Contact Us

For Marketing, Sales and Subscriptions Inquiries
2637 E Atlantic Blvd #43110
Pompano Beach, FL 33062
USA

Conference List

Cause, Magnitude and Contributing Factors for Maternal Death in Selected Hospitals in Snnpr between 2007/2008 and 2009/2010

Yemisrach Shiferaw Deneke

,

Mesganaw Fantahun Afework

,

Tesfalem Teshome Tessema

,

Chalachew Misganaw

,

Hawult Taye

Yemisrach Shiferaw Deneke 1
Mesganaw Fantahun Afework 2
Tesfalem Teshome Tessema 3

Chalachew Misganaw 4 Hawult Taye 4 

  1. Lecturer at Department of Public Heath, Hawassa College of Health Sciences, SNNPR, Hawassa, Ethiopia 1

  2. Professor of public health (Reproductive Health and Maternal and Child Health)Addis Abeba University, department of Reproductive, Family Health and Nutrition, School of Public Health, Addis Abeba, Ethiopia 2

  3. Lecturer at Department of Public Health, GCC Funded Project Coordinator & Principal InvestigatorHawassa College of Health Sciences, SNNPR, Hawassa, Ethiopia 3

  4. Study physician at Armauer Hansen Research Institute 4


Abstract:

Introduction: Maternal mortality has high public health importance because of its magnitude in Ethiopia. Its reduction is possible. However, factors contributed to maternal mortality not sufficiently identified in Ethiopia. Objective: To identifying cause, magnitude and contributing factors for maternal death in selected hospitals in SNNPR between 2007/2008 and 2009/20010.
Method: A retrospective register based study was conducted in SNNPR in purposively selected three hospitals. All maternal deaths recorded during the study period were included. Data were collected by reviewing records using pre-tested checklist. Data collectors were Midwives from health center. Training was given for data collectors and supervisor. Data was entered and cleaned using EPI version 3.5.2. The cleaned data was exported to SPSS version 16, for descriptive statistical analysis. Result:  Maternal deaths were 127 & maternal mortality ratio was 1360/100,000 live births. Direct obstetric causes of death accounted for 88%, out of which 31%, 23 % and 15% were obstructed labour, hemorrhage and eclampsia cases, respectively. Low (3.1%) of ANC follows up. Seventy percent of mothers were in labour for 2-3 days at home and 48.4% mothers died on the day of admission.  Patients who were potentially in need of blood transfusion, 90%, 84% and 79% of APH, PPH and ruptured uterus cases respectively, died without receiving it. 
Conclusion: Maternal mortality ratio was high. Obstructed labour was the leading cause of death. Delay in health seeking behavior as patient factor and delay at health facility as provider factor have contributed to maternal death. Based on this finding regional health office was suggested to make the comprehensive emergency obstetric care service accessible to the rural society in which the majority lives and birth preparedness emergency readiness should be enhanced in the community.

Contribution/ Originality
While the overall maternal death in Ethiopia is decreasing, there is still increased number of maternal death in selected regions in SNNP. Though it relies on review of registrations only, the study could reflect significant difference among regions in the country

Keywords:


Video:

Reference:

  1. UNICEF, "The state of the world's children: Maternal and newborn health," 2009.
  2. WHO Maternal Mortality in 2005, Estimates developed by WHO, UNICEF, UNFPA, and the world bank. Geneva, 2007.
  3. CSA, ORC MACRO, Calverton, Maryland, USA. Ethiopia demographic and health survey 2005. Addis Ababa, Ethiopia, 2006.
  4. A. Carla, W. Tessa, H. Kenneth, and C. Yoonjoung, Maternal mortality in 2000: Estimates developed by WHO, UNICEF and UNFPA: Johns Hopkins University, 2000.
  5. WHO, "Strategic direction for accelerating the reduction of maternal mortality in the Eastern Mediterranean Region Cairo," 2005.
  6. L. Gwyneth, "Beyond the number: Reviewing maternal deaths and complications to make pregnancy safer," British Medical Bulletin, p. 67, 2003.
  7. WHO, ICD-10 second edition international statistical classification of diseases and related health problems in Geneva: WHO, 2004.
  8. S. N. Angelo, P. U. David, B. P. Andrea, K. Felix, and R. Jos Van, "Factors for change in maternal and perinatal audit systems in dar es selam hospital, Tanzania," BMC Pregnancy and Childbirth, vol. 10, 2010.
  9. S. Tasnim, N. Kabir, A. Ahmed, and S. Chowdhury, "Chowdhury maternal death audit: Experience from a periurban hospital," J Bangladesh Coll Physurg, vol. 24, pp. 5-9, 2006.
  10. MOH and UNFPA, "AMDD. National level assessment: Emergency obstetric care Nicaragua 2002-2005."
  11. C. Mamady, Maternal mortality in the Gambia: Contributing factors and what can be done to reduce them. Norway: University of Oslo, 2003.
  12. S. Gunawan, E. Meg, A. Endang, and C. Surekha, "A district based audit of the causes and circumstances of maternal death in South Kalimantan, Indonesia," Bull World Health Organ, vol. 80, pp. 228-34, 2002.
  13. S. Hailu, F. Enqueselassie, and Y. Berhane, "Health facility based maternal death audit in tigray," Ethiopia. Ethiop J Health Dev., vol. 23, pp. 115-9, 2009.
  14. FMOH., "Health sector development program (HSDP III). Addis Ababa, Ethiopia," 2010.
  15. W. Charlotte, "Care seeking for maternal health: Challenges remain for poor women," Health Dev., vol. 24, pp. 100-4, 2010.
  16. A. Janet, A. Margaret, A. Daniel, P. Suzanne, and H. Julia, "Hospital based maternal care in Ghana- finding of a confidential enquiry in to maternal death," Ghana Medical Journal, vol. 42, 2007.

