Maternal Mortality Risk Factors in Regional Hospital of Burkina Faso

作     者：Léon G. Blaise Savadogo Aminata Zombra Cécile Tamini Maurice Kinda Philipe Donnen 

作者机构：Centre Hospitalier Régional Banfora Burkina Faso CR3—Politiques et Systèmes de Santé—Santé Internationale School of Public Health Université Libre de Bruxelles Bruxelles Belgique Department of Epidemiology and Public Health—Child and Mother Health Nutrition and Survival Unit—Institut Supérieur des Sciences de la Santé Université Polytechnique Bobo Dioulasso Burkina Faso Ecole National de Santé Publique Bobo Dioulasso Burkina Faso 

出 版 物：《Open Journal of Epidemiology》 (流行病学期刊（英文）)

年 卷 期：2014年第4卷第2期

页      面：57-62页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Maternal Mortality Risk Factors Regional Hospital Burkina Faso 

摘      要：Individual causes and community determinants are synergic in maternal death occurrence. This study aimed to identify maternal mortality risk factors in a regional hospital. Material and Methods: This was a retrospective cohort study from data of 1807 hospitalized women. To identify maternal mortality risks factors, mortality hazard ratio (HR CI95%) has been calculated in univariate analysis and Cox proportional hazard model. Results: During hospitalization, 30 maternal deaths occurred. From Cox regression, adjusted mortality HR confirmed that women age older than 35 (HR = 2.5, CI95%: [1.2-5.7] and younger than 19 (HR = 3.02, CI95%: [1.5-6.7]);distance to hospital ≥10 Km (HR = 4.1, CI95%: [1.8-9.4];multiple deliveries (HR = 2.4, CI95%: [1.1-7.3]), less ante natal care (3 visits) (HR = 3.03, CI95%: [0.97-9.48]);obstetrical maternal mortality directs causes (HR = 2.31, CI95%: [1.7-6.21]) and emergently reference (HR = 3.5, CI95%: [1.8-8.32]) were maternal mortality risk factors. Conclusion: In this regional hospital of low income country, identified maternal mortality factors are related to women socio-economic determinants and quality prenatal or obstetric care access. Interventions to reduce maternal mortality rate should be conducted within both household and women socio-economic status development and in maternal health and obstetric care strengthening.