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What Emerges from the Analysis of Maternal Deaths at the Gyneco-Obstetric and Paediatric Hospital in Yaoundé?

DOI: 10.4236/ojog.2025.151012, PP. 118-137

Keywords: Maternal Mortality, Proportion, Review, Cause, Etiology

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Abstract:

Background: Maternal mortality remains a major public health problem worldwide. Objectives: Our study aims to present the results of an analysis of reviews of maternal deaths at HGOPY. Methodology: This was a descriptive cross-sectional study with retrospective data collection from archived records and reviewed maternal death reports. Our study lasted 8 months, from October 1, 2023 to May 31, 2024. The study covered maternal death files at the HGOPY over an 8-year period, from 1st of January 2016 to the 31st of December 2023. Data were processed and analyzed using Statitical Paquage for Social Science (SPSS) version 26.0. Results: We counted a total of 160 maternal deaths, of which 97 had been reviewed. We excluded 61 deceased women reviewed and retained 33. We recorded a cumulative total of 160 maternal deaths and 19,651 live births. The peak in the proportion of maternal deaths at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital was in 2021, with a proportion of 0.013. No maternal deaths had been reviewed between 2016 to 2017. Most deaths (64%) occurred between 37 and 40 weeks. The majority (30.5%) were aged between 30 and 35. The data show that 80.6% of maternal deaths were due to direct obstetric causes, while 19.4% were due to indirect causes. Most deaths (69.4%) were preventable. Only 8.3% were not preventable. Conclusion: Concerted efforts must be made to adapt maternal death prevention and management strategies to local contexts in order to significantly reduce these alarming figures.

References

[1]  World Health Organisation (2024) Maternal Mortality.
https://www.who.int/fr/news-room/fact-sheets/detail/maternal-mortality
[2]  Audibert, M. (2024) Le chèque santé: Une voie pour la réduction de la mortalité maternelle et néonatale au Cameroun? CNRS Sciences Humaines & Sociales.
https://www.inshs.cnrs.fr/fr/cnrsinfo/le-cheque-sante-une-voie-pour-la-reduction-de-la-mortalite-maternelle-et-neonatale-au
[3]  MINSANTE (2024) Normes et standard.
https://www.minsante.cm/site/sites/default/files/Normes%20et%20standard%20SR_Final.pdf
[4]  Ministère de la Santé Publique, Institut National de la Statistique. Enquête Démographique et de Santé.
https://www.minsante.cm/site/sites/default/files/Enqu%C3%AAte%20D%C3%A9mographique%20de%20Sant%C3%A9%20-V_%202018_0.pdf
[5]  (2024) Sustainable Development Goal 3: Bonne santé et bien-être. Les Nations Unies au Cameroun.
https://cameroon.un.org/fr/sdgs/3
[6]  Ndiaye, M.L. (2021) Mortalité maternelle dans les maternités chirurgicales de Ziguinchor: A propos de 90 cas. JOURNAL DE LA SAGO (Gynécologie - Obstétrique Et Santé De La Reproduction), 21.
https://jsago.org/index.php/jsago/article/view/65
[7]  N’daou, K. (2018) Audit des décès maternels à l’hôpital Fousseyni Daou de Kayes.
https://www.bibliosante.ml/handle/123456789/1966
[8]  Thiam, M. (2017) Mortalite Maternelle au Centre Hospitalier Regional de Thies: Etiologies et Facteurs Determinants, a Propos de 239 Deces. Journal de la Sago (Gynécologie-Obstétrique et Santé de la Reproduction), 18, 34-39.
http://www.jsago.org/index.php/jsago/article/view/3
[9]  Kamga, D.V.T., Nana, P.N., Fouelifack, F.Y. and Fouedjio, J.H. (2017) Contribution des avortements et des grossesses extra-utérines dans la mortalité maternelle dans trois hôpitaux universitaires de Yaoundé. Pan African Medical Journal, 27, Article 248.
https://doi.org/10.11604/pamj.2017.27.248.12942
[10]  Diassana, M., Dembele, S., Macalou, B., Ndaou, K., Sidibe, A., Bocoum, A., et al. (2020) Audits de Décès Maternels dans un Hôpital Régional du Mali (Kayes), Place des 3 Retards et Impact sur le Service de Gynécologie-Obstétrique. Health Sciences and Disease, 21, page.
https://www.hsd-fmsb.org/index.php/hsd/article/view/2337
[11]  Lhagadang, F. (2018) Revue des deces maternels dans trois hopitaux regionaux et a l’hopital de la mere et de l’enfant de n’djamena au tchad. Journal de la Sago (Gynécologie-Obstétrique et Santé de la Reproduction), 19, 30-35.
http://jsago.org/index.php/jsago/article/view/44
[12]  Sissoko, A. (2020) Etude de la mortalité maternelle dans le district de Bamako/Mali. Master’s Thesis, Université des Sciences, des Techniques et des Technologies de Bamako.
https://www.bibliosante.ml/handle/123456789/4046
[13]  Malle, C.K. (2008) L’audit des décès maternels au Centre de Santé de Référence de la Commune V du District de Bamako (à propos de 42 cas). Master’s Thesis, Université de Bamako.
https://www.bibliosante.ml/handle/123456789/8461
[14]  Berthé, M., Diallo, A.T., Kokaina, C., Traoré, T., Soumaré, M.D., Berthé, O., et al. (2021) [Study of Factors Associated with Maternal Mortality by the Audit Method in the Segou Region]. Mali Medical, 36, 54-58.
[15]  Foumane, P., Dohbit, J.S., Meka, E.N.U., Nkada, M.N., Minkande, J.Z. and Mboudou, E.T. (2015) Etiologies de la mortalité maternelle à l’Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé: une série de 58 décès. Health Sciences and Disease, 16, 5 p.
http://www.hsd-fmsb.org/index.php/hsd/article/view/483
[16]  Alkassoum, I., Djibo, I., Hama, Y., Abdoulwahabou, A.M. and Amadou, O. (2018) Risk Factors for In-Hospital Maternal Mortality in the Region of Maradi, Niger (2008-2010): A Retrospective Study of 7 Regional Maternity Units. Médecine et Santé Tropicales, 28, 86-91.
https://doi.org/10.1684/mst.2018.0770
[17]  Kanta, A. (2016) Audits des décès maternels au Centre de Santé de Référence de Ké-Macina sur cinq années (2009-2013). Master’s Thesis, Université des Sciences, des Techniques et des Technologies de Bamako.
https://www.bibliosante.ml/handle/123456789/5286

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