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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Trends in maternal mortality: A 13-year hospital-based study in rural Ghana
European Journal of Obstetrics and Gynecology and Reproductive Biology, Volume 107, No. 2, Year 2003
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Description
Objective: To measure the impact of the Safe Motherhood Initiative (SMI) on hospital-based maternal mortality since its start in 1987. Study design: Retrospective analysis of all 229 maternal deaths in a district hospital in rural Ghana, between 1 January 1987 and 1 January 2000. Main outcome measures were maternal mortality ratio and relative contribution of causes of maternal deaths to overall maternal mortality. Chi-square test was used to assess differences in proportions, and relative risks with confidence intervals were calculated. Results: The overall maternal mortality ratio of 1077/100,000 live births did not change significantly during the study period. However, the relative contributions of sepsis, hemorrhage, obstructed labor, anemia/sickle cell disease and (pre-) eclampsia diminished, while abortion complications increased significantly. Conclusions: The Safe Motherhood Initiative in the study area has contributed to the reduction of maternal mortality due to causes against which interventions were directed. Abortion complications as cause of maternal mortality need to be included in interventions and research. © 2002 Elsevier Science Ireland Ltd. All rights reserved.
Authors & Co-Authors
Geelhoed, Diederike W.
Ghana
Holy Family Hospital
Visser, Lucia E.
Ghana
Holy Family Hospital
Asare, K.
Ghana
Regional Ministry of Health
Schagen Van Leeuwen, Jules H.
Netherlands, Nieuwegein
St. Antonius Ziekenhuis
van Roosmalen, Jos J.M.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Statistics
Citations: 57
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1016/S0301-2115(02)00224-5
ISSN:
03012115
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Study Locations
Ghana