Towards 2015: post-partum haemorrhage in sub-Saharan Africa still on the rise.

Faraja Mpemba
Faraja Mpemba
Dalian Medical University
Dr. Sylvanus Kampo, Ph.D.,, CRA., RN.
Dr. Sylvanus Kampo, Ph.D.,, CRA., RN.
First Affiliated Hospital of Dalian Medical University.
Ph.D. Student
Dalian , Liaoning | China
Dr. Xinyu Zhang, PhD
Dr. Xinyu Zhang, PhD
University of Illinois at Urbana-Champaign

J Clin Nurs 2014 Mar 8;23(5-6):774-83. Epub 2013 Mar 8.

Department of Nursing, Dalian Medical University, Dalian, China.

Aims And Objectives: To review literature from 1996-2012 relating to factors associating with the persistent maternal mortality rate (MMR) caused by post-partum haemorrhage (PPH) in sub-Saharan Africa.

Background: One woman dies every seven minutes, at the same time, one-quarter of all maternal death worldwide is being caused by PPH. The aim of United Nations Fifth Millennium Development Goal 5 is to lower MMR by three quarters between 1990-2015.

Design: Narrative literature review.

Methods: Study articles from 1996-2012 were searched in electronic databases MEDLINE, Cochrane, PubMED, Google's scholar and manual searches. Combinations of the following search words were used: post-partum haemorrhage/bleeding, sub-Saharan Africa/rural areas, antenatal/obstetric care/maternal mortality/skilled care at birth/maternity care/health survey. 125 article abstracts were read, and 50 full articles used in this review.

Results: Every day about 800 women died due to birth complications in 2010: of the 800 maternal deaths worldwide, 440 occurred in sub-Saharan Africa with PPH being the main cause. Common causes of PPH are related to failure of the healthcare system, inaccurate estimation of blood loss after delivery and lack of skills to prevent and manage PPH.

Discussion: Special attention is needed with emphasis on regular attendance of antenatal clinic, proper information concerning pregnancy and delivery, skills to accurate estimate blood loss, and prevention and management of PPH.

Conclusion: PPH is the leading cause of MMR in areas where essential care and skilled health attendants are limited. Basic Emergency Obstetric Care and arrangements for timely referral to the big hospital with facilities must be practiced everywhere.

Relevance To Clinical Practice: This review may help to remind health workers and the government that maternal mortality due to PPH is still higher and more interventions are needed.

Download full-text PDF

Source Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
March 2014
7 Reads
4 Citations
1.233 Impact Factor

Publication Analysis

Top Keywords

blood loss
post-partum haemorrhage
sub-saharan africa
maternal mortality
africa pph
pph main
main common
common pph
occurred sub-saharan
deaths worldwide
maternal deaths
worldwide 440
pph failure
440 occurred
800 maternal
healthcare system
skills prevent
lack skills
prevent manage


(Supplied by CrossRef)
Postpartum hemorrhage in a teaching hospital in Nigeria: a 5-year experience
Ajenifuja et al.
African Health Sciences 2010
Prevention and management of postpartum hemorrhage
Anderson et al.
American Family Physician 2007
Improving the accuracy of estimated blood loss at obstetric hemorrhage using clinical reconstructions
Bose et al.
BJOG: An International Journal of Obstetrics and Gynaecology 2006

Central Statistical Office (CSO) & Macro International Inc et al.

Central Statistical Office (CSO), Ministry of Health (MOH), Tropical Diseases Research Centre (TDRC), University of Zambia & Macro International Inc et al.
Service providers' perception of the quality of emergency obstetric care provided and factors identified which affect the provision of quality care
Chodzaza et al.
Malawi Medical Journal 2010
Current obstetrics & gynecology diagnosis and treatment, 9th edition
DeCherney et al.
East African Medical Journal 2002

Similar Publications