Maternal near-miss and mortality in a teaching hospital in Tigray region, Northern Ethiopia.
| Autor: | Teka, Hale, Yemane, Awol, Zelelow, Yibrah Berhe, Tadesse, Habtom, Hagos, Hadgay |
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| Předmět: |
DISEASE risk factors
CHILDBIRTH INTENSIVE care units RESPIRATORY diseases ACADEMIC medical centers POSTPARTUM hemorrhage ADRENOCORTICAL hormones CROSS-sectional method PREGNANT women DISEASES CARDIOVASCULAR diseases MULTIPLE organ failure ABORTION RISK assessment PREECLAMPSIA SEPSIS VAGINA PREGNANCY complications DISEASE prevalence RESEARCH funding DESCRIPTIVE statistics HOSPITAL care MATERNAL mortality JUDGMENT sampling DELIVERY (Obstetrics) CESAREAN section INFANT mortality LONGITUDINAL method |
| Zdroj: | Women's Health (17455057); Jan-Dec2022, Vol. 18, p1-11, 11p |
| Abstrakt: | Objective: This study seeks to examine the prevalence of maternal morbidities and deaths in Ayder Comprehensive Specialized Hospital from 1 July 2018 to 30 June 2019. Methods: This was a cross-sectional study. Total purposive sampling method was employed to collect data prospectively using modified World Health Organization criteria for baseline assessment of maternal near-miss and mortality. Pregnant women or those who are within 42 days postpartum/any form of pregnancy termination that satisfy the inclusion criteria were enrolled. Results: A total of 691 mothers were recorded as having severe maternal complications. Out of these, 170 women developed severe maternal outcome, ending with 146 maternal near-miss cases and 24 maternal deaths. The maternal near-miss ratio and maternal mortality ratio were 28.5 per 1000 live births and 469.1 per 100,000 live births, respectively. The overall mortality index was 14%. The top underlying causes of severe maternal complications were the infamous triads of preeclampsia (n = 303, 43.8%), obstetric hemorrhage (n = 166, 24.0%) and sepsis (n = 130, 18.8%). About 62.5% of mothers who died were not admitted to intensive care unit. Conclusion: This study found that the infamous triads of preeclampsia, obstetric hemorrhage and sepsis persist as the commonest causes of severe maternal complications in the study area. A significant number of women with severe maternal outcome were not admitted to intensive care unit. It also highlights that the severe maternal complications, severe maternal outcome, maternal near-miss ratio and mortality index in the study area are disproportionately higher than the global average. These staggering numbers call for a system re-thinking at multiple junctures. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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