Determinants of Maternal Mortality at the Community University Hospital of Bangui: Central African Republic

作     者：Gertrude Rose De Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza Siméon Matoulou-M’bala Wa-Ngogbe Alida Koirokpi Sabrina Ouapou Georges Trésor Gamache Norbert Richard Ngbale Abdoulaye Sepou Gertrude Rose De Lima Kogboma Wongo;Thibaut Boris Clavaire Songo-Kette Gbekere;Rodrigue Herman Doyama-Woza;Siméon Matoulou-M’bala Wa-Ngogbe;Alida Koirokpi;Sabrina Ouapou;Georges Trésor Gamache;Norbert Richard Ngbale;Abdoulaye Sepou

作者机构：Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire Communautaire Bangui Central African Republic Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire de l’Amitié Sino Centrafricaine Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2023年第13卷第9期

页      面：1478-1486页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：Maternal Mortality Determinants Community Hospital 

摘      要：Introduction: Pregnancy is a physiological condition that can sometimes end in death. The death of a woman is a constant concern for the obstetrician and is considered a major public health problem in our developing countries. Objective: To identify the determinants that contribute to maternal morbidity and mortality in the Gynaecology and Obstetrics Department of the University Community Hospital. Methodology: We conducted a retrospective study from 1 January 2015 to 31 December 2019 (5 years) in the obstetrics and gynaecology department of the Centre Hospitalier Universitaire Communautaire (CHUC). It focused on the determinants of maternal mortality. Our study population consisted of all women who died during the period and met the World Health Organization (WHO) definition of maternal mortality (MOMA). We used non-probability sampling with the exhaustive choice technique. Results: The study revealed that the number of deaths recorded was 98, while 17,172 live births were registered during the same period. The maternal mortality ratio was 570 per 100,000 live births. The most common age group was 20 to 24, with an average age of 26. The frequency of death among primiparous women was 37.74%, pauciparous women 28.30% and multiparous women 26.42%. Direct causes were dominated by abortion complications (22.41%), followed by infections (9.30%) and haemorrhage (8.19%). Indirect causes were dominated by anaemia with a proportion of 45.16%. The majority of maternal deaths occurred in the post-partum period (34.71%). Most maternal deaths occurred after vaginal delivery, 19 cases (63.33%), while 11 deaths (36.66%) occurred after caesarean section. The occurrence of direct causes was associated with age less than or equal to 25 years, abortion complications and primiparity, with a statistically significant difference. Conclusion: At the end of this study, complications of unsafe abortion and poverty are all factors contributing to the rise in the maternal mortality rate. Emp