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Risk factors for uterine atony in two semi-urban hospitals


International Journal of Pregnancy & Child Birth
Elie Nkwabong,1 Celestine Koumwo Mouafo,2 Théophile Nana Njamen3

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Abstract

Objective: To look for uterine atony (UA) risk factors (RFs). To look for uterine atony (UA) risk factors (RFs).

Methods: This case-control study was carried out between 1st February and 31st May 2019. All women with or without UA were recruited. The main variables recorded included gestational age at delivery, past-history of macrosomic baby (≥4000g), third trimester malaria, intrapartum fever, time spent from four cm cervical dilatation to delivery (TFD), birthweight, UA or not. Data were analysed using SPSS 21.0. Fisher’s exact test, t-test and logistic regression were used for comparison. The level of significance was P<0.05.

Results: UA was present among 49 women (5.5%). Significant RFs for UA included multiple pregnancy (aOR 7.14, 95%CI 2.01-21.43), delivery before 34 weeks (aOR 5.72, 95%CI 1.24-22.04), TFD ?10 hours (aOR 5.57, 95%CI 1.34-26.03), macrosomic baby (aOR 3.64, 95%CI 1.37-9.46), recent malaria or preeclampsia (aOR 3.11, 95%CI 1.11-9.79).

Conclusion: Measures to manage UA should be made ready when these RFs are present.

Keywords

uterine atony, risk factors, delivery before 34 weeks, malaria or preeclampsia within one month prior to delivery

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