Analysis of Maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at Chu Point “G” about 389 Cases Bamako/Mali

Abstract

Objective: Analyze the maternal mortality in the two departments of CHU Point "G" in Bamako, because of high maternal mortality rate in our country. Material and Methods: This was an analytical cross-sectional study on maternal deaths from February 19, 2005 to November 19, 2019 for patients admitted in both departments and who died during the pregnancy-puerperal period at CHU Point "G". All the patients who died outside this pregnancy-puerperal period were not retained. The data were entered and analyzed using SPSS 12.0 software. The statistical test used was that of Chi 2 , the statistical significance threshold was fixed at 5%. Results: During our study, we recorded 389 maternal deaths out of 16,033 admissions in 15 years and 18,060 live births during the same period making a maternal mortality ratio of 2153.931 and a frequency of 2.426. At the end of our study, we noted that the frequency of maternal deaths was higher in 2014: 12.9% (50/389). The maternal death predominantly affected women aged of 20-24 with a frequency of 22.4% (87/389). The multiparity (166/389 making 42.7%), illiteracy (341/389 making 87.7%), the poor evacuation conditions (non-medicalized transport): 263/389 making 67.6%; the evacuation without any evacuation sheet: 259/389 making 66.6%), poor CPN (Prenatal consultation) quality (undone CPN: 191/389 making 49.1%) and the poor monitoring of delivery works (no use of partograph in 343/389 making 88.2%) were the factors favoring maternal deaths. The main causes of maternal deaths were direct in 231/389 making 59.4% with hemorrhage in first line: 21.1% (82/389

Knowledge of Eclampsia among Pregnant Women Attending a Tertiary Antenatal Clinic in Ikenne LGA, Ogun State, Nigeria

“…An estimated 295,000 maternal deaths occurred in 2017 globally, among which 94% occurred in low-resource setting countries with sub-Saharan Africa and southern Asia accounting for approximately 86% (254,000) of these deaths [4]. More than 70% of maternal deaths are due to five major complications: infection, hemorrhage, obstructed labor, unsafe abortion and hypertensive disorders of pregnancy (especially preeclampsia ad eclampsia) [5,6].…”