Obstetrics mortality and associated factors in intensive care unit of Addis Ababa public hospital in, 2020/21: A hospital based case control study

Tasew, Asaminew; Melese, Eyayalem; Jemal, Suleman; Getachew, Lemlem

doi:10.1016/j.amsu.2022.104458

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…These can be considered as predictors of poor prognosis during antenatal screening. 8 Multidisciplinary team care may improve clinical outcomes in these patients. However, lack of multidisciplinary team or difficulty in accessibility can have impact on the maternal mortality.…”

Section: Introductionmentioning

confidence: 99%

Role of intensive care in management of post-partum hemorrhage (PPH)

Chiwhane,

Chiwhane

2024

IJOGR

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The management of obstetric emergencies is a challenge and in most hospital setting the management in intensive care is ill-defined. A multidisciplinary approach to the management of obstetric emergency helps to give favorable outcome. In low resource setting, maternal care can be challenging as it faces lack of infrastructure facilities, specialist trained in intensive care, availability of drugs and equipment. Though early intervention is the need of hour there are delays in seeking healthcare due to lack of awareness, financial constraints, culture and beliefs. This article describes the approach to management of PPH in intensive care, defining clear transition from labor care to intensive care should occur.

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Section: Introductionmentioning

confidence: 99%

Role of intensive care in management of post-partum hemorrhage (PPH)

Chiwhane,

Chiwhane

2024

IJOGR

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Factors associated with maternal mortality in eastern Ethiopia: A multicenter case–control study

Yuya,

Tura,

Girma

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThe aim of this study was to identify factors associated with maternal mortality in 13 public hospitals with maternity units in eastern Ethiopia.MethodsA nested case‐control study embedded within the Ethiopian Obstetric Surveillance System (EthOSS) cohort. EthOSS was established in April 2021 to monitor women admitted with severe obstetric complications (e.g., obstetric hemorrhage, eclampsia, uterine rupture, sepsis, and severe anemia) during pregnancy, childbirth or within 42 days of termination of pregnancy. The cases were all women who died during pregnancy, childbirth, or postpartum in these hospitals, while women who survived these complications were the controls. For each case, we randomly selected three controls. The factors associated with maternal mortality were described using adjusted odds ratios (aOR) with their corresponding 95% confidence intervals (CI). Associations were examined using binary logistic regression analysis followed by multivariable logistic regression analysis for factors with P < 0.25. Finally, P < 0.05 was considered as the cut‐off for a statistically significant association.ResultsA total of 280 women (70 cases and 210 controls) were included in the study. Compared to survivors, women who died were more likely to have given birth by caesarean section (aOR = 3.35; 95% CI 1.49–7.53), to have been admitted into an intensive care unit (aOR = 6.58; 95% CI 2.08–20.82), to have had postpartum hemorrhage (aOR = 6.39; 95% CI 2.56–15.94), and to have had a pre‐existing medical condition (aOR = 5.39; 95% CI 1.16–24.99).ConclusionImproving maternal survival requires appropriate indications for caesarean sections, safe surgical conditions, seamless communication between facilities (particularly in high‐risk pregnancies), adequate multidisciplinary care for women with pre‐existing conditions, and effective intensive care.

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Obstetrics mortality and associated factors in intensive care unit of Addis Ababa public hospital in, 2020/21: A hospital based case control study

Cited by 2 publications

References 18 publications

Role of intensive care in management of post-partum hemorrhage (PPH)

Role of intensive care in management of post-partum hemorrhage (PPH)

Factors associated with maternal mortality in eastern Ethiopia: A multicenter case–control study

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