RCOG World Congress 2025

Title : Prevalence and Factors Associated with Post Cesarean Delivery Anemia at Ghandi Memorial Hospital, Addis Ababa, Ethiopia:

Investigator : Dr. Semere Fiseha ( MD, Assistant Professor of Obstetrics and Gynecology)

Advisors : Dr. Yitbarek Fantahun ( MD, Assistant Professor of Obstetrics and Gynecology, REI subspecialist)

: Dr. Seid Aragie (MD, Assistant Professor of Obstetrics and Gynecology, MFM subspecialist)

Background

oPostpartum anemia is a neglected, though preventable, health issue

oCaesarean section is one of the most common operations worldwide ;

oMain risk for both intraoperative and postpartum hemorrhage

oPose higher maternal morbidity and mortality compared to other modes of deliveries

oThe immediate postpartum phase is usually given least importance

Statement of the problem

oPostpartum hemorrhage, in association with caesarean section surgery, is a leading global cause of maternal morbidity and mortality

oCesarean delivery is associated with an increased risk of postpartum blood loss and related morbidity compared with vaginal delivery

Significance of the study

oThe health of women in the postpartum has been little studied and has been given little attention not only by clinicians and researchers but also by women themselves

oWhile prenatal anemia is extensively studied, the literature on post-caesarean section anemia is limited

oCharacteristics of women at the highest risk of developing anemia after caesarean section are unknown.

oThe performance of postpartum hematocrit measurements after cesarean delivery to identify patients who are anemic is a standard practice in most hospitals and is the recommendation in most scientific bodies

oThere are only few published literatures in our country

This paper will give us an objective evidence of the disease burden

Objectives – To determine the Prevalence and Factors Associated with Post Cesarean Delivery Anemia at Ghandi Memorial Hospital, Addis Ababa, Ethiopia.

Methods – Institutional based cross-sectional study was conducted at Gandhi memorial Hospital. A total of 422 mothers who underwent cesarean delivery were included in this study and using simple consecutive sampling technique, data was collected from October 1 /2022 to February 28/2023. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. A p-value <0.05 was considered significant. Variables which were significantly associated by bivariate analysis were further processed by multivariate analysis.

Result - The prevalence of post cesarean delivery anemia was 39.8% (n= 167). interpregnancy interval of <24months [AOR=2.9; 95% CI (1.52, 5.48)], previous uterine scar [AOR=1.9; 95% CI (1.38, 3.62)], having chronic medical illness [(AOR=5.6; 95% CI (2.64, 11.73)], meal frequency of <3 times per day [(AOR=5.9; 95% CI (2.72, 12.86)], having obstetric complications [ (AOR=2.1; 95% CI (1.02, 4.18)] and emergency cesarean section [(AOR=3.4; CI (1.77, 6.63)] were significantly associated with post cesarean delivery anemia.

Conclusion and recommendations - The findings of this study showed that the prevalence of post cesarean delivery anemia at Ghandi memorial Hospital was high (39.8%). Preconception care, increasing utilization of family planning services, counseling on meal pattering and other specific interventions that will decrease the impact of the above listed independent factors must be practiced and further research is recommended to represent the general population and address limitations of this study.

RCOG World Congress 2025

Prevalence & Factors Associated with Post Cesarean Delivery Anemia at Ghandi Memorial Hospital

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