MATERNAL MORTALITY IN A MATERNITY WARD AT A REGIONAL HOSPITAL CENTER IN SOUTHERN SENEGAL
Biaye B, Diallo M, Guéye M, Gassama O, Niassy Diallo AC, Toure Y, Cisse M, Wade M, Ndour SB, Sarr PM, Diouf AA, Diouf A, Moreau JC.
Aristide Le Dantec hospital in Dakar, Senegal
Objectives: -to determine the maternal mortality ratio at the Kolda Regional Hospital; -to describe the socio-demographic characteristics of the deceased patients; -to clarify the causes of maternal mortality and to identify the associated risk factors.
Materials and method: This was a prospective, descriptive and analytical study conducted between January 1st, 2012 and December 31st, 2016 at the Kolda Regional Hospital Center. We collected data from maternity records, resuscitation records, anesthesia records and the operating protocol register.
Results: During this study period, we recorded 120 maternal deaths out of 4116 living births, a maternal mortality ratio of 2915.4 per 100,000 living births. The average age of our patients was 27 years old. The average parity was 4 deliveries and multiparas accounted for half of the patients. In our series, 84% of patients were evacuated; high blood pressure (35.8%) and obstructed labor (18.8%) were the most common reasons for evacuation. More than half of the deaths (52.5%) occurred in the postpartum and 32.5% in the 3rd quarter. More than half of the deaths occurred within the first 24 hours after of admission (52%). Just over a third of patients (39%) had delivered by caesarean section and we had 58.8% of perinatal deaths. The conclusions of the audit were a delay in consultation (57%) followed by a delay in evacuation (28%) and a delay in the management of patients (25%).
Conclusion: The multiple factors influencing the high maternal mortality rate in this region of Senegal can be attributed to the community, the medical team, and / or the health system. Strategic interventions to reduce this mortality rate should be based on community education on safe motherhood, on the improvement of the level of education, on communication systems and better transportation, on access to quality reproductive health services and availability of emergency obstetric care.
Keywords: Audit, maternal mortality, Kolda.
How to cite this article:
Biaye B, Diallo M, Guéye M, Gassama O, Niassy Diallo AC, Toure Y, Cisse M, Wade M, Ndour SB, Sarr PM, Diouf AA, Diouf A, Moreau JC.MATERNAL MORTALITY IN A MATERNITY WARD AT A REGIONAL HOSPITAL CENTER IN SOUTHERN SENEGAL. International Research Journal of Obstetrics and Gynecology, 2019, 2:10. DOI: 10.28933/irjog-2019-06-0506
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