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Abstract
Discussion Forum (0)
Introduction: Developing countries account for the majority of maternal deaths. Ethiopia is among the top ten countries, contributing to 59% of global maternal deaths in 2015 alone. This study aimed to assess maternal deaths at five selected hospitals in Tigrai, Ethiopia.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Introduction: Developing countries account for the majority of maternal deaths. Ethiopia is among the top ten countries, contributing to 59% of global maternal deaths in 2015 alone. This study aimed to assess maternal deaths at five selected hospitals in Tigrai, Ethiopia.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Maternal Death at Hospitals of Tigrai Region, Ethiopia.
Dr. Jessica George
Abstract
Discussion Forum (0)
Introduction: Developing countries account for the majority of maternal deaths. Ethiopia is among the top ten countries, contributing to 59% of global maternal deaths in 2015 alone. This study aimed to assess maternal deaths at five selected hospitals in Tigrai, Ethiopia.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Introduction: Developing countries account for the majority of maternal deaths. Ethiopia is among the top ten countries, contributing to 59% of global maternal deaths in 2015 alone. This study aimed to assess maternal deaths at five selected hospitals in Tigrai, Ethiopia.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
Methods: After IRB approval, a retrospective chart review of maternal deaths from five selected high volume hospitals in Tigrai, Ethiopia between July 1st, 2019 and June 30th, 2020 was preformed using the WHO facility based maternal death abstraction form.
Results: A total of 40 maternal deaths were recorded during the study period. The mean age of maternal death was 29. The causes of maternal deaths were hemorrhage (32.5%), hypertensive disorders of pregnancy (HDP) (30%), indirect obstetric causes (22.5%), sepsis (7.5%), and post abortion complications (7.5%). In terms of timing of maternal death 72.5 % occurred postnatally, 15% antepartum, 5% intrapartum, and 7.5% post abortion. Of the maternal deaths 50% had antenatal care follow up, 25 % had no antenatal care, and the remaining 25% had an unknown antenatal course. Based on the three-delay model; 80 % had combined delay- 1, 2 and 3, while 20 % had delay one.
Conclusion/Implications: Maternal death is a significant problem in Northern Ethiopia with 62.5 % of all maternal deaths attributed to hemorrhage and HDP. Most maternal deaths occurred during the postpartum period (72.5%) suggesting postnatal care should be improved. Additional research is needed to assess the contributing factors given that 80% of maternal deaths were associated with delay-1, 2 and 3 using the three-delay model.
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