DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193511

Maternal mortality by direct obstetric causes in an urban referral hospital: case of Boulmiougou District Hospital in Ouagadougou, Burkina Faso

Yobi Alexis Sawadogo, Hyacinthe Zamané, Sibraogo Kiemtoré, Sansan Rodrigue Sib, Dantola Paul Kain, Issa Ouédraogo, Adama Ouattara, Charlemagne Ouédraogo, Ali Ouédraogo

Abstract


Background: Complications during pregnancy and childbirth are the leading causes of death and disability for women of childbearing age. Objective of this study was to study maternal mortality of direct obstetric origin at the Boulmiougou district hospital from 2010 to 2014.

Methods: This was a retrospective cross-sectional descriptive and analytical study of maternal deaths by direct obstetric cause at the maternity ward of Boulmiougou District Hospital during the period from January 1st 2010 to December 31st, 2014, i.e. 5 years.

Results: The maternal mortality rate by direct obstetric cause of 147.68 maternal deaths per 100,000 live births. The average age of the patients was 27.09 years old. The direct causes of maternal death were hemorrhage (47.06%), hypertensive disorders (20.59%), infections (14.71%) and unsafe abortion (11.76%). Contributing factors to maternal deaths were delay in evacuation (47.06%) and delay in care (38.23%).

Conclusions: Maternal mortality remains high in the Boulmiougou District Hospital. To effectively combat maternal mortality, it is important to focus on the continuous training of staff and the strengthening of the technical platform.


Keywords


Boulmiougou, Maternal mortality, Obstetric cause, Ouagadougou

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References


Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet. 2010;375(9726):1609-23.

WHO (2018) Maternal Mortality published on 18 February 2018 Available at: http://www.who.int/en/news-room/fact-sheets/detail/ maternal-mortality.

Bohoussou KPE, Guié P, Oyéladé M, N'guessan, Anongba S, Toure K. Evolution of maternal mortality at the maternity hospital of Treichville University Hospital in Abidjan from 2005 to 2009. Journal of SAGO. 2012;13:1.

Ouedraogo I, Sib SR, Kiemtoré S, Sawadogo Y, Kain DP, Zamané H, et al. Maternal mortality in the obstetrics and gynecology service of regional hospital center of ouahigouya: epidemiological, etiological aspects and contributing factors-about 151 cases collected in three years from 1st January 2013 to 31 December 2015. Open J Obstet Gynecol. 2017;7:447-54.

Mukendi MR, Balloy KM, Ngwe TMJ, Kalenga MK. Study of maternal mortality and factors associated with the Jason Sendwe Hospital in Lubumbashi, Congo from 2000 to 2010. Medical Review of the Great Lakes. 2012;1(2):104.

WHO. Millennium Development Goal: Goal 5, Improve maternal health. United Nations Department of Public Information - DPI / 2517 E: 2010.

Kaboré S, Méda CZ, Sombié I. Fight against maternal mortality in rural areas: decentralization of the supply of emergency obstetric care in Burkina Faso. The Pan African Med J. 2017;27:236.

Ministry of Health Burkina Faso / Directorate General of Studies and Sectoral Statistics. Statistical Yearbook. 2014:330.

Ministry of Health Burkina Faso. Program for improving the quality and access to emergency obstetric care in developing countries Project FSP 2001-149 - MAE-F Component 2 Burkina Faso Final Activity Report January 1, 2003 to March 31, 2006.

Ministry of Health Burkina Faso. National Health Development Plan, (2011-2020): 2011:56.

Chelli D, Dimassi K, Zouaoui B, Sfar E, Chelli H, Chennoufi MB. Evolution of maternal mortality in a level 3 Tunisian maternity from 1998 to 2007. J Gynecol Obst Biol Reprod. 2009;38(8):655-61.

Fomulu JN, Ngassa PN, Nong T, Nana P, Nkwabong E. Maternal mortality at the maternity of Yaoundé University Hospital, Cameroon: A 5 year retrospective study (2002 to 2006). Health Sci Say. 2009;10(1):1-6.

Foumsou L, Saleh A, Kaïmba O, Djongali S, Djimté N, Mignagnal K. Determinants of maternal mortality at N'Djamena General and National Reference Hospital -Chad. Dissemination and Valorisation of the Results of Scientific and Technical Research of the CNAR. 2010;7:1-7.

Igberase GO, Ebeigbe PN. Maternal mortality in a rural referral hospital in the Niger Delta, Nigeria, J Obstet Gynaecol. 2017;3:275-8.

Thiam O, Cisse ML, Niang M, Diouf A, Gaye A, Moreau JC. Maternal mortality at King Baudouin Health center in Dakar (Senegal). Mali Medical. 2014;29(3):17-21.

Filippi V, Cabbage D, Ronsmans C, Graham W, Sayet. Levels and Causes of Maternal Mortality and Morbidity. In: Black RE, Laxminarayan R, Temmerman M, et al., Editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, Third Edition (Volume 2). Washington, DC: The International Bank for Reconstruction and Development / The World Bank. 2016:3. Available at: https://www.ncbi.nlm.nih.gov /books/NBK361917/.