scholarly journals Audit of maternal deaths at the Saint Louis regional hospital from 2017 to 2019

2021 ◽  
Vol 12 (5) ◽  
pp. 331-335
Author(s):  
Ousmane Thiam ◽  
Khadim Niang ◽  
Djibryl Bahaid Sow ◽  
Cherif Cheikh Tourade Sarr ◽  
Aliou Diouf ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Causes Of Death ◽  
Regional Hospital ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Saint Louis ◽  
Software Analysis ◽  
Nulliparous Women ◽  
Hospital Center

Objective: To audit maternal deaths at the regional hospital center of Saint-Louis. Materials and methods: This was a retrospective cross-sectional study of all maternal deaths that occurred between January 1, 2017 and December 31, 2019 at the Saint-Louis regional hospital center. Data were entered on EXCEL 2013 software. Analysis was performed on Epi Info version 3 software. Results: During our study, 73 cases of maternal death were collected. Maternal mortality was 520 per 100 000 live births. The mean age of the patients was 28.1 years±6.8. Multiparous women accounted for 43.8% and nulliparous women for 1.3%. The causes of maternal death were obstetric hemorrhage (28.77%), hypertension and its complications (20.55%), labour dystocia (15.07%) and anemia (6.85%). Direct obstetric causes of death were responsible for 64.38% of cases and indirect obstetric causes were seen in 35.62%. Death occurred postpartum in 68% of cases, during pregnancy in 25% and during labor in 7%. Death was preventable in 77.5% of cases. Conclusion: Maternal mortality is a real health problem in our practice. It affects young women. Indirect causes of death are becoming more significant causes of death in our practice. Maternal mortality is avoidable in the majority of cases.

scholarly journals Causes of maternal deaths and delays in care: Comparison between routine Maternal Death Surveillance and Response system and an obstetrician expert panel in Tanzania

2020 ◽  
Author(s):  
Ali Said ◽  
Mats Malqvist ◽  
Andrea B. Pembe ◽  
Siriel Massawe ◽  
Claudia Hanson
Keyword(s):  
Maternal Death ◽  
Causes Of Death ◽  
Expert Panel ◽  
World Health ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Surveillance And Response ◽  
Independent Expert ◽  
Underlying Causes ◽  
Three Phases

Abstract Background To reduce maternal mortality Tanzania introduced Maternal Death Surveillance and Response (MDSR) system in 2015 as recommended by World Health Organization (WHO). All health facilities are to notify and review all maternal deaths inorder to recommend quality improvement actions to reduce deaths in future. The system relies on consistent and correct categorization of causes of maternal deaths and three phases of delays. To assess its adequacy we compared the routine MDSR categorization of causes of death and three phases of delays to those assigned by an independent expert panel with additional information from Verbal Autopsy (VA). Methods Our cross-sectional study included 109 reviewed maternal deaths from two regions in Tanzania for the year 2018. We abstracted the underlying medical causes of death and the three phases of delays from MDSR system records. We interviewed bereaved families using the standard WHO VA questionnaire. The obstetrician expert panel assigned underlying causes of death based on information from medical files and VA according to International Classification of Disease to Death in Pregnancy Childbirth and Puerperium (ICD-MM).They assigned causes to nine ICD-MM groups and identified the three phases of delays. We used Cohen`s K statistic to compare causes of deaths and delays categorization.Results Comparison of underlying causes was done for 99 deaths. While 109 and 84 deaths for expert panel and MDSR respectively were analyzed for delays because of missing data in MDSR system. Expert panel and MDSR system assigned the same underlying causes in 64(64.6%) deaths (K statistic 0.60). Agreement increased in 80(80.8%) when causes were assigned by ICD-MM groups (K statistic 0.76). The obstetrician expert panel identified phase one delays in 74(67.9%), phase two in 24(22.0%) and phase three delays in all 101(100%) deaths that were assessed for this delay while MDSR system identified delays in 42(50.0%), 10(11.9%) and 78(92.9%).The expert panel found human errors in management in 94(93.1%) while MDSR system reported in 53(67.9%) deaths.Conclusions MDSR committees performed reasonably well in assigning underlying causes of death. The obstetrician expert panel found more delays than reported in MDSR system indicating difficulties within MDSR teams to critically review deaths.

