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Predictors of puerperal menstruation

Author

Listed:
  • George Uchenna Eleje
  • Emmanuel Onyebuchi Ugwu
  • Victor Okey Dinwoke
  • Perpetua Kelechi Enyinna
  • Joseph Tochukwu Enebe
  • Innocent Igwebueze Okafor
  • Livinus Nnanyere Onah
  • Osita Samuel Umeononihu
  • Chukwudi Celestine Obiora
  • Sylvester Onuegbunam Nweze
  • Ekene Agatha Emeka
  • Chinekwu Sochukwu Anyaoku
  • Frank O Ezugwu

Abstract

Background: Puerperal period is an important and thought-provoking period for puerperal mothers. Surprisingly, reports have indicated that there is increasing number of women resuming menstruation within six weeks of childbirth (puerperal menstruation). To the best of knowledge, there is no prior study on predictors of puerperal menstruation. Objective: To determine frequency and predictors of puerperal menstruation. Methods: This was a single tertiary health institution cross-sectional study at ESUT Teaching Hospital, Parklane, Enugu, Nigeria that included data from May 2015 to December 2018. Women were interviewed at the end of the first six weeks of their childbirth. Women with HIV positive or had uterine rupture or peripartum hysterectomy were excluded. Bivariate analysis was performed by the chi-squared test and conditional logistic regression analysis was used to determine variables associated with puerperal menstruation. Statistical significance was accepted when P- value is 0.05, for all) Conclusion: One in 3 women resumes menstruation within 6 weeks of childbirth. The major predictor was early initiation of family planning, and exclusive breastfeeding with manual removal of placenta a major protective factor. These interesting issues require further investigation to better understand the mechanism of puerperal menstruation.

Suggested Citation

  • George Uchenna Eleje & Emmanuel Onyebuchi Ugwu & Victor Okey Dinwoke & Perpetua Kelechi Enyinna & Joseph Tochukwu Enebe & Innocent Igwebueze Okafor & Livinus Nnanyere Onah & Osita Samuel Umeononihu & , 2020. "Predictors of puerperal menstruation," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-11, July.
  • Handle: RePEc:plo:pone00:0235888
    DOI: 10.1371/journal.pone.0235888
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    References listed on IDEAS

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    1. Kouyaté, Robin Anthony & Ahmed, Salahuddin & Haver, Jaime & McKaig, Catharine & Akter, Nargis & Nash-Mercado, Angela & Baqui, Abdullah, 2015. "Transition from the Lactational Amenorrhea Method to other modern family planning methods in rural Bangladesh: Barrier analysis and implications for behavior change communication program intervention ," Evaluation and Program Planning, Elsevier, vol. 50(C), pages 10-17.
    2. Laxmi K. Dwivedi, 2013. "Maternal nutritional status and lactational amenorrhea in India: a simulation analysis," Statistics in Transition new series, Główny Urząd Statystyczny (Polska), vol. 14(1), pages 107-128, March.
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