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

Abstract

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

Maternal anemia and severe maternal morbidity in a US cohort

“…The direct and indirect contribution of anemia to maternal death or near-misses has been demonstrated previously in low-resource settings, but also alongside additional large dataset analyses showing similar findings in highresource settings including Canada, Scotland and France. 16, [21][22][23][24][25][26][27][28][29][30] Our study further demonstrated the role of anemia as an independent risk factor for higher rates of blood transfusion, PPH, need for hysterectomy, preeclampsia, cesarean delivery, and infectious morbidity, consistent with previous publications. 3,4,9,16,23,26,29,31 Women with anemia are less tolerant of greater volumes of blood loss compared to those without due to lower reserves of red blood cells, thus increasing their risks for transfusion, hysterectomy, and ICU admission as seen in our study and previous studies.…”

Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020

“…The other studies were: case-control (n = 1) [ 38 ], Confidential Enquiries into Maternal Deaths (CEMD) or Maternal Death Surveillance and Response (MDSR) audits (n = 4) [ 39 - 42 ], cross-sectional facility and community surveys (n = 4) [ 43 - 46 ], prospective facility and community studies (n = 2) [ 47 , 48 ], Reproductive Age Mortality Study (RAMOS) (n = 2) [ 49 , 50 ], pre and post evaluation (n = 1) [ 51 ], and step-wedge randomised controlled trials (RCT) (n = 1) [ 52 ]. The methods of assigning the causes of death were: study expert panels (n = 21) [ 17 , 18 , 21 , 22 , 24 , 26 , 28 , 29 , 33 - 35 , 37 , 39 , 43 - 46 , 48 - 50 , 52 ], facility/MDSR audit teams (n = 8) [ 16 , 23 , 25 , 31 , 41 , 42 , 51 , 53 ], routine clinical assessments (n = 5) [ 19 , 20 , 27 , 30 , 32 ], physician verbal autopsy coders (n = 1) [ 47 ], and not stated (n = 3) [ 15 , 36 , 38 ]. South Africa contributed 21% of the deaths from 2 studies [ 22 , 41 ], Nigeria 18% from 13 studies [ 15 , 21 , 23 - 25 , 28 - 31 , 35 , 37 , 46 , 48 ], Tanzania 15% from 3 studies [ 16 , 18 , 39 ], and Zimbabwe 9% from 2 studies [ 20 , 42…”

Individual, health facility and wider health system factors contributing to maternal deaths in Africa: A scoping review

“…The distribution of included articles by country was as follows:, Algeria [60], Benin [78], Burkina Faso [122,143], Cameroon [99,133], Democratic Republic of Congo [55,82], Egypt [105], Eritrea [102], Ethiopia [57,62,71,72,74,86,130,131], Ghana [49,52,53,58,69,141], Guinea-Bissau [76], Kenya [63,91,110,123,142,145], Madagascar [79], Malawi [80,83,100,126,140], Morocco [44], Mozambique [59], Nigeria [42,43,45,47,48,54,56,65,67,89,…”