Abstract
Background: Early postpartum haemorrhage is still a leading cause of maternal mortality in Indonesia and in the district of East Lampung. Therefore it is necessary to investigate the risk factors associated with early postpartum haemorrhage in Sukadana hospital, East Lampung. At the end we hope that the incidence of bleeding can be identified and anticipated.
Objectives: To determine the risk factors associated with early post partum haemorrhage in Sukadana Hospital, District of East Lampung.
Design: This was a case control study.
Method: The subject of this research was every vaginal delivery at East Lampung district which suitable with the inclusion criteria. This research was conducted from October 2010 until March 2011, with 54 cases and 54 controls which have been matched by the education level. Bivariate and multivariate logistic regression were used for data analysis with α: 0,05 and 95% of confidence interval.
Results: Proportion of elementary education and not school level was high (70,4%). Uterine atoni was the most prevalence cause for post partum haemorrhage (30 cases, 55,6%). Multivariate result for risk factor that significance for early postpartum haemorrhage was parity ≥3 with OR 3,32 (CI 95%; 1,15-9,6; p: 0,03). While preeclamsia and eclamsia, anemia, induction and stimulation Oxytocin 5 IU, premature rupture of membranes were not significance statistically and clinically.
Conclusion: Parity ≥ 3 are most dominant risk factor contribute to early postpartum hemorrhage.
Keywords: Early postpartum haemorrhage, risk factors, anemia.