scholarly journals Maternal Mortality: A Review from Eastern Nepal

2014 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
P Rijal ◽  
A Agrawal ◽  
H Pokharel ◽  
T Pradhan ◽  
MC Regmi
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Causes Of Death ◽  
University Teaching ◽  
Unsafe Abortion ◽  
Rural Residence ◽  
Maternal Deaths ◽  
Case Record ◽  
Puerperal Sepsis ◽  
Significant Factors

Aims: This study was done to assess the main causes of maternal mortality and other co-morbid factors contributing to maternal death at a university teaching hospital. Methods: A retrospective study was carried out in the department of Obstetrics and Gynecology analyzing all case record of maternal deaths from April 2008 to April 2011. Results: Eclampsia, unsafe abortion, puerperal sepsis, hemorrhages were the leading causes of death. Majority of the patients were unbooked. Conclusions: Eclampsia, sepsis and hemorrhage were the main causes of maternal deaths. Elderly ages, illiterate status, rural residence, presence of prior medical disease were statistically significant factors contributing to maternal death. DOI: http://dx.doi.org/10.3126/njog.v9i1.11185 NJOG 2014 Jan-Jun; 2(1):33-36

scholarly journals Maternal Mortality at the Dori Regional Hospital in Northern Burkina Faso, 2014-2016

2019 ◽  
Vol 7 (2) ◽  
pp. 235-241
Author(s):  
Hyacinthe Zamané ◽  
Hyacinthe Euvrard Sow ◽  
Dantola Paul Kain ◽  
Brice Wilfried Bicaba ◽  
Sibraogo Kiemtoré ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Burkina Faso ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Regional Hospital ◽  
Sub Saharan Africa ◽  
Maternal Deaths ◽  
Live Births ◽  
Sahel Region

Background: Maternal mortality is of considerable magnitude. It is particularly relevant to developing countries, including those in Sub-Saharan Africa. The aim of this work was to study the cases of maternal deaths in the Dori Regional Hospital, Burkina Faso in the Sahel region, by analyzing the epidemiological aspects of these deaths in order to guide decision-making. Methods: This was a descriptive cross-sectional study which spanned the period from January 1, 2014 to December 31, 2016. Cases of maternal death and live births that occurred in the hospital during this period were collected by documentary review. Results: A total of 141 maternal deaths and 2,626 live births were recorded with a maternal mortality ratio of 5,369 for 100,000 live births. In 99 (72.20%) cases, death occurred in the postpartum. A home delivery had been reported in 33.70% of cases. Direct obstetric causes were found in 72.10% of cases. They were mainly represented by infections (32.40%) and hemorrhages (23%). Anemia was the indirect cause of death in 25 women (17.80%). The delay in health care access and the lack of blood products contributed to maternal deaths in 64.50% and 26.20% of cases. Conclusion and Global Health Implications: An intensification of awareness-raising messages about the importance of the rapid use of health care is necessary. Also, systematic audits of maternal deaths in the care environment and in the community would make it possible to clarify the determinants of maternal mortality in the Sahel region and to provide adequate solutions. Key words: Maternal Death • Maternal Mortality • Women’s Health • Burkin Faso • Dori Hospital • Sahel Region

scholarly journals A Cross-sectional Study to Evaluate Causes of Maternal Mortality in Rural Areas of Punjab, India

2021 ◽  
Author(s):  
Sarbhjit Kaur ◽  
Navneet Kaur ◽  
Manjit Kaur Mohi ◽  
Manjeet Kaur ◽  
Neeraj Singh ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Rural Areas ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Common Cause ◽  
Socio Economic Status

