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Effects of maternal death on Children Living in the Sagnarigu Municipality

Open Journal of Obstetrics and Gynecology 2024年第3期14卷 334-347页

作者： David Z. Kolbila Abdul-Razak Doat David S. Nigarim Wilfred Kwose Sylvanus Kampo Department of Obstetrics and Gynecology School of Medicine University for Development Studies Tamale Ghana Department of Nursing School of Nursing and Midwifery C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana Department of Anaesthesia and Intensive Care School of Medicine and Dentistry C. K. Tedam University of Technology and Applied Sciences Navrongo Ghana

Introduction: The greatest effect of maternal mortality is renowned in children aged 2 - 5 months whose mothers had died. Children whose mothers died due to maternal complications were likely to record a higher mortality in infancy compared to children of surviving mothers. Motherless children mostly suffer a lot due to lack of day-to-day care, isolation, lack of motivation as well as economic cost associated with mother’s death. Thus, the purpose of this study was to ascertain the lives of children whose mothers passed away during childbirth at the Sagnarigu Municipality. Methods: This quantitative cross-sectional study was carried out at the Sagnarigu Municipal. The study recruited 297 respondents. To assess the effects of maternal death on the lives of children, families that experienced maternal death were assessed. The number of pregnancies experienced by the deceased woman, pregnancy-related complaints experienced, determinants of maternal death, number of children alive, and their standard of living were assessed with the aid of a structured questionnaire. Results: The data showed that negligence, illiteracy, poor road access, poverty, ignorance, delays in recognizing the problem, delays in making appropriate decisions, delays in the health facility, delays in giving the appropriate treatments, and traditional beliefs were some of the factors that led to maternal death in the Sagnarigu Municipality. Conclusion: The study concluded that determinants of maternal death in the Sagnarigu Municipal included the following;negligence, illiteracy, poverty, and delays in recognizing the problem. The study findings also demonstrated that the effects of maternal death on children are diverse and cut across different areas of a child’s life including livelihood sustenance, healthcare, education, and emotional and psychological development.

关键词： maternal death Effects Orphans Children Pregnancy Childbirth

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maternal death due to severe and critical COVID-19 in Qom,Iran:A case series

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Journal of Acute Disease 2022年第6期11卷 243-246,I0001-I0004页

作者： Mojtaba Yousefzadeh Azadeh Asgarian Roghayyeh Ahangari Zahra Yazdi Marzieh Savari Monireh Mirzaie Fatemeh Bagheri Abolfazl Mohammadbeigi Center of Clinical Research Development Shahid Beheshti HospitalQom University of Medical SciencesQomIran Center of Clinical Research Development NHFI HospitalQom University of Medical SciencesQomIran Department of Obstetrics and Gynecology School of MedicineNHFI HospitalQom University of Medical SciencesQomIran Department of Epidemiology Faculty of HealthQom University of Medical SciencesQomIran

Objective:To report the maternal death due to COVID-19.Methods:A total of 14 maternal deaths due to severe and critical COVID-19 who were referred to the obstetric department of Nekouie-Forghani-Hedayati Hospital,Qom,Iran from December 2019 to May 2022 were collected.The clinical manifestations and maternal and perinatal outcomes were analyzed.Results:Dexamethasone was used in 7 cases,while remdesivir was used in 5 cases.Acute respiratory distress syndrome,multiple organ failure,and sepsis were the main cause of mother death.The pregnancy in 8 cases were terminated by caesarean and only one neonatal death was reported from a mother at 13th week of gestational age,while all other fetus delivered were healthy and alive.Conclusions:COVID-19 in pregnancy is an emergency.Critical appraisal is needed to detect the other comorbidities and positive PCR test by throat swap should be performed as soon as possible.

关键词： maternal death COVID-19 Newborn Mother Mortality Case series

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Dysfunctions in the Management of Patients Whose Outcome Was Classified as “maternal death” from 2017 to 2021, at the Departemental University Teaching Hospital of Borgou Alibori (Chud-Ba), Benin

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Open Journal of Obstetrics and Gynecology 2023年第12期13卷 1928-1937页

作者： Atade Sèdjro Raoul Klipezo Roger Dangbemey Patrice Amoussa Abdoul Fadil Togbenon Lionel David Gogan Merveille Bouraima Kassirath Bakari Hikmath Sale Leilath Hounkponou Fanny Salifou Kabibou Mother and Child Department Institute of Nursing and Midwifery University of Parakou (IFSIO-UP) Parakou Benin Mother and Child Department Faculty of Medicine University of Parakou (FM-UP) Parakou Benin Mother and Child Department Faculty of Health Sciences University of Abomey Calavi (FSS) Cotonou Benin Department of Health Policy and Systems Centre of Human Reproduction and Demography Research (CERRHUD) Cotonou Benin

Background: maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p maternal mortality.

