Author(s)

Gregory Edie Halle Ekane^1*, Thomas Egbe Obinchemti¹, Charlotte Nguefack Tchente², Lydia Kahgomia Fokunang³, Theophile Nana Njamen¹, Ndamezie Nkafu Bechem⁴, Martin Mafany Njie¹, Daniel Latum⁵

¹Department of Surgery and Gynecology/Obstetrics, Faculty of Health Sciences, University of Buea,Buea, Cameroon.
²Department of Obstetrics and Gynecology, Douala General Hospital, Douala, Cameroon.
³Department of Gynecology and Obstetrics, Regional Hospital Buea, Buea, Cameroon.
⁴Department of Obstetrics and Gynecology, Limbe Regional Hospital, Limbe, Cameroon.
⁵Department of Public and Community Health, University of Yaoundé 1, Yaoundé, Cameroon.

Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal mortality by three quarters of the 1999 value by the year 2015. However, three years to 2015, very little is known on the trends in maternal mortality ratio, causes of maternal deaths and their associated factors in the Tiko Cottage Hospital (TCH) and Limbe Regional Hospital (LRH) in the South-West Region, Cameroon. Methods: This was a retrospective, analytical cross-sectional study that was carried out from 1^st January 2000 to December 2012. After obtaining ethical clearance, the records of cases of maternal deaths and a reference group of women who survived after a pregnancy during the same period were carefully reviewed. The data were analyzed with SPSS 10 and EPI 3.5.1. Results: There were 14,480 live births and 132 maternal deaths during the study period, giving an adjusted Maternal Mortality Ratio (MMR) of 892/100,000 live births. Patients’ age ranged from 15 - 40 years (SD 2.3). We observed a downwards trend of Maternal Mortality Ratio (MMR). Seventy-eight percent of the maternal deaths were due to direct causes. The triad of hemorrhage (54.5%), abortions (17.4%), and eclampsia (10.6%) was the leading cause of death. HIV-related complications and hepatitis constituted the main indirect causes of maternal death. In 85.4% of cases, maternal deaths were avoidable. Lack of blood for transfusion and late referral of cases were the main avoidable factors. Patients less than 35 years (p = 0.01), no antenatal care (ANC) (p = 0.001), unemployment [OR = 1.52; 95% CI: (1.38 - 48.28); p = 0.02] were significantly associated with maternal deaths while grand multiparity [OR = 1.20; 95% CI (0.30 - 4.86); p = 0.79], marital status [OR = 1.20; 95% CI: (0.70 - 2.07); p = 0.51] and education level were not significantly associated with maternal deaths. Conclusion: The trend shows that there was no appreciable decline in maternal mortality, implying that attaining the objectives of MDG 5 is very unlikely. Therefore, to meet the MDG 5 target, we recommend that, there should be amelioration towards obstetric emergencies care and health education by health care providers.

Maternal Mortality Ratio, Causes, Trends, MDG 5, South West Region

Ekane, G. , Obinchemti, T. , Tchente, C. , Fokunang, L. , Njamen, T. , Bechem, N. , Njie, M. and Latum, D. (2014) Attainment of the Fifth Millennium Development Goal: Utopia or Reality Based on Trends in Maternal Mortality in 12 Years in Two Regional Hospitals in Fako Division, Cameroon? A Retrospective Study. Open Journal of Obstetrics and Gynecology, 4, 771-781. doi: 10.4236/ojog.2014.413107.