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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Distribution of causes of maternal mortality during delivery and post-partum: Results of an African multicentre hospital-based study
European Journal of Obstetrics and Gynecology and Reproductive Biology, Volume 114, No. 2, Year 2004
Notification
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Description
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. © 2003 Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Thonneau, Patrick
France, Toulouse
Hopital Paule de Viguier
Matsudai, Tomohiro
France, Toulouse
Hopital Paule de Viguier
Alihonou, Eusèbe M.
Benin, Cotonou
Cerhud
De Souza, Jose
Benin, Cotonou
National University Hospital of Cotonou
Faye, Ousseynou
Senegal, Dakar
Ministry of Health
Moreau, Jean Charles
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Djanhan, Yao
Cote D'ivoire, Bouake
Bouake Teaching Hospital
Welffens-Ekra, Christiane
Cote D'ivoire, Abidjan
Yopougon University Hospital
Goyaux, Nathalie
France, Toulouse
French Ministry of Foreign Affairs
Statistics
Citations: 54
Authors: 9
Affiliations: 8
Identifiers
Doi:
10.1016/j.ejogrb.2003.12.004
ISSN:
03012115
Research Areas
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Benin
Ivory Coast
Senegal
Participants Gender
Female