关键词： maternal death Dysfunction Obstetric Care Parakou Benin

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maternal deaths after Obstetrical Referral and/or Evacuation to the Obstetrics Gynecology Clinic of the Sylvanus Olympio University Hospital Center, Togo

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Advances in Reproductive Sciences 2023年第2期11卷 37-45页

作者： Ameyo Ayoko Ketevi Bidilukinu Katende Akila Bassowa Komlan Alessi Andele Baguilane Douaguibe Dédé Régine Diane Ajavon Abdoul Samadou Aboubakari Koffi Akpadza Department of Gynecology-Obstetrics Faculty of Health Sciences University of Lome Lomé Togo Department of Gynecology-Obstetrics Faculty of Health Sciences University of Kara Kara Togo

Introduction: maternal death or maternal mortality is “the death of a woman occurring during pregnancy or within 42 days of termination, regardless of duration or location, for any specific cause or aggravated by pregnancy or its management, but neither accidental nor fortuitous. Methods: This was a descriptive and analytical cross-sectional study carried out from January 1st, 2021 to April 30th, 2022 at the Obstetrics Gynecology Clinic of the Sylvanus Olympio University Hospital Center (SOUHC). Results: we noted 86 cases of maternal deaths after referral/evacuation i.e. a maternal mortality rate hospital of 555 maternal deaths per 100,000 LB. The average age of the patients was 31.1 ± 6.3 years with extremes of 15 and 45 years. In 33.7% of cases our patients were resellers. Multiparas represented 33.7% of the sample, they had performed less than three antenatal consultations. Postpartum hemorrhage was the reference reason in 33.7%. In 74.4% of cases, the patients referred had arrived by taxi. In 87.9% of cases, the patients had died of direct obstetric causes. Immediate postpartum hemorrhage accounted for 44.6% of cases and anemia, 36.4%. There is a statistically significant association between the availability of blood product and the avoidability of maternal death after obstetrical referral and/or evacuation (p value = 0.0188 0.05). Conclusion: Determining responsibility for maternal death is not always easy. There is an urgent need to strengthen the policy of reducing maternal mortality in Togo. This remains possible by developing communication strategies and a solid referral/counter-referral system.

关键词： maternal death Reference Counter Reference Togo

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Review of maternal deaths in Two Health Regions of Togo: About 69 Cases (Epidemiological and Sociodemographic Aspects)

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Open Journal of Obstetrics and Gynecology 2023年第10期13卷 1722-1729页

作者： Baguilane Douaguibe Dédé Régina Ajavon Wahabou Koffi Pakieyendou Tongou Yendoutie Kambote Francis Bararmna-Bagou Romario Mawougbe Samado Aboubakari Obstetrics and Gynecology Department of Sylvanus Olympio University Hospital Lomé Togo Obstetrics and Gynecology Department of Kara University Hospital Kara Togo

Introduction: maternal mortality is a public health problem. It is common in hospitals in Togo. From 401 per 100,000 live births in 2013, in 2017 we are 396 per 100,000 live births. Despite several programs ranging from subsidized caesarean section (CARMA) yezou (assistance for pregnant women), the establishment of maternal death reviews in maternity wards to compensate for avoidable causes;we are seeing preventable maternal and fetal deaths in our hospitals. No study on these reviews has been done since its establishment. The objective of our study was to determine the frequency of reviews of maternal deaths, the epidemiological, sociodemographic aspects and the causes of these reviewed maternal deaths. Method: This was a descriptive and cross-sectional, multicenter study lasting four and a half years, from the 1st of January 2018 to the 30th of June 2022, relating to the review of maternal deaths in three reference hospitals of two health regions of south Togo. Any maternal death occurring in one of these hospitals during the study period was included in this survey. The data collected using a collection sheet were analyzed using Epi Info version 7 software. Results: During the study period, the maternal mortality ratio in the three hospitals was 722.3 per 100,000 live births. Only 12.2% of maternal deaths were reviewed in the three hospitals. The patients were young with an average age of 29.9 years, housewives (71%), uneducated (21.7%). The causes of maternal deaths were dominated by direct obstetric causes (89.7%). The main cause was hemorrhage (72.5%), the main cause being immediate postpartum hemorrhage (50.7%). Conclusion: This study shows that the maternal mortality ratio still remains high in our country with a low frequency of maternal death reviews. Young, poor, uneducated women are the most affected by these deaths, the main cause of which remains hemorrhage. Preventive measures deserve to be taken at all levels with a view to reducing maternal mortality.

