Prevalence and Factors Associated with Postpartum Hemorrhage Among Women Delivering at Kampala International University Teaching Hospital Bushenyi District

TABLE OF CONTENTS

APPROVAL ......................................................................................................................................... iii

DEDICATION...................................................................................................................................... iv

ACKNOWLEGMENT.......................................................................................................................... v

TABLE OF CONTENTS ..................................................................................................................... vi

LIST OF FIGURES.............................................................................................................................. ix

LIST OF TABLES................................................................................................................................. x

LIST OF ACRONYMS ......................................................................................................................... x

OPERATION DEFINITIONS ............................................................................................................ xii

ABSTRACT.........................................................................................................................................xiii

1.0 INTRODUCTION ...........................................................................................................................1

1.1 BACKGROUND..............................................................................................................................1

1.2 PROBLEM STATEMENT..............................................................................................................2

1.3 OBJECTIVES..................................................................................................................................3

1.3.1 GENERAL OBJECTIVE .........................................................................................................3

1.3.2 SPECIFIC OBJECTIVES ........................................................................................................3

1.4 RESEARCH QUESTIONS .............................................................................................................3

1.5 SIGNIFICANCE..............................................................................................................................3

1.6 CONCEPTUAL FRAME WORK...................................................................................................5

1.7 SCOPE OF THE STUDY................................................................................................................6

1.7.1 GEOGRAPHICAL SCOPE .........................................................................................................6

1.7.2 TIME SCOPE...............................................................................................................................6

1.7.3 CONTENT SCOPE ......................................................................................................................6

CHAPTER TWO: .................................................................................................................................7

LITERATURE REVIEW .....................................................................................................................7

2.0 INTRODUCTION ...........................................................................................................................7

2.1 PATIENTS’ FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE ...................7

2.2 PREVALENCE OF POSTPARTUM HEMORRHAGE................................................................8

2.3HEALTH FACILITY FACTORS ASSOCIATED WITH POSTPARTUM HAEMORRHAGE..9

CHAPTER THREE............................................................................................................................. 11

3.0 METHODOLOGY ........................................................................................................................ 11

3.1 STUDY DESIGN ........................................................................................................................... 11

3.2 STUDY AREA............................................................................................................................... 11

vii

3.3 VARIABLES: DEPENDENT AND INDEPENDENT.................................................................. 12

3.4 STUDY POPULATION ................................................................................................................ 12

3.5 SAMPLE SIZE DETERMINATION............................................................................................ 12

3.6 SAMPLING METHODS............................................................................................................... 12

3.7 INCLUSION AND EXCLUSION CRITERIA ............................................................................. 13

3.7.1 INCLUSION CRITERIA ........................................................................................................... 13

3.7.2 EXCLUSION CRITERIA .......................................................................................................... 13

3.8 DATA COLLECTION METHODS.............................................................................................. 13

3.9 METHODS OF DATA ANALYSIS.............................................................................................. 13

3.10 DATA QUALITY CONTROL.................................................................................................... 13

3.11 DATA PRESENTATION METHODS........................................................................................ 13

CHAPTER FOUR: FINDINGS OF THE STUDY (RESULTS)........................................................ 15

4.0 INTRODUCTION. ........................................................................................................................ 15

4.1 RESPONDENTS DEMOGRAPHIC DATA................................................................................. 15

OBSTETRICAL DATA ...................................................................................................................... 17

4.2. PREVALENCE FOR POSTPARTUM HEMORRHAGE AMONG WOMEN DELIVERING

IN KIU-TH ISHAKA BUSHENYI. .................................................................................................... 17

4.2.1. PREVALENCE OF POSTPARTUM HEMORRHAGE. ..................................................... 17

4.3. PATIENT FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE AMONG

WOMEN DELIVERING IN KIU-TH, ISHAKA BUSHENYI. ......................................................... 18

4.4. HOSPITAL FACTORS ASSOCIATED WITH POSTPARTUM HEMORRHAGE AMONG

WOMEN DELIVERING IN KIU-TH, ISHAKA BUSHENYI.......................................................... 19

CHAPTER FIVE: DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS. ..................... 20

5.0 INTRODUCTION ......................................................................................................................... 20

5.1 DISCUSSION ................................................................................................................................ 20

5.1.1. PREVALENCE...................................................................................................................... 20

5.1.2. HOSPITAL FACTORS. ........................................................................................................ 20

5.1.3. PATIENT FACTORS............................................................................................................ 20

REFERENCE:..................................................................................................................................... 23

APPENDIX A; CONSENT FORM..................................................................................................... 24

APPENDIX B: QUESTIONNAIRE.................................................................................................... 25

APPENDIX C: WORK PLAN............................................................................................................ 28

APPENDIX D: A MAP OF UGANDA ............................................................................................... 29

APPENDIX E: A MAP OF BUSHENYI............................................................................................. 30