73.6% (n =21837) were by vagina deliveries and 26.4% (n=7827) by caesarean section. During this period 285 cases of maternal postpartum readmission were identified, making a readmission rate of 9.6 cases per 1000 deliveries (1%). Two hundred and fifty two case files (88.4%) were available for analysis.The highest indication of maternal postpartum hospital readmissions was puerperal sepsis 50.8% (n=128). There was an identified association between type of labor and blood loss after delivery with MPHR with puerperal sepsis. There were five maternal deaths among the cases, giving a case fatality rate (CFR) of 1.7%.
Conclusion: The rate of maternal postpartum hospital readmission in this study was relatively low as compared to other studies. Majority of the study population were readmitted with puerperal sepsis and elective caesarean sections were less associated with maternal readmission with puerperal sepsis.
Recommendations: In order to reduce incidence of maternal postpartum hospital readmissions, there is a need to keep on maintaining standards of obstetrics care in this institution so as to avoid preventable morbidities after delivery. Another important issue is to put clear strategies protocol and continue to work restless in order to prevent incidences of puerperal sepsis at BMC.
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