Literature DB >> 22282577

Trends in maternal mortality in Tamale Teaching Hospital, Ghana.

S K Gumanga1, D Z Kolbila, B B N Gandau, A Munkaila, H Malechi, K Kyei-Aboagye.   

Abstract

OBJECTIVE: To determine the yearly maternal mortality ratio over the period 2006-2010 and trends in the causes of 139 audited maternal deaths from 2008-2010 at the Tamale Teaching Hospital in Ghana STUDY
DESIGN: Retrospective descriptive review of maternal deaths
SETTING: Department of Obstetrics and Gynaecology, Tamale Teaching Hospital
METHODS: Data on maternal deaths that occurred over the review period were obtained from the patient folders, departmental monthly reports, midwifery monthly returns, audit reports, theatre, intensive care unit, maternity, gynaecology and the labour ward records.
RESULTS: There were 280 maternal deaths from 1(st) January 2006 to 31(st) December 2010. The maternal mortality ratio dropped from 1870 per 100,000 live births in 2006 to 493 per 100,000 live births in 2010, a fall of nearly 74%. Using 2008 as the baseline, maternal mortality ratio dropped from 842 per 100,000 live births in 2008 to 493 per 100,000 live births in 2010, a fall of 41.4%. The main causes of 139 audited maternal deaths from 2008 to 2010 were sepsis (19.8%) hypertensive disorders(18.6%), haemorrhage (15.8%), unsafe abortion (11.5%), obstructed labour (5.7%), anaemia (8.7%), sickle cell disease (5.7%) and malaria (5.0%). The ages of the 139 audited maternal deaths ranged from 14-48 years; with mean age of 26.5 ± 4.6 years. Nearly 50% of the maternal deaths were aged 20-29 years and about 10% were 14-19 years. Eighteen(13%) of the maternal deaths were from towns over 150 km from Tamale.
CONCLUSION: There has been significant reduction in maternal mortality at the Tamale Teaching Hospital, it is however still unacceptably high.

Entities:  

Keywords:  Ghana; Maternal Mortality Ratio; Maternal Mortality Trends; Millennium Development Goals

Mesh:

Year:  2011        PMID: 22282577      PMCID: PMC3266149     

Source DB:  PubMed          Journal:  Ghana Med J        ISSN: 0016-9560


  4 in total

1.  The evidence for emergency obstetric care.

Authors:  A Paxton; D Maine; L Freedman; D Fry; S Lobis
Journal:  Int J Gynaecol Obstet       Date:  2005-01-08       Impact factor: 3.561

2.  Maternal mortality at the Queen Elizabeth Central Teaching Hospital, Blantyre, Malawi.

Authors:  V M Lema; J Changole; C Kanyighe; E V Malunga
Journal:  East Afr Med J       Date:  2005-01

Review 3.  The effects of routine oxytocic administration in the management of the third stage of labour: an overview of the evidence from controlled trials.

Authors:  W Prendiville; D Elbourne; I Chalmers
Journal:  Br J Obstet Gynaecol       Date:  1988-01

4.  Maternal mortality due to hemorrhage in Ghana.

Authors:  J O Martey; J O Djan; S Twum; E N Browne; S A Opoku
Journal:  Int J Gynaecol Obstet       Date:  1993-09       Impact factor: 3.561

  4 in total
  15 in total

1.  The public health impact of training physicians to become obstetricians and gynecologists in Ghana.

Authors:  Frank W J Anderson; Samuel A Obed; Erika L Boothman; Henry Opare-Ado
Journal:  Am J Public Health       Date:  2013-12-19       Impact factor: 9.308

Review 2.  Abortion care in Ghana: a critical review of the literature.

Authors:  Sarah D Rominski; Jody R Lori
Journal:  Afr J Reprod Health       Date:  2014-09

3.  Levels and determinants of low birth weight in infants delivered under the national health insurance scheme in Northern Ghana.

Authors:  Abdallah Ibrahim; Anne Marie O'Keefe; Anita Hawkins; Mian Bazle Hossain
Journal:  Matern Child Health J       Date:  2015-06

4.  Incidence, causes and correlates of maternal near-miss morbidity: a multi-centre cross-sectional study.

Authors:  S A Oppong; A Bakari; A J Bell; Y Bockarie; J A Adu; C A Turpin; S A Obed; R M Adanu; C A Moyer
Journal:  BJOG       Date:  2019-01-24       Impact factor: 6.531

5.  A Ten Year Audit of Maternal Mortality: Millennium Development Still a Distant Goal.

Authors:  Anshuja Singla; Shalini Rajaram; Sumita Mehta; Gita Radhakrishnan
Journal:  Indian J Community Med       Date:  2017 Apr-Jun

6.  Millennium development Goal 5: progress and challenges in reducing maternal deaths in Ghana.

Authors:  Minerva Kyei-Nimakoh; Mary Carolan-Olah; Terence V McCann
Journal:  BMC Pregnancy Childbirth       Date:  2016-03-09       Impact factor: 3.007

Review 7.  Measuring maternal mortality: a systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries.

Authors:  Florence Mgawadere; Terry Kana; Nynke van den Broek
Journal:  Br Med Bull       Date:  2017-01-01       Impact factor: 4.291

8.  The role of community-based health planning and services strategy in involving males in the provision of family planning services: a qualitative study in Southern Ghana.

Authors:  Philip Baba Adongo; Placide Tapsoba; James F Phillips; Philip Teg-Nefaah Tabong; Alison Stone; Emmanuel Kuffour; Selina F Esantsi; Patricia Akweongo
Journal:  Reprod Health       Date:  2013-07-26       Impact factor: 3.223

9.  Prevalence and risk factors for maternal mortality in referral hospitals in Nigeria: a multicenter study.

Authors:  Lorretta F Ntoimo; Friday E Okonofua; Rosemary N Ogu; Hadiza S Galadanci; Mohammed Gana; Ola N Okike; Kingsley N Agholor; Rukiyat A Abdus-Salam; Adetoye Durodola; Eghe Abe; Abdullahi J Randawa
Journal:  Int J Womens Health       Date:  2018-02-01

10.  Has the free maternal health policy eliminated out of pocket payments for maternal health services? Views of women, health providers and insurance managers in Northern Ghana.

Authors:  Philip Ayizem Dalinjong; Alex Y Wang; Caroline S E Homer
Journal:  PLoS One       Date:  2018-02-01       Impact factor: 3.240

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.