Introduction: Maternal mortality is an index of reproductive health of the society. In India illiteracy, late referrals, low socio-economic status of the community and direct causes are responsible for high incidence of maternal deaths which contributes to one-fifth of the global burden. Aim: To evaluate the causes of maternal death in rural areas of Punjab. Materials and Methods: The present retrospective cross-sectional study was conducted in 10 districts of Punjab, India chosen from five different zones i.e., east, west, north, south and central zone for a period of one year from 2016 to 2017. Information of all the deaths was taken from the civil surgeon office of the chosen district and then data of maternal deaths occurring within 42 days of delivery was collected by visiting patient’s residence and verbal autopsy was conducted. The data was collected and entered in predesigned proforma and percentages were calculated in Microsoft Excel version 2016. Results: A total of 67 maternal deaths were noted from above five zones, out of total rural population of 94,59,553. Maximum (n=51) maternal deaths were between age range of 20-30 years. Of these 67, majority 29 (43.28%) were illiterate, 66 (98.5%) women belonged to middle and low socio-economic status, 55 (82.1%) deaths occurred in the postnatal period, 33 (49.25%) occurred at more than 37 weeks period of gestation and 51 (76.12%) were due to direct causes. Out of 67 deaths, haemorrhage (n=29) was the most common cause. Anaemia contributed to 16.7% (11) as an indirect cause of maternal death. Conclusion: The maximum maternal deaths were contributed by illiterate women from middle and low socio-economic status. The most common cause was postpartum haemorrhage followed by pre-eclampsia/eclampsia.

scholarly journals PROFIL KEMATIAN MATERNAL DI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE 1 JANUARI 2012 – 31 DESEMBER 2013

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Steven Mattarungan
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Cause Of Death ◽  
Maternal Death ◽  
Occupation Number ◽  
Education Level ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Status Number ◽  
Referral Status

Abstract: Maternal death is a death that occurs in women during pregnancy or within 42 days after the end of pregnancy , irrespective of time and location of pregnancy , caused by anything related to pregnancy , or aggravated by the pregnancy or its management, but not the death that caused by accident or coincidence . This study aims to separately determine the picture of maternal mortality in the RSU Prof. BLU . R. D. Kandou Manado years 2012-2013 and the factors that influence it . The method used in this study is a retrospective descriptive cross-sectional approach . This study found 21 cases of maternal deaths in 2012 and 17 cases in 2013 . Highest cause of maternal deaths in 2012 was sepsis followed by hemorrhage , eclampsia / pre- eclampsia , and by other causes . While maternal deaths in 2013 due to most other causes , followed by eclampsia / pre - eclampsia , sepsis and hemorrhage . It is concluded that maternal mortality is influenced by age , education level , occupation , number of parity , marital status , number of antenatal care , referral status , and cause of death . Keywords : Maternal death, mother identitiy, antenatal care, referral status, cause of death   Abstrak :Kematian maternal adalah kematian wanita yang terjadi pada saat kehamilan atau dalam 42 hari setelah berakhirnya kehamilan, tidak tergantung dari lama dan lokasi kehamilan, disebabkan oleh apapun yang berhubungan dengan kehamilan,  atau yang diperberat oleh kehamilan tersebut, atau penanganannya, akan tetapi bukan kematian yang disebabkan oleh kecelakaan atau kebetulan. Penelitian ini bertujuan utnuk mengetahui gambaran kematian maternal di BLU RSU Prof. R. D. Kandou Manado tahun 2012-2013 dan faktor faktor yang mempengaruhinya. Metode yang digunakan dalam penelitian ini adalah metode deskriptif retrospektif dengan pendekatan potong lintang. Pada penelitian ini ditemukan 21 kasus kematian maternal pada tahun 2012 dan 17 kasus pada tahun 2013. Penyebab kematian maternal terbanyak pada tahun 2012 adalah sepsis diikuti oleh perdarahan, eklampsia / pre eklampsi, dan oleh sebab yang lain. Sedangkan kematian maternal pada tahun 2013 terbanyak disebabkan oleh penyebab yang lain-lain, diikuti oleh eklampsi / pre-eklampsi, sepsis dan perdarahan. Dapat disimpulkan bahwa kematian maternal dipengaruhi oleh umur, tingkat pendidikan, pekerjaan, jumlah paritas, status pernikahan, jumlah pemeriksaan antenatal, status rujukan, dan penyebab kematian. Kata kunci: Kematian maternal, identitas ibu, pemeriksaan antenatal, status rujukan, penyebab kematian.

