Assessment of maternal mortality and late maternal mortality among a cohort of pregnant women in Bamako, Mali

Etard, Jean‐François; Kodio, B.; Traoré, Sidy

doi:10.1111/j.1471-0528.1999.tb08086.x

Cited by 22 publications

(27 citation statements)

References 10 publications

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“…Even after uncomplicated delivery, a significant proportion of women reported inability to resume work or endured economic consequences. Low survival of mothers with severe complications has been reported in Burkina Faso (8), and a follow-up study of 4,700 women in Mali revealed 15 maternal and 5 late maternal deaths (9). …”

Section: Discussionmentioning

confidence: 99%

Consequences of Maternal Complications in Women’s Lives in the First Postpartum Year: A Prospective Cohort Study

Iyengar

Yadav

Sen

2012

J Health Popul Nutr

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Maternal complications are common during and following childbirth. However, little information is available on the psychological, social and economic consequences of maternal complications on women's lives, especially in a rural setting. A prospective cohort study was conducted in southern Rajasthan, India, among rural women who had a severe or less-severe, or no complication at the time of delivery or in the immediate postpartum period. In total, 1,542 women, representing 93% of all women who delivered in the field area over a 15-month period and were examined in the first week postpartum by nurse-midwives, were followed up to 12 months to record maternal and child survival. Of them, a subset of 430 women was followed up at 6-8 weeks and 12 months to capture data on the physical, psychological, social, or economic consequences. Women with severe maternal complications around the time of delivery and in the immediate postpartum period experienced an increased risk of mortality and morbidity in the first postpartum year: 2.8% of the women with severe complications died within one year compared to none with uncomplicated delivery. Women with severe complications also had higher rates of perinatal mortality [adjusted odds ratio (AOR)=3.98, confidence interval (CI) 1.96-8.1, p=0.000] and mortality of babies aged eight days to 12 months (AOR=3.14, CI 1.4-7.06, p=0.004). Compared to women in the uncomplicated group, women with severe complications were at a higher risk of depression at eight weeks and 12 months with perceived physical symptoms, had a greater difficulty in completing daily household work, and had important financial repercussions. The results suggest that women with severe complications at the time of delivery need to be provided regular follow-up services for their physical and psychological problems till about 12 months after childbirth. They also might benefit from financial support during several months in the postpartum period to prevent severe economic consequences. Further research is needed to identify an effective package of services for women in the first year after delivery.

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Section: Discussionmentioning

confidence: 99%

Consequences of Maternal Complications in Women’s Lives in the First Postpartum Year: A Prospective Cohort Study

Iyengar

Yadav

Sen

2012

J Health Popul Nutr

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“…Other studies show a lower MMR than ours in Mali, and this may be partly because our study area was distinctly rural, as opposed to the location of studies that informed other estimates. A population based prospective follow-up study with data from the early 1990s with 5,782 pregnant women in urban/semiurban Mali observed 15 deaths and yielded an MMR of 327 per 100,000 live births (95% CI 180-510) [15]. An ecological study with data mostly from the 1990s found, not surprisingly, that the MMR was higher in rural (601/100,000 live birth, 95% CI 529-679) than in urban areas (241/100,000 live births, 95% CI 172-330).…”

Section: Discussionmentioning

confidence: 99%

High maternal mortality estimated by the sisterhood method in a rural area of Mali

Grove

Haugsjå³

et al. 2011

BMC Pregnancy Childbirth

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BackgroundMaternal mortality is high in Mali. Nevertheless, there are few studies on this topic from rural areas, and current estimates are mostly based on studies from urban settings. Our objective was to estimate the maternal mortality ratio in Kita, rural Mali.MethodsUsing the "sisterhood method", we interviewed participants aged 15-50 years from 20 villages in Kita, Mali, and thereby created a retrospective cohort of their sisters in reproductive age. Based on population and fertility estimates, we calculated the lifetime risk of maternal death, and from that the estimated approximate maternal mortality ratio.ResultsThe 2,039 respondents reported 4,628 sisters who had reached reproductive age. Of these 4,628 sisters, almost a third (1,233; 27%) had died, and 429 (9%) had died during pregnancy or childbirth. This corresponded to a lifetime risk of maternal death of 20% and a maternal mortality ratio of 3,131 per 100,000 live births (95% confidence interval 2,967-3,296), with a time reference around 1999.ConclusionsWe found a very high maternal mortality in rural Mali and this highlights the urgent need for obstetric services in the remote rural areas.

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“…This method has been used and validated elsewhere [9,10]. Maternal and child health data were collected from women of reproductive age (15- What is the level of maternal mortality in the study area?…”

Section: Introductionmentioning

confidence: 99%

Estimating Maternal Mortality Level in Rural Northern Nigeria by the Sisterhood Method

Doctor

Findley

Afenyadu³

2012

International Journal of Population Research

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Maternal mortality is one of the major challenges to health systems in sub Saharan Africa. This paper estimates the lifetime risk of maternal death and maternal mortality ratio (MMR) in four states of Northern Nigeria. Data from a household survey conducted in 2011 were utilized by applying the "sisterhood method" for estimating maternal mortality. Female respondents (15-49 years) were interviewed thereby creating a retrospective cohort of their sisters who reached the reproductive age of 15 years. A total of 3,080 respondents reported 7,731 maternal sisters of which 593 were reported dead and 298 of those dead were maternal-related deaths. This corresponded to a lifetime risk of maternal death of 9% (referring to a period about 10.5 years prior to the survey) and an MMR of 1,271 maternal deaths per 100,000 live births; 95% CI was 1,152-1,445 maternal deaths per 100,000 live births. The study calls for improvement of the health system focusing on strategies that will accelerate reduction in MMR such as availability of skilled birth attendants, access to emergency obstetrics care, promotion of facility delivery, availability of antenatal care, and family planning. An accelerated reduction in MMR in the region will contribute towards the attainment of the Millennium Development Goal of maternal mortality reduction in Nigeria.

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Assessment of maternal mortality and late maternal mortality among a cohort of pregnant women in Bamako, Mali

Cited by 22 publications

References 10 publications

Consequences of Maternal Complications in Women’s Lives in the First Postpartum Year: A Prospective Cohort Study

Consequences of Maternal Complications in Women’s Lives in the First Postpartum Year: A Prospective Cohort Study

High maternal mortality estimated by the sisterhood method in a rural area of Mali

Estimating Maternal Mortality Level in Rural Northern Nigeria by the Sisterhood Method

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