OBJECTIVE: To assess the maternal mortality ratio in maternity units of reference hospitals in large west African cities, and to describe the distribution of complications and causes of maternal deaths. STUDY DESIGN: Prospective descriptive study in twelve reference maternities located in three African countries (Benin, Ivory Coast, Senegal). Data (clinical findings at hospital entry, medical history, complications, type of surgery, vital status of the women at discharge) were collected from obstetrical and surgical files and from admission hospital registers. All cases of maternal deaths were systematically reviewed by African and European staff. RESULTS: Of a total of 10,515 women, 1495 presented a major obstetric complication with dystocia or inappropriate management of the labour phase as the leading cause. Eighty-five maternal deaths were reported, giving a global hospital-based maternal mortality ratio of 800/100,000. Hypertensive disorders were involved in 25/85 cases (29%) and post-partum haemorrhage in 13/85 cases (15%). Relatively few cases (14) of major sepsis were reported, leading to three maternal deaths. CONCLUSION: The results of this multicentre study confirm the high rates of maternal mortality in maternity units of reference hospitals in large African cities, and in addition to dystocia the contribution of hypertensive disorders and post-partum haemorrhage to maternal deaths.
OBJECTIVE: To assess the maternal mortality ratio in maternity units of reference hospitals in large west African cities, and to describe the distribution of complications and causes of maternal deaths. STUDY DESIGN: Prospective descriptive study in twelve reference maternities located in three African countries (Benin, Ivory Coast, Senegal). Data (clinical findings at hospital entry, medical history, complications, type of surgery, vital status of the women at discharge) were collected from obstetrical and surgical files and from admission hospital registers. All cases of maternal deaths were systematically reviewed by African and European staff. RESULTS: Of a total of 10,515 women, 1495 presented a major obstetric complication with dystocia or inappropriate management of the labour phase as the leading cause. Eighty-five maternal deaths were reported, giving a global hospital-based maternal mortality ratio of 800/100,000. Hypertensive disorders were involved in 25/85 cases (29%) and post-partum haemorrhage in 13/85 cases (15%). Relatively few cases (14) of major sepsis were reported, leading to three maternal deaths. CONCLUSION: The results of this multicentre study confirm the high rates of maternal mortality in maternity units of reference hospitals in large African cities, and in addition to dystocia the contribution of hypertensive disorders and post-partum haemorrhage to maternal deaths.
Authors: Jaume Ordi; Mamudo R Ismail; Carla Carrilho; Cleofé Romagosa; Nafissa Osman; Fernanda Machungo; Josep A Bombí; Juan Balasch; Pedro L Alonso; Clara Menéndez Journal: PLoS Med Date: 2009-02-24 Impact factor: 11.069
Authors: Afisah Yakubu Zakariah; Sophie Alexander; Jos van Roosmalen; Pierre Buekens; Enyonam Yao Kwawukume; Patrick Frimpong Journal: Reprod Health Date: 2009-06-04 Impact factor: 3.223
Authors: Pierre-Marie Tebeu; Tebeu Pierre-Marie; Gregory Halle-Ekane; Halle-Ekane Gregory; Maxwell Da Itambi; Da Itambi Maxwell; Robinson Enow Mbu; Enow Mbu Robinson; Yvette Mawamba; Mawamba Yvette; Joseph Nelson Fomulu; Fomulu Joseph Nelson Journal: Pan Afr Med J Date: 2015-05-07
Authors: Deborah van Middendorp; Augustinus ten Asbroek; Fred Yaw Bio; Anthony Edusei; Lyonne Meijjer; Sam Newton; Charles Agyemang Journal: Global Health Date: 2013-11-14 Impact factor: 4.185