Comparative analysis of maternal mortality in the Far Eastern and Siberian Federal Districts

2020 ◽  
Vol 19 (6) ◽  
pp. 117-123
Author(s):  
T.E. Belokrinitskaya ◽  
◽  
N.V. Artymuk ◽  
O.S. Filippov ◽  
E.M. Shifman ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Maternal Mortality ◽  
Causes Of Death ◽  
Federal District ◽  
Siberian Federal District ◽  
Obstetric Hemorrhage ◽  
Maternal Deaths ◽  
Federal Districts ◽  
Systematic Development ◽  
Far Eastern

Objective. To perform comparative analysis of parameters and structure of maternal mortality (MM) in the Far Eastern Federal District (FEFD) and Siberian Federal District (SFD) in 2014–2019. Materials and methods. The database for analysis was generated using map-based emergency notifications of maternal deaths (69 in FEFD and 180 in SFD). We used methods of descriptive statistics, Pearson's χ2-test, and calculated odds ratios (ORs) with 95% confidence intervals (95% CIs). Results. Between 2014 and 2018, the dynamics of MM in the FEFD and SFD had a one-way trend: it decreased in 2014–2017, but dramatically increased in 2018 primarily due to social factors. In 2019, we observed a significant growth of MM in the FEFD, while the SFD demonstrated a reduction of MM. The most common cause of maternal death in both districts was extragenital diseases. However, there were some differences in the structure of obstetric causes: in FEFD, preeclampsia and obstetric hemorrhage were the most frequent obstetric causes of death, while in SFD, women primarily developed embolism and placental abruption. Conclusion. The dynamics and structure of MM in the FEFD and SFD require management decisions aimed at improving medical care with the consideration of clinical guidelines, organization of continuous audit, systematic development of practical teamwork skills both in simulation training centers and healthcare institutions. Key words: Far Eastern Federal District, maternal mortality, Siberian Federal District

scholarly journals Maternal mortality-a three-year retrospective study in a rural medical college of India

2021 ◽  
Vol 10 (8) ◽  
pp. 3019
Author(s):  
Jayasree Hansda ◽  
Debobroto Roy ◽  
Krishnapada Das ◽  
Manojit Sarkar ◽  
Rumpa Das ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Demographic Profiles ◽  
Medical College ◽  
Mortality Ratio ◽  
Tragic Event

Background: Maternal mortality is a tragic event as family revolves around a mother. The deadly obstetrical triad of hemorrhage, preeclampsia and infection has accounted for a third of all deaths. This study was conducted to assess maternal mortality ratio, demographic profile and causes of maternal death.Methods: This retrospective longitudinal study was conducted in the department of obstetrics and gynecology for a period of three years from 1st January 2018-31st December, 2020. Total no of death during this period was 134.Records of deaths and demographic profiles were retrieved from the medical record library of aforesaid hospital.Results: There were 134 maternal deaths amongst 56815 live births with MMR 235.85. The majority of deaths were in 20-29 year of age group and most of the deaths seen in multigravida. The 91.79% death was observed within the 24 hours and after 72 hours. Eclampsia, preeclampsia and hemorrhage were leading cause of maternal death seen in the study.Conclusions: Maternal mortality is higher than national MMR. Majority of maternal death were preventable by proper antenatal care, early detection of high-risk pregnancies and their timely referral to tertiary care centre.

