associated factors

ABSTRACT Immediate postpartum hemorrhage (IPH) is one of the leading causes of maternal death in developing countries and is defined as blood loss of more than 500 ml within 24 hours of delivery. It is often aggravated by delays in recognition, management and referral of patients. This study aimed to determine the prevalence, causes and management modalities of IPH at the maternity ward of Savè Zone Hospital in 2025. We conducted a retrospective descriptive study over a period of 15 months. All records of women who gave birth in the maternity ward of the zonal hospital from January 2024 to March 2025 were included in the study. A total of 30 records of women who presented with HPPI were retained. Data were collected from medical records and analyzed descriptively with R software versions 4.4.2. Qualitative variables were expressed as percentages and quantitative variables as means with their standard deviations. Out of a total of 1169 deliveries recorded during the period, 30 women had Immediate Postpartum Hemorrhage, a prevalence of 2.56%. The average age of patients with postpartum hemorrhage is 27.13 years ± 6.40 years, with extremes of 17 and 44 years. The average gestation observed in this study was 3.56 ± 2.04, with extremes ranging from 1 to 8. The average parity is 3.06 ± 2.09. The average number of prenatal consultations (CPN) carried out by the women surveyed was 3.03 with a standard deviation of 2.14. 66.67% were referred from another health facility. Uterine atony is identified as the main cause of PPH, followed by birth canal trauma. The majority of patients are successfully managed with the use of oxytocics and other medical interventions. HPPI is a major obstetric emergency and remains one of the leading causes of maternal mortality. It occurs within 24 hours of delivery and requires rapid and effective management. Its prevention relies on active management of delivery and identification of risk factors. Keywords: HPPI; prevalence, associated factors; HZ Savè

ABSTRACT The study aimed to assess the prevalence of uncontrolled hypertension and associated factors among hypertensive patients on follow up in selected public hospitals. This cross-sectional study was conducted from February to March 15, 2022. The study participants were selected by systematic random sampling technique, and data were collected using a structured and pretested questionnaire and a patient chart review. The collected data were analyzed using SPSS version 25. Binary and multivariate logistic regression was used. A total of 336 adult hypertensive patients were selected from this 94.6% of them were participated in the study, and the mean age of participants was 59.71 ±7.552 years. The prevalence of uncontrolled hypertension was 48.1%. Advanced age, comorbidity, non-adherence to low-salt diets, Alcohol abuse, weight management activities and comorbidities such as diabetes and cardiovascular diseases were significantly associated with uncontrolled hypertension in the multiple logistic regression analysis. Hypertensive patients who were obese or high body mass index was 4.7 times more likely to have uncontrolled hypertension, and patients who were not adherent to Alcohol abstinence 2.5 times more likely to have uncontrolled hypertension. The prevalence of uncontrolled hypertension in this study was very high, and non-adherence to a low-salt diet, physical exercise, and weight management were significantly associated with uncontrolled hypertension. Therefore, The Federal Ministry of Health should develop national strategic guidelines and public health initiatives focusing on education, lifestyle modification. Keywords: Uncontrolled hypertension, prevalence, associated factors, Adult patients