Trends in health facility based maternal mortality in Central Region, Kenya: 2008-2012
| Autor: | Jane Githuku Mungai, Zeinab Gura Roka, Onesmus Maina Muchemi, Agnes Wangechi Gichogo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Population causes of death 03 medical and health sciences Young Adult 0302 clinical medicine Pre-Eclampsia Pregnancy medicine distribution Humans Eclampsia 030212 general & internal medicine education Retrospective Studies lcsh:R5-920 education.field_of_study 030219 obstetrics & reproductive medicine business.industry maternal mortality lcsh:Public aspects of medicine Research Postpartum Hemorrhage lcsh:RA1-1270 Retrospective cohort study General Medicine medicine.disease Kenya Pregnancy Complications Standardized mortality ratio Gestation Maternal death Health education Female Trends lcsh:Medicine (General) business Demography |
| Zdroj: | Pan African Medical Journal; Vol 23, No 1 (2016) The Pan African Medical Journal The Pan African Medical Journal, Vol 23, Iss 259 (2016) |
| ISSN: | 1937-8688 |
| Popis: | Introduction: WHO classifies Kenya as having a high maternal mortality. Regional data on maternal mortality trends is only available in selected areas. This study reviewed health facility maternal mortality trends, causes and distribution in Central Region of Kenya, 2008-2012. Methods: We reviewed health records from July 2008 to June 2012. A maternal death was defined according to ICD-10 criterion. The variables reviewed included socio-demographic, obstetric characteristics, reasons for admission, causes of death and contributing factors. We estimated maternal mortality ratio for each year and overall for the four year period using a standard equation and used frequencies means/median and proportions for other descriptive variables. Results: A total 421 deaths occurred among 344,191 live births; 335(80%) deaths were audited. Maternal mortality ratios were: 127/100,000 live births in 2008/09; 124/100,000 live births in 2009/2010; 129/100,000 live births in 2010/2011 and 111/100,000 live births in 2011/2012. Direct causes contributed majority of deaths (77%, n=234) including hemorrhage, infection and pre-eclampsia/eclampsia. Mean age was 30(±6) years; 147(71%) attended less than four antenatal visits and median gestation at birth was 38 weeks (IQR=9). One hundred ninety (59%) died within 24 hours after admission. There were 111(46%) caesarian births, 95(39%) skilled vaginal, 31(13%) unskilled 5(2%) vacuum deliveries and 1( |
| Databáze: | OpenAIRE |
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