MAGNITUDE OF POSTPARTUM MORBIDITY AND ASSOCIATED FACTORS AMONG POSTPARTUM WOMEN IN PUBLIC HEALTH FACILITIES IN BALE ROBE TOWN, OROMIA REGION SOUTHEAST ETHIOPIA, 2022.

Abstract

Background: - Postpartum morbidity refers to a disease or complications that happen after the placenta has been expelled from one hour to six weeks after childbirth. Most maternal morbidity and newborn deaths occur during this period. The highest burden of postpartum maternal morbidity is in Sub Saharan Africa. Ethiopia has one of the highest estimated numbers of maternal deaths and estimated to be 205 per 100,000 live but the number of postpartum maternal morbidity is expected to exceed far more than this. Therefore, this study aims to assess the Magnitude of postpartum morbidities and associated factors in Bale Robe town, southeast Ethiopia, from April 1 to May 30, 2022 Method: A facility-based cross-sectional study design was employed in public health facilities in Bale Robe Town, among postpartum women attending post-natal health care services with a total sample size of 366. The collected data were coded, entered, checked, and cleaned by Epi-data 3.1 and exported to a statistical software package, SPSS 25, for data analysis. Then, bivariate regression analysis was performed to see the association of individual variables to the dependent variable of the study. Then multivariable analysis was done to analyze factors that are associated with the dependent variables. Factors that were < 0.25 significance level in the bivariate logistic regression analysis were considered in the multivariable logistic regression analysis. In multivariable analysis, the statistically significant declared at p-value < 0.05. Result: A total of 366 participants were involved in the study which give us a response rate of 98.6%. The magnitude of postpartum morbidities among mothers was found to be 102 (27.9 %) with confidence interval of (95%CI = 23.3, 32.8). Women who had no ANC follow-up (AOR = 2.472 95%CI 1.357, 4.502), Instrumental delivery (AOR = 2.690, 95%CI 1.161, 6.235), Unskilled birth attendant (AOR = 3.354, 95%CI 1.058, 10.630), Rural Residence (AOR = 2.210, 95%CI 1.255, 3.894) and Current Pregnancy-related morbidity or abnormality (AOR= 3.809 95%CI 2.001, 7.250) were the factors associated with postpartum maternal morbidity. Conclusion: - This study revealed that the occurrence of postpartum morbidity in public health facilities in Bale Robe town is a great health concern. Complications on current pregnancy, instrumental delivery, rural residents, women’s who delivered by an unskilled birth attendant and ANC visits were factors associated with maternal postpartum morbidity Therefore, we should focus on access to prenatal care services, early detection and management of intrapartum abnormalities, educating mothers on the benefits of skilled birth attendant and give great attention while using instrumental deliveries