关键词： maternal death Review Cause Togo

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Factors Associated with maternal and Perinatal Complications of Preeclampsia at the Central Hospital of Yaoundé: A Cross-Sectional Analytical Study

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Open Journal of Obstetrics and Gynecology 2022年第12期12卷 1245-1257页

作者： Fouedjio Jeanne Hortence Makengne Waofo Manuella Ebong Ebontane Cliford Esiene Agnès Tsague Nguimatio Elodie Fouelifack Ymele Florent Mbu Robinson Enow Ze Minkande Jacqueline Central Hospital of Yaoundé Yaoundé Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Institute of Medical Technologies of Nkolondom Yaoundé Cameroon Gyneco-Obstetric and Pediatric Hospital of Yaoundé Yaoundé Cameroon

Introduction: Pre-eclampsia (PE) is a public health problem especially in developing countries due to its incidence and severity. It is responsible for high maternal and perinatal morbidity and mortality. Accordingly, the objective of this work was to study the factors associated with the occurrence of maternal and perinatal complications of preeclampsia. Method: This was an analytical cross-sectional study with prospective and retrospective data collection including all patients, pregnant or postpartum, admitted for pre-eclampsia to the maternity ward of the Yaoundé Central Hospital. It took place over a period of seven (07) months. The data collected was analyzed using CS Pro 7.4, SPSS 20.0 and Microsoft Office Excel 2010 software. We compared the group with complications to the group without complications. We calculated the odds ratio to look for associations between variables and their 95% confidence intervals. The threshold for statistical significance was set at p Results: We recruited 214 cases of preeclampsia in our series. There were maternal complications in 44.4% of cases, dominated by eclampsia (31.8%). We recorded 07 maternal deaths, representing a maternal lethality of 3.3%. We had at least one perinatal complication in 105 cases (49.1%). The predominant perinatal complication was prematurity. We recorded 32 cases of intrauterine fetal demise and 13 cases of early neonatal death, giving a perinatal lethality of 21%. After logistic regression, the factors associated with maternal complications were residing in a rural area (OR = 2.217 [1.054 - 3.09];p < 0.036);a nurse-aid as prenatal consultation provider (PNC) (OR = 5.059 [2.175 - 36.162];p - 4.029]). Conclusion: Complications of preeclampsia are very common in our setting. Several identified factors are associated with the occurrence of these complications. We suggest building the capacity of providers of PNC and sensitization of women on the use of PNC services.

关键词： Preeclampsia Eclampsia maternal death Perinatal death Prematurity

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Epidemiologic Profile of maternal deaths in Two Referral Hospitals in Cameroon

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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 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 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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Analysis of maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at Chu Point“G”about 389 Cases Bamako/Mali

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Open Journal of Obstetrics and Gynecology 2020年第2期10卷 243-253页

作者： I.Kanté M.Sima A.Coulibaly M.Traoré T.Théra A.Bocoum S.Z.Daou A.Kouma S.Fané A.Traoré O.Traore Y.Traoré I.Teguété B.Maiga Obstetric Gynecology Service of C.H.U Point“G” BamakoMali Obstetric Gynecology Service of C.H.U Gabriel TOURE” BamakoMali Common Reference Health Center Commune II BamakoMali Obstetric Gynecology Service of C.H.U KATI BamakoMali Obstetrics Gynecology Service of CHU Hospital DU Mali BamakoMali Common Reference Health Center Commune V BamakoMali

Objective: Analyze the maternal mortality in the two departments of CHU Point “G” in Bamako, because of high maternal mortality rate in our country. Material and Methods: This was an analytical cross-sectional study on maternal deaths from February 19, 2005 to November 19, 2019 for patients admitted in both departments and who died during the pregnancy-puerperal period at CHU Point “G”. All the patients who died outside this pregnancy-puerperal period were not retained. The data were entered and analyzed using SPSS 12.0 software. The statistical test used was that of Chi2, the statistical significance threshold was fixed at 5%. Results: During our study, we recorded 389 maternal deaths out of 16,033 admissions in 15 years and 18,060 live births during the same period making a maternal mortality ratio of 2153.931 and a frequency of 2.426. At the end of our study, we noted that the frequency of maternal deaths was higher in 2014: 12.9% (50/389). The maternal death predominantly affected women aged of 20 - 24 with a frequency of 22.4% (87/389). The multiparity (166/389 making 42.7%), illiteracy (341/389 making 87.7%), the poor evacuation conditions (non-medicalized transport): 263/389 making 67.6%;the evacuation without any evacuation sheet: 259/389 making 66.6%), poor CPN (Prenatal consultation) quality (undone CPN: 191/389 making 49.1%) and the poor monitoring of delivery works (no use of partograph in 343/389 making 88.2%) were the factors favoring maternal deaths. The main causes of maternal deaths were direct in 231/389 making 59.4% with hemorrhage in first line: 21.1% (82/389), infection (61/389 cases making 15.68%), dystocia: 50 cases making 12.85% and high blood pressure and complications (38/389 making 9.76%);indirect in 158/389 cases making 40.6% (Figures 1-3). The majority of women 65.8% (256/389) of our patients died in the gynecology and obstetrics department;in the Resuscitation department 73/389 making 18.8%;in the operating room 43/389 making 11.1% and the deaths that were observed on arrivals repres

