TITLE:
Causes of Maternal Mortality According to Reports of Maternal Death Audits in the University Teaching Hospital Bogodogo (UTH-B) from January to December 2017
AUTHORS:
Ouattara Adama, Ouédraogo Smaila, Lankoandé Bako Coulibaly Natacha, Kain Dantola Paul, Tougma Sanou Aline, Ouédraogo Marie Charlemagne, Ouédraogo Ali, Thieba Bonané Blandine
KEYWORDS:
Audits, Review, Maternal Deaths, Causes of Maternal Deaths
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.13,
November
12,
2018
ABSTRACT: Objective: To study causes of maternal mortality according to reports of maternal
death audits in the University Teaching Hospital Bogodogo (UTH-B) of
Ouagadougou, Burkina Faso. Materials and Method: This was a prospective study that took place over a year from 1 January
to 31 December 2017. It concerned
maternal deaths that occurred during this period in the obstetrics and
gynecology department of the University Teaching Hospital Bogodogo (UTH-B). All
maternal deaths were systematically audited by the
audit committee; interviews with providers and families were sometimes conducted.
The record books of all patients were analyzed by the audit committee; if
necessary, interviews were conducted with care providers and families. The main
information collected were recorded on individual files, entered and analyzed
using the software Epi-info 7. Result: During the study period, we recorded 32 maternal
deaths i.e., 587 per 100,000 live births. Deceased women under age 20 were the most
numerous, followed by women aged 20 to 24. The death occurred in most cases in
the puerperium in 69.80% of cases. Complications of pregnancy were the most
incriminated causes in maternal deaths. Bleeding was the leading cause,
accounting for 34.3%. They are followed by
hypertensive disorders of pregnancy (21.8%) and infections (18.8%). In
the contributing factors, resource factors were incriminated in 56.2% of cases,
social factors in 43.7% of cases and medical factors in 25.4% of cases. Death
was non-preventable in 76.2% of cases compared to 23.8% of preventable deaths. Conclusion: Maternal mortality is a major public health problem at the maternity
hospital of the university hospital Yalgado Ouedraogo.
Hemorrhage is the first cause of death. Hypertensive diseases are more and more
worrying. Solutions must be found to improve the practice of audits in the obstetrics
and gynecology department of UTH-B.