Maternal Mortality in the Main Referral Hospital in Angola, 2010-2014: Understanding the Context for Maternal Deaths Amidst Poor Documentation

Umar, Abubakar Sadiq

doi:10.21106/ijma.111

Cited by 13 publications

(8 citation statements)

References 27 publications

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“…Most maternal deaths were attributed to direct obstetric causes mainly eclampsia, haemorrhage and sepsis. Similar findings have been reported by other studies elsewhere in Tanzania [28–29,31, 38], Kenya [12], Angola [39], Nigeria [13,40], Bangladesh [41] and Pakistan [42]. Globally, eclampsia is one of the leading causes of maternal mortality [43].…”

Section: Discussionsupporting

confidence: 86%

Patterns and causes of hospital maternal mortality in Tanzania: A 10-year retrospective analysis

et al. 2019

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Background Maternal mortality is among the most important public health concerns in Sub-Saharan Africa. There is limited data on hospital-based maternal mortality in Tanzania. The objective of this study was to determine the causes and maternal mortality trends in public hospitals of Tanzania from 2006–2015. Methods and findings This retrospective study was conducted between July and December 2016 and involved 34 public hospitals in Tanzania. Information on causes of deaths due to pregnancy and delivery complications among women of child-bearing age (15–49 years old) recorded for the period of 2006–2015 was extracted. Data sources included inpatient and death registers and International Classification of Disease (ICD)-10 report forms. Maternal deaths were classified based on case definition by ICD 10 and categorized as direct and indirect causes. A total of 40,052 deaths of women of child-bearing age were recorded. There were 1,987 maternal deaths representing 5·0% of deaths of all women aged 15–49 years. The median age-at-death was 27 years (interquartile range: 22, 33). The average age-at-death increased from 25 years in 2006 to 29 years in 2015. Two thirds (67.1%) of the deaths affected women aged 20–34 years old. The number of deaths associated with teenage pregnancy (15–19 years) declined significantly (p-value<0·001) from 17.8% in 2006–2010 to 11.1% in 2011–2015. The proportion of deaths among 30–34 and 35–39 years old (all together) increased from 13% in 2006–2010 to 15·3% in 2011–2015 (p-value = 0.081). Hospital-based maternal mortality ratio increased from 40.24 (2006) to 57.94/100000 births in 2015. Of the 1,987 deaths, 83.8% were due to direct causes and 16.2% were due to indirect causes. Major direct causes were eclampsia (34.0%), obstetric haemorrhage (24.6%) and maternal sepsis (16.7%). Anaemia (14.9%) and cardiovascular disorders (14.0%) were the main indirect causes. Causes of maternal deaths were highly related; being attributed to up to three direct causes (0.12%). Cardiovascular disorders and anaemia had strong linkage with haemorrhage. While there was a decline in the number of deaths due to eclampsia and abortion, those due to haemorrhage and cardiovascular disoders increased during the period. Conclusions During the ten year period (2006–2015) there was an increase in the number of hospital maternal deaths in public hospitals in Tanzania. Maternal deaths accounted for 5% of all women of child-bearing age in-hospital mortalities. Most maternal deaths were due to direct causes including eclampsia, haemorrhage and sepsis. The findings of this study provide evidence for better planning and policy formulation for reproductive health programmes to reduce maternal deaths in Tanzania.

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Section: Discussionsupporting

confidence: 86%

Patterns and causes of hospital maternal mortality in Tanzania: A 10-year retrospective analysis

et al. 2019

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“…The findings clearly show significant differences in pregnancy-related causes. Similar findings have been reported in other studies in Kenya [44] Angola [45], Nigeria [46], Bangladesh [47] and Pakistan [48]. It is disconcerting that a large number of women are still dying from pregnancy-related causes which can be diagnosed, controlled and treated during pregnancy.…”

Section: Discussionsupporting

confidence: 85%

Maternal mortality by socio-demographic characteristics and cause of death in South Africa: 2007–2015

Bomela

2020

BMC Public Health

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Background: South Africa's maternal mortality ratio remains high although it has substantially declined in the past few years. Numerous studies undertaken in South Africa on maternal mortality have not paid much attention to how the causes are distributed in different socio-demographic groups. This study assesses and analyses the causes of maternal mortality according to sociodemographic factors in South Africa. Methods: The causes of maternal deaths were assessed with respect to age, province, place of death, occupation, education and marital status. Data were obtained from the vital registration database of Statistics South Africa. About 14,892 maternal deaths of women from 9 to 55 years of age were analysed using frequency tables, crosstabulations and logistic regression. Maternal mortality ratio (MMR), by year, age group, and province for the years 2007-2015 was calculated.

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“…This ratio is 16 times higher than the value found across the country in 2015 (330 for 100,000 LB) 7. It was also two to three times higher than that found by Kaur et al10 in India, Umar et al11 in Angola and Olamijulo et al12 in Nigeria (respectively 2,054; 1,830 and 2,096 for 100,000 lb). These studies took place in university hospitals with specialist doctors, unlike the hospital of Dori, which did not have a gynecologist from 2014 to 2015.…”

Section: Discussionmentioning

confidence: 51%

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

Zamané¹,

Sow²,

Kaïn³

et al. 2019

Int J MCH AIDS

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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

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Maternal Mortality in the Main Referral Hospital in Angola, 2010-2014: Understanding the Context for Maternal Deaths Amidst Poor Documentation

Cited by 13 publications

References 27 publications

Patterns and causes of hospital maternal mortality in Tanzania: A 10-year retrospective analysis

Patterns and causes of hospital maternal mortality in Tanzania: A 10-year retrospective analysis

Maternal mortality by socio-demographic characteristics and cause of death in South Africa: 2007–2015

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

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