关键词： Hemorrhage High Blood Pressure maternal death Partographe Prenatal Consultation

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Management of Obstetric Emergencies in a Tertiary Hospital in Cameroon: A Milestone for End of Preventable maternal deaths

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Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1749-1762页

作者： Robert Tchounzou Theophile Nana Njamen Alphonse Nyong Ngalame Vanessa Baleba Inna Rakya Darolles Mwadjie Wekam André Gaetan Simo Wambo Humphry Neng Tatah Diane Estelle Kamdem Moustapha Bilkissou Félix Adolphe Elong Dominique Djomo Tamchom Julie Ngo Batta Emile T. Mboudou Douala Gynaeco-Obstetric and Paediatric Hospital Douala Cameroon Faculty of Health Sciences University Buea Buea Cameroon Douala General Hospital Douala Cameroon Faculty of Medicine and Biomedical Sciences of Ngaoundere Garoua Cameroon Regional Hospital Limbe Limbe Cameroon Regional Hospital Buea Buea Cameroon Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon

Background: maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,0... 详细信息

Background: Maternal mortality was insufficiently reduced in Cameroon in 2015 despite the adoption of Millennium development goals. To tackle the situation and meet the sustainable Millennium goals target of 140/100,000 live births by 2030, the Government adopted the strategies of building reference hospitals where high quality obstetric care, timely and optimal management of obstetric emergencies will be offered. The objective of this study was to describe the patterns of obstetric emergencies in Douala Gynaeco-obstetric and Paediatric Hospital, evaluate the outcomes of their management and the contribution to maternal mortality. Patients and Methods: 418 patients with obstetric emergencies were included in a two-phase cross-sectional study. Data were retrieved from patients’ case notes during the retrospective phase and a questionnaire filled for each case received during the prospective phase. Patterns of obstetric emergencies were determined and for each, the following were analysed: patient managed in this hospital or referred from other hospitals, management according to hospital guidelines, timing of care, result of management (recovery with

关键词： Obstetric Emergencies Tertiary Hospital maternal Outcome maternal death

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Factors Contributing to maternal Mortality in Monrovia, Liberia in November2011

Factors Contributing to Maternal Mortality in Monrovia, Libe...

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作者： Augustine F.Tokpa 华中科技大学

学位级别：硕士

Objective: To acertain factors, perceptions of quality healthcare services, and as wellrespondents’ knowledge on pregnancy complications regarding maternal deaths in Monrovia,Liberia. Methods: This research was conducted using the cross-sectional study design. Wecarefully investigated using questionnaires and interviews to collect the information fromchildbearing mothers at the various health facilities. Now the Simple random samplingtechnique was used to collect the desire information.from a cross-sectional population. Results: Haemorrhage and sepsis were the leading direct causes of maternal deaths inMonrovia with each accounting for38.6%and27.2%respectively. The indirect causes ofmaternal deaths were anemia accounting for40.7%as well as malaria accounting for33.9%.Perceptions about quality of healthcare services, education, distance, and knowledge ofpregnancy complications were statistically significant （P=0.05, P＜0.05, P＜0.05, P=0.05）respectively. Occupation was not statistically significant （P＞0.05） indicating it was not afactor of maternal death. Conclusion: maternal mortality remains to be of grave concerned in Monrovia and theentire country as large. It is believed that active and robust public health measures areimportant strategies to achieve desire program goals. Skills enhancement programs, improving healthcare services, management, and continuous outreach education campaignsby trained health workers are the key strategies and hallmarks to educating people especiallythose residing in Monrovia and other parts of the country.

关键词： Monrovia Liberia maternal death direct and indirect causes pregnancy complications

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