scholarly journals MATERNAL MORTALITY

2009 ◽  
Vol 16 (01) ◽  
pp. 135-138
Author(s):  
TASNIM TAHIRA REHMAN ◽  
MAHNAZ ROOHI
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Care Level ◽  
Maternal Deaths ◽  
Mortality Ratio ◽  
Study Setting ◽  
Very High

Objective: To find out maternal mortality ratio (MMR) and to determine major causes of maternal death. S t u d y d e s i g n:A descriptive study. Setting: Department of Obstetric and Gynaecology, Allied Hospital, Faisalabad. S t u d y period: From 01.01.2008 to31.12.2008. Materials a n d m e t h o d s : All cases of maternal death during this study periods were included except accidental deaths. Results:There were 58 maternal deaths during this period. Total No. of live births were 5975. MMR was 58/5975 x 100,000 = 970/100,000 live births.The most common cause of maternal death was hemorrhage (34.5%) followed by hypertensive disorders/eclampsia (31%). Most of thepatients (75.86%) were referred from primary & secondary care level. C o n c l u s i o n : Maternal mortality is still very high in underdevelopedcountries including Pakistan. We must enhance emergency obstetric care (EOC) to achieve the goal of reduction in MMR.

scholarly journals Near miss maternal morbidity and maternal mortality at Kathmandu Medical College Teaching Hospital

1970 ◽  
Vol 8 (2) ◽  
pp. 222-226 ◽  
Author(s):  
NS Shrestha ◽  
R Saha ◽  
C Karki
Keyword(s):  
Maternal Mortality ◽  
Teaching Hospital ◽  
Maternal Death ◽  
Scoring System ◽  
College Teaching ◽  
Near Miss ◽  
Hypertensive Disorder ◽  
Maternal Deaths ◽  
Medical College ◽  
Obstetric Morbidity

Background: Maternal mortality traditionally has been the indicator of maternal health all over the world. More recently review of the cases with near miss obstetric events has been found to be useful to investigate maternal mortality. Cases of near- miss are those in which women present with potentially fatal complication during pregnancy, delivery or the puerperium, and survives merely by chance or by good hospital care. Objectives: The objective of this study is to determine the prevalence and nature of near miss obstetric cases and maternal deaths at Kathmandu Medical College Teaching Hospital. Material and methods: This was a descriptive study done for the period of 24 months (1 January 2008 to 31 December 2009). Cases of severe obstetric morbidity were identified during daily morning meetings. All the cases were followed during their hospital stay till their discharge or death. Five factor scoring system was used to identify the near miss cases from all the severe obstetric morbidity. For each case of maternal death, data were collected from records of maternal death audit. Results: During the study period, 1562 women delivered at the institution and 36 women were identified as near-miss obstetrical cases. The prevalence of near miss case in this study was 2.3%. Five maternal deaths occurred during this period, resulting in a ratio of maternal death of 324 maternal deaths per 100,000 live births. Of the five maternal deaths three were due to pregnancy complicated with hepatitis E infection, one each due to Eclampsia and amniotic fluid embolism. Fifteen cases of near miss were due to haemorrhage (41.66%) and hypertensive disorder of the pregnancy was the cause in 10 (27.77%). Dystocia was the cause in 1(2.77%) case and infections in 7(19.4%) cases. Rare causes like anaesthetic complications were the cause in one case and dilated cardiomyopathy was the cause in two cases. Conclusion: The major causes of near-miss cases were similar to the causes of maternal mortality of Nepal. Need for the development of an effective audit system for maternal care which includes both near-miss obstetric morbidity and mortality is felt. Key words: Near-miss obstetric morbidity; Maternal mortality; Five factor scoring system DOI: 10.3126/kumj.v8i2.3563 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 222-226

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