Conclusions of ten years of maternal death surveillance and response in the health district of commune V of Bamako, Mali
Keywords:Review, Maternal deaths, Municipality V
AbstractBackground: The purpose of this study was to report the findings of the local maternal deaths surveillance and response (MDSR) committee in the health district of Municipality V of the district of Bamako. Methods: It was a retrospective study over a period from January 2009 to December 2017. We have compiled all the findings of the local MDSR committee from the health district of Municipality V. The data was generated from the Local Health Information System (LHIS). We made a simple entry of text and tables using Word and Excel software. Results: During the study period, the maternal mortality ratio (MMR) was 219/100,000 live births. The study was about 140 cases of maternal deaths that occurred in health facilities. The middle age of the patients was 28.01 years. Most of the deaths occurred in the postpartum period, with 106 cases. In 92.12%, the deaths were from direct obstetric causes (DOC), including hemorrhage 70%, eclampsia 7.85%, obstructed labor 7.14%. Seven deaths (5%) were from indirect obstetric causes (IOC), including anemia 3.57% and malaria 1.73%. In 2.58%, the deaths were from undetermined causes. Deaths were preventable in 80%. The response included, among other things, the notification of cases and the implementation of the recommendations made. In 70% of cases, the recommendations issued were implemented. Conclusions: The MMR remains high in Municipality V of the district of Bamako. These deaths were mostly from DOCs, with hemorrhage as the main cause. These deaths were mostly preventable.
Dumont A, Traoré M, Dortonne JR. Audit of maternal deaths in health establishments. Mali: IRD publisher. 2014;15-25.
Deneux-Tharaux, Saucedo M. In-depth study of maternal mortality in France, context and method. Gynecol Obstet Fertil Senol. 2017;45:S3-7.
Estimate of maternal mortality in 2005. Available at: https://www.who.int/whosis/mme_2005.pdf. Accessed on 20 April 2021.
Deneux-Tharaux C, Saucedo M. Epidemiology of maternal mortality in France, 2010-2012. Gynecol Obstet Fertil Senol. 2017;45(12S):S8-21.
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global regional and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016; 387(10017):462-74.
Fomulu JN Fomulu, PN Ngassa, T Nong, P Nana, E Nkwabong. Maternal mortality at the maternity ward of the Yaoundé Hospital and University Center, Cameroon: 5-year retrospective study (2002 to 2006). Health Sci Dis. 2009;10(1):1-6.
Maternal Death Surveillance and Response (MDSR). Available at: https://www.cdc.gov/reproductive health/global/programs/strengthening-maternal-newborn-health-surveillance/maternal-death-surveillance-response. Accessed on 20 April 2021.
Belgherras H, Benchohra S, Bekara A. Socio-demographic determinants of neonatal mortality in Algeria according to MICS4 data (2012-2013). Afr Health Sci. 2021;21(1):357-61.
Mother-Child Project, Ministry of Foreign and European Affairs. Available at: (PDF) The Role of the Ministry of Foreign and European Affairs in International Cases of Child Abduction | Martina Drventić - Academia.edu. Accessed on 20 April 2021.
Preventable maternal deaths. Weekly Epidemiological Bulletin - BEH, Saint-Maurice (Val de Marne): Institute for Public Health Surveillance. Available at: www.emro.who.int/images/stories/pakistan/documents/pak_documents/dews/2014/weekly-epidemiological-bulletin-43-29102014.pdf. Accessed on 20 April 2021.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels JD, Gülmezoglu AM, Temmerman M and Alkema L. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health. 2014;2(6):323-33.
Anki Y, Gabin I. Analysis of the determinants of pre-partum maternal mortality in the Republic of Congo (2013-2015). Available at: https://hal.archives-ouvertes.fr/hal-01593267. Accessed on 20 April 2021.
Dreyfus M, Weber P, Zieleskiewicz L. Maternal deaths from hypertensive complications. Results of the French confidential survey on maternal mortality, 2010–2012. Gynecol Obstet Fertil Senol. 2017;45(12):S38-42.
The Gouez A. Sepsis of the pregnant woman. The Practitioner in Anesthesia Resuscitation 23. J Emerge. 2019;29(5):822-36.
Belinga E, Esther Juliette NUM, Claude CNN, Nadine L, Julius SD, Foumane P. Factors associated with maternal mortality during uterine ruptures at the Gyneco-Obstetric and Pediatric Hospital of Yaoundé. Health Sci Dis. 2018;19(1):1-6.
Dumont A, Gilmore K, Gebreyesus TA. What will it take to eliminate preventable maternal deaths?. Lancet Lond Engl. 2012;380(9837)87-8.
Beyond the Numbers: Examining Maternal Deaths and Complications to Reduce Pregnancy Risks. Geneva: WHO. Available at: https://www.who.int/iris/ handle/10665/42984. Accessed on 20 April 2021.
Mahbouli S, Basli M, Messaoudi F, Chibani M, Rachdi R. Maternal mortality: Epidemiology, risk factors, avoidability. About ten cases. J Obstet Gynecol Fertil. 2003;31(12):1018-23.