Introduction: The maternal mortality ratio in developing countries is 239/100,000
live births (LV) in 2015, compared to 12/100,000 live births (LV) in developed
countries. This study aims to analyze the avoidability of maternal deaths at
the CHU-MEL from 2015 to 2019.Patients and Method: This was a descriptive analytical study with retrospective data
collection from January 1st 2015 to August 31st 2019, i.e. 56 months. The data were collected from medical records, maternal death registers, anaesthesia
registers. They were entered and analyzed using Epi info version 7 software.
The associations between avoidability of death and aetiologies were tested
using Chi2 or Fisher’s test as appropriate. The threshold for
statistical significance was 5%.Results: The maternal mortality ratio over 5 years was 905
maternal deaths per 100,000 LV. The age of the deceased women ranged
from 15 to 44 years, with an average of 29.09 ± 7.04 years. They were
illiterate or primary educated (47.02%), married (64.50%) primigravida or
paucigravidae (47.02%)
References
[1]
World Health Organization (WHO) (2019) Maternal Mortality.
[2]
United Nations Development Programme (UNDP) (2015) Improving Maternal Health, Where Do We Stand?
[3]
World Health Organization (WHO) (2014) Targets and Strategies to End Preventable Maternal Deaths: A Consensus Statement.
[4]
Barry, B. (2008) Maternal Mortality: Causes and Facilitating Factors Determined by Verbal Autopsy in Bakel Department. Research Master’s thesis, Cheik Anta Diop University, Dakar.
[5]
Denakpo, J.L., Zoumenou, E., Hounkpatin, B., Aguemon, C. and Lokossou, A. (2010) Impact of Clinical Audits on the Quality of Emergency Obstetric and Neonatal Care at the Hôpital de la Mère et de l’Enfant Lagune in Cotonou, Benin. Journal de la SAGO, 11, 13-17.
[6]
Kane, A. (2018) Audit of Maternal Deaths at the Reference Health Centre in Commune IV of Bamako District. Doctorate in Medicine Thesis No. 18M49, Faculté de Médecine et d’Odonto-Stomatologie (FMOS), Bamako, 67 p.
[7]
Institut National de la Statistique et de l’Analyse Economique (INSAE) (2019) Demographic Health Survey in Benin, 2017-2018. 5th Edition, INSAE and ICF, Cotonou, Rockville.
[8]
National Institute of Health and Medical Research (INSERM) (2017) Characteristics of Deceased Women. In: Les morts maternelles en France: Mieux comprendre pour mieux prévenir. 5th Report of the Confidential National Survey on Maternal Deaths (ENCMM) 2010-2012, Santé Publique France, Saint-Maurice, 230 p.
[9]
United Nations Development Programme (UNDP) (2016) Goal 4: Quality Education.
[10]
Foumane, P., Dohbit, J.S., Ngo Um Meka, E., Nkada, N.M., et al. (2015) Etiologies of Maternal Mortality at the Gynaeco-Obstetric and Pediatric Hospital in Yaoundé: A Series of 58 Deaths. Health Sciences and Disease, 16, 1-5.
[11]
Lefèvre, J. (2014) Epidemiology of Hospital Maternal Mortality. Observational Study Carried out in Reunion Island. Thesis for Doctorate in Medicine No. 76, U.F.R des sciences médicales, Bordeaux, 131.
[12]
Fomulu, F.J., Ngassa, P.N., Nong, T., Nana, P. and Nkwabong, E. (2009) Maternal Mortality at the Maternity Hospital of the Centre Hospitalier et Universitaire de Yaoundé, Cameroon: 5-Year Retrospective Study (2002 to 2006). Health Sciences and Disease, 10, 1-6.
[13]
World Health Organization (WHO) (2016) WHO Recommendations for Prenatal Care to Make Pregnancy: A Positive Experience.
[14]
Tshabu Aguemon, C., Adisso, S., Hounkpatin, B., Obossou, A. and Bashibiririrwa, K. (2014) Identification of Dysfunctions in the Management of Cases of Maternal Mortality in the Maternity Ward of the Menontin Hospital in Cotonou. Ramur, 19, 10-13.
[15]
Baldé, I.S., Baldé, O., Camara, M.K., Diallo, A., et al. (2016) Review of Maternal Deaths in the Gynaecology and Obstetrics Department of the Donka CHU National Hospital in Conakry (Guinea). Revue International des Sciences Médicales, 18, 99-103.
[16]
Kahindo, J.B., Karemere, H. and Mitangala, P. (2018) Explanatory Factors for Maternal Deaths in Hospitals: A Study of Six Health Zones in Eastern Democratic Republic of Congo. International Journal of Innovation and Applied Studies, 23, 559-568.
[17]
Ouédraogo, C. and Bouvier-Colle, M.-H. (2002) Maternal Health in Francophone Africa—Maternal Mortality in West Africa: How, How Many and Why? The Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 31, 80-89.
[18]
Deneux-Tharaux, C. and Saucedo, M. (2017) Epidemiology of Maternal Mortality in France, 2010-2012. Gynécologie Obstétrique Fertilité & Sénologie, 45, S8-S21.
https://doi.org/10.1016/j.gofs.2017.10.025