Statistics:

Google Scholor ideas Microsoft Academic Search bing Google Scholor

Funding:

Competing Interests:

Acknowledgement:


Related Article

( 1 ) Cause, Magnitude and Contributing Factors for Maternal Death in Selected Hospitals in Snnpr between 2007/2008 and 2009/2010
( 4 ) Food Safety Knowledge, Attitude and Associated Factors of Food Handlers Working in Substandard Food Establishments in Gondar Town, Northwest Ethiopia, 2013/14
( 5 ) Prognostic Factors in Patients with Squamous Cell Carcinoma of the Oral Tongue Treated With Adjuvant Therapy Following Surgery
( 6 ) Prevalence and Factors Associated With Refractive Error among Primary School Children in Addis Ababa, Ethiopia
( 7 ) The Level and Associated Factors Of Knowledge, Attitude and Practice of Blood Donation among Health Science Students of Addis Ababa University
( 9 ) Prevalence of Stunting and Associated Factors among Under Five Children in Wondo Genet Woreda, Sidama Zone, Southern Ethiopia
( 10 ) Suicides and Factors Associated With Suicides-A Study in a Rural Setup of Pondicherry in South India
( 11 ) The Effect of Regular Hazelnut Consumption on Cardiovascular Risk Factors and Acceptance in Māori and European
( 12 ) Influence of Parity and Index Child Factors on Adoption of Exclusive Breastfeeding by Nursing-Mothers in Imo State Nigeria
( 13 ) Gendered Perspectives of Men’s Health and Help Seeking: Implications for Public Health and Health Promotion
( 14 ) Access to HIV Prevention Services for Injecting Drug Users in Hai Phong, Vietnam: Qualitative Results
( 15 ) Interventions for Reducing Coercion in Mental Health for Adults: A Systematic Review and the Impact of Updating
( 17 ) Prosthodontic Rehabilitatative Therapy through Surgical Obturator for Maxillectomy Patients: A Review
( 18 ) Contribution of Integrated Nutrient Management Practices for Sustainable Crop Productivity, Nutrient Uptake and Soil Nutrient Status in Maize Based Cropping Systems
( 19 ) Apoptotic Analysis of Cumulus Cells for the Selection of Competent Oocytes to Be Fertilized by Intracytoplasmic Sperm Injection (ICSI)
( 20 ) Re-Irradiation for Recurrent Head and Neck Squamous Cell Carcinoma after Primary Radical Therapy
( 21 ) Malaysian Translation and Psychometric Evaluation for Parent and Child Questionnaires of Children Health Survey for Asthma
( 22 ) Evaluation of Techniques for the Diagnosis of Rotavirus Gastroenteritis in Paediatric Patients
( 23 ) Reliability of the Laboratory Risk Indicator for Necrotizing Fasciitis (Lrinec) Score for Early Diagnosis of Necrotizing Fasciitis
( 24 ) Personalized Medicine: Futuristic Predictive Nanomedicines for Diagnosis and Therapeutics
( 25 ) Strategies for Addressing Poor Statistical Literacy among Health Scientists and Science Communicators
( 26 ) Common Health Concerns in African Immigrants in the Us- Implications for the Family Physician
( 27 ) Model for Absorption of Perfluoropropane Intraocular Gas after Retinal Surgeries
( 28 ) Empirical and Practical Implementation Methodology for Clinical Integration of E-Health Iot Technology
( 29 ) Profile of Patients Visiting a Tertiary Eye Hospital and their Perception Regarding Barrier for Eye Care Services in the Western Saudi Arabia
( 30 ) Multifactorial Analysis of the Parameters for Immunity in Preterm Infants
( 31 ) Exploring Social Opportunities for and Constraints to Primary Healthcare Seeking behavior in Urban Bangladesh: A Study on Rajshahi City
( 32 ) Evaluation of the Relative Viability of Anthropometric Parameters, Aerobic Capacity, Spinal Mobility, Abdominal Muscular Endurance, Back and Lower Limb Muscle Strength in Predicting the Balance Performance of Young Adult Males
( 33 ) Nano Formulations of Natural Compounds for Enhanced Delivery
( 34 ) Domiciliary Care Providers Views on Provision of Palliative Care for their Cancer Patients
( 35 ) Preparing Nurses for Community Health Care: A Comparative Study of the ADN and BSN Programs
( 36 ) Development and Quality Evaluation of Complementary Food Formulated from Sorghum, Soybean and Sesame Flour Blends
( 37 ) Mortalities Profile among Dubai Population 2017, Utilizing Breakdown Fractions for Intervention and Forecasting of Future Epidemiologic Transition - Dubai, UAE 2019
( 39 ) Free Maternal and Child Health Services in Enugu State, South East Nigeria: Experiences of the Community and Health Care Providers