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Epidemiologic Profile of Maternal Deaths in Two Referral Hospitals in Cameroon

Open Journal of Obstetrics and Gynecology 2016年第6期6卷 365-372页

作者： Philip Njotang Nana Felix Essiben Julius Dohbit Sama Elisabeth Medoua Koh Koh Morfaw Lifanji filbert eko eko Jeanne Fouedjio Agnes Esiene Robinson Enow Mbu Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences (FMBS) The University of Yaoundé I Yaoundé Cameroon Department of Obstetrics and Gynecology Yaoundé Central Hospital Yaoundé Cameroon Department of Obstetrics and Gynecology Yaoundé Gyneco-Obstetric and Pediatric Hospital Yaoundé Cameroon Faculty of Medicine and Biomedical Sciences (FMBS) The University of Yaoundé I Yaoundé Cameroon Department of Obstetrics and Gynecology Bamenda Regional Hospital Bamenda Cameroon Department of Anesthesia and Reanimation Faculty of Medicine and Biomedical Sciences (FMBS) The University of Yaoundé I Yaoundé Cameroon

Introduction: Our objective was to compare the epidemiologic profile of maternal mortality in two structures serving as referral levels of care in Cameroon. Methodology: This cross-sectional, comparative study took place at the maternities of the Yaoundé Central Hospital (YCH) and the Bamenda Regional Hospital (BRH) from December 1st 2014 to May 31st 2015, a 6 months’ period. The medical records of deceased women over 5 years, from January 2010 to December 2014, were collected. We calculated the MMR (Maternal mortality rate) and studied the causes and risk factors associated with maternal death. The Epi info software 3.5.4 was used to analyze data with a significance level of P < 0.05. Results: The maternal mortality ratio (MMR) was 964 and 247 per 100,000 live births for YCH and BRH, respectively. More deaths occurred within the aged group range 20 to 34 years, 76.8% at YCH and 64.7% at BRH. At YCH, 70.7% of these patients were referrals versus 32.4% at BRH. Complication from abortion was often implicated at BRH (P = 0.007;OR = 0.31;CI = 0.13 - 0.74). Others causes were hemorrhage (YCH = 43.4%;BRH = 35.5%), hypertensive diseases (YCH = 17.2%;BRH = 14.7%) and infections (YCH = 8.1%;BRH = 17.6%). At YCH time elapsed from admission to death was <3 h (P = 0.005;OR = 6.63;CI = 1.49 - 29.5). Conclusion: Both hospitals have similar causes of maternal deaths, differing only in the context within which the deaths occurred. Improving access to good quality health care, satisfying unmet needs for family planning, availability of blood products and the establishment of health insurance could decrease the maternal mortality rate.

关键词： Maternal Mortality Causes Maternal Death Referral Hospital Cameroon

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Maternal and Fetal Outcomes of COVID-19 Pregnant Women Followed Up at a Tertiary Care Unit: A Descriptive Study

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1482-1491页

作者： Madye A. Ngo Dingom Eugène Sobngwi Félix Essiben Antoinette N. Assiga Yves F. Wasnyo Anicet Ngate Jean C. Katte Junie Y. Ngaha Philemon Nsem Charles E. Sone Brigitte Wandji Gilles T. Libend Jean J. Bissemou filbert E. eko Florent Y. Fouelifack Glwadys Ngono Jeanne Fouédjio Rebecca Tonye Pierre Ongolo-Zogo Pierre J. Fouda Robinson E. Mbu Obstetrics and gynecology Unit Yaounde Central Hospital Yaounde Cameroon COVID 19 Unit Yaounde Central Hospital Yaounde Cameroon Department of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon Department of Public Health University of Exeter Exeter UK Department of Obstetrics and Gynecology Higher Institute of Medical Technology of Nkolondom Yaoundé Cameroon

Background: The SARS-CoV-2 and associated corona virus disease COVID-19 have been declared a pandemic having a poor prognosis among individuals with debilitating conditions and those who are immune-compromised. Current evidence is however limited on maternal and fetal transmission and pregnancy outcomes. We aimed to describe the pattern of SARS-CoV-2 infection and outcomes in a group of pregnant women followed up at a tertiary care unit in Cameroon. Methods: This was an observational study conducted over a period of 3 months (April 1 to June 30, 2020) at the Yaounde Central Hospital. All pregnant women who were tested positive for SARS-CoV-2 and who provided a signed written informed consent were included in the study. Results: Out of 83 pregnant women who presented with symptoms suspicious of COVID-19, 25 were tested positive. The median age of these women was 31 (27 - 35) years. A total of 76% consulted within 6 days of onset of symptoms and 68% had a gestational age greater than 28 weeks. The most common presenting complaint was fever (88%)

关键词： COVID-19 Pregnancy Mortality Outcomes

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