Epidemiology of Maternal Deaths from 2017 to 2022 in the Obstetrics and Gynaecology Department of the University Hospital of Tengandogo, Burkina Faso  

作　　者：Hien Dieudonné Ouédraogo Emmanuel Nacanabo Karim Toé Rolande Bouaré Sidy Yankéné Mamdata Kaboré Vincent Kain Dantola Paul Ouédraogo Ali Hien Dieudonné;Ouédraogo Emmanuel;Nacanabo Karim;Toé Rolande;Bouaré Sidy;Yankéné Mamdata;Kaboré Vincent;Kain Dantola Paul;Ouédraogo Ali(Gynaecology and Obstetrics Department of the Tengandogo University Hospital, Ouagadougou, Burkina Faso.;Gynaecology and Obstetrics Department of Bogodogo University Hospital, Ouagadougou, Burkina Faso.;Gynaecology-Obstetrics Department, Yalgado Oudraogo University Hospital, Ouagadougou, Burkina Faso.;Hospital Pharmacy Department of the Tengandogo University Hospital, Ouagadougou, Burkina Faso.)

机构地区：[1]Gynaecology and Obstetrics Department of the Tengandogo University Hospital, Ouagadougou, Burkina Faso. [2]Gynaecology and Obstetrics Department of Bogodogo University Hospital, Ouagadougou, Burkina Faso. [3]Gynaecology-Obstetrics Department, Yalgado Oudraogo University Hospital, Ouagadougou, Burkina Faso. [4]Hospital Pharmacy Department of the Tengandogo University Hospital, Ouagadougou, Burkina Faso.

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第9期1335-1346,共12页妇产科期刊（英文）

摘　　要：Background: Although maternal mortality is declining in most countries, it remains a significant public health problem worldwide, with high rates, particularly in developing and insecure countries like ours. Objective: To study the epidemiological factors and factors associated with the occurrence of maternal death in the Gynecology-Obstetrics Department of University Hospital of Tengandogo. Method: It was a retrospective case-control study with a descriptive and analytical purpose over a period of 6 years from January 1, 2017 to December 31, 2022. Cases were women with maternal deaths during the study period. Data processing and analysis were performed using Stata version 13 software. Univariate and multivariate analyses were performed with Stata version 13 software, and logistic regression modeling was used to estimate crude and adjusted odds ratios (OR), their 95% confidence intervals (CI), and the threshold for statistical significance was set at a p value < 0.05. Results: A total of 372 patients were included in the study, including 146 cases of maternal death. The in-hospital maternal mortality rate was 1933 deaths per 100,000 live births. The average age was 28.5 years. 58.9% of patients lived in rural areas. Married patients accounted for 88.7% of cases. The average parity was 3. Direct obstetrical causes were the main causes of death, accounting for 72.6%. They were dominated by post-partum hemorrhage (24.2%), puerperal infection (18.6%), pre-eclampsia/eclampsