Research Article
Anemia and Associated Factors Among Women Delivered by Cesearean Section at Public Hospitals in West Hararghe Zone, Eastern Ethiopia, 2024: A Cross-Sectional Study Study
Teshome Ketema Sime*
,
Yared Getahun,
Dejene Edosa,
Mukemil Awol,
Wakuma Fulea Gutema
Issue:
Volume 14, Issue 4, August 2026
Pages:
86-96
Received:
19 June 2026
Accepted:
7 July 2026
Published:
27 July 2026
Abstract: Background: Anemia in the postpartum period remains a considerable public health problem in developing countries. It is the most common indirect cause of maternal morbidity and mortality. While prenatal anemia is extensively studied, the literature on post-caesarean section anemia is limited. Almost no study was conducted in west Hararge zone. Knowing the magnitude of post-cesarean cesarean section anemia can contribute to the scientific evidence regarding the prevalence of post-cesarean cesarean section anemia and used for policy brief. Therefore, The study aimed to assess anemia and associated factors among mothers delivered by cesarean section in public hospitals of West Hararge zone; 2024 Methods: A facility-based cross-sectional study was conducted among among 311 postpartum having cesarean section women admitted to six hospitals of West Hararge zone in Eastern Ethiopia. Simple random sampling technique was used to select the respondents. Data was collected using a pre-tested, structured interviewer-administered questionnaire. Both primary and secondary data were used. The collected data was entered into Epi-Data version 3.1 and analyzed using SPSS version 26. Results: This study revealed that the magnitude of post cesarean section anemia was 24.8%, 95% confidence interval (21.37-28.24)). factors such as hypertension history (AOR=1.90; 95% CI (1.004, 3.607)), postpartum hemorrhage (AOR=4.04; 95% CI (1.638, 9.974)), and No Adherence to IFA supplementation (AOR=3.08; 95% CI (1.224, 7.770)) were identified as the determinants of post cesarean section anemia. Conclusion: The current study showed high magnitude of anemia when compared with previous studies. So, action should be taken by all concerned stakes to minimize the burden of the anemia in the post cesarean section. Significant predictors of post c/s anemia includes: perineal tear, hypertension history, and postpartum hemorrhage. A more careful strategy is ideal to decrease the burden of hypertension during pregnancy, early anticipation and timely management of high index of suspicion in mothers diagnosed with postpartum hemorrhage, are recommended to tackle the burden of post cesarean section anemia.
Abstract: Background: Anemia in the postpartum period remains a considerable public health problem in developing countries. It is the most common indirect cause of maternal morbidity and mortality. While prenatal anemia is extensively studied, the literature on post-caesarean section anemia is limited. Almost no study was conducted in west Hararge zone. Know...
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Research Article
Near-Miss Maternal Mortality: Survival After Massive Postpartum Hemorrhage, Disseminated Intravascular Coagulopathy, and Multiorgan Failure
Ibrahim Kattoush,
Haya Ewidat,
Ayat Fararjeh,
Malak Hamdan,
Khawlla Ghraeb,
Mohammed Alra’e*,
Mohammad Saya’Reh,
Montaser Shrouf
Issue:
Volume 14, Issue 4, August 2026
Pages:
97-100
Received:
16 March 2026
Accepted:
13 April 2026
Published:
24 August 2026
Abstract: Background: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Primary PPH, occurring within the first 24 hours after delivery, is the most common form and may rapidly progress to disseminated intravascular coagulation (DIC), multiorgan failure, and maternal near-miss events if bleeding is not promptly controlled. Patients with underlying thrombophilia are at increased risk for severe hemorrhage and coagulopathy. Case Presentation: A 35-year-old gravida 8, para 4, aborta 3 woman with Factor V Leiden thrombophilia presented for elective induction of labor at 38+4 weeks. Antenatal care was suboptimal. She initially underwent vaginal delivery but was converted to Cesarean section due to labor complications. Immediately postpartum, she developed severe PPH secondary to uterine atony, unresponsive to uterotonics and balloon tamponade. Total abdominal hysterectomy was performed, but hemorrhage persisted. Interventions: Surgical re-exploration identified bleeding from the left infundibulopelvic ligament. Hemostasis was achieved via bilateral internal iliac artery ligation and left oophorectomy. The patient received approximately 60 units of blood products, including packed RBCs, platelets, and fresh frozen plasma. She required ICU admission for disseminated intravascular coagulation (DIC), multiorgan failure, vasopressor support (norepinephrine and vasopressin), mechanical ventilation, and empirical broad-spectrum antibiotics. Outcome: The patient gradually improved, with hemodynamic stabilization, resolution of DIC, and normalization of renal and hepatic function. She was discharged in stable condition on postpartum day 11. Conclusion: This case demonstrates that hysterectomy may not always control catastrophic PPH. Early recognition of alternative bleeding sources, aggressive resuscitation, and multidisciplinary critical care are essential, especially in high-risk patients with thrombophilia, to improve survival in patients with refractory primary postpartum hemorrhage.
Abstract: Background: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Primary PPH, occurring within the first 24 hours after delivery, is the most common form and may rapidly progress to disseminated intravascular coagulation (DIC), multiorgan failure, and maternal near-miss events if bleeding is not promptly con...
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