Abstract:

Background: Postpartum haemorrhage (PPH) is the leading cause of maternal death worldwide in developing countries and in Tanzania. It accounts for more than a quarter of all maternal mortality. Although clinical guidelines formulated by ministry of health and social warfare (MOHSW) and world health organization (WHO) treating PPH are available, their implementation remains a great challenge in resource poor setting. This study ams at determining the prevalence and maternal outcome of postpartum hemorrhage among pregnant women delivering at Sekou Toure Hospital and Bugando Medical Centre from December 2022 to February 2023.

Methodology: This was a Cross-sectional study design with quantitative approach from December-February 2023 which was conducted at Sekou Toure Hospital and Bugando Medical Centre involved 300 women delivered at these facilities. Simple random sampling was used to get the study participants among pregnant women delived at Sekou Toure Hospital and Bugando Medical Centre. The recruitment and collection of information was done on admission day and in the ward. The collection of data was done using questionnaire. Data will be organized and entered individually then analyzed by Statistical Package for Social Science (SPSS) computer software. For determining the prevalence, the scoring method that will be used.

Results: The prevalence of PPH has found to be 15.3% where out of 46 cases and maternal outcomes of PPH, were women who deliver by vaginal 22.3% had more than 1 day duration of hospital stay but those who deliver by cesarean section 5% had more than 3 days duration of hospital stays, majority of women were not transfused blood only 6% had 1 unit of blood transfusion and 2% had more than 1 unit transfusion.
87.3% were admitted in the ward 12.3% HDU and 0.35 in ICU and most of women condition at discharge ware alive with only 0.3% death.

Conclusion: In this study there was steady increase in the prevalence of PPH (15.4%) common in women delivering by spontaneous vaginal delivery, multparity and common in age group of 20-29 This needs to be eradicated as one among the world health organization and ministry of health in Tanzania goals to eradicate maternal mortality. Policies and efforts aim at reducing the post-partum hemorrhage should be promoted and implemented at each health facility. Heath education should also be promoted among pregnant women on early antenatal visits and young girls of reproductive age, Good facilities for delivery with well-trained personnel’s, availability of blood banks, equipment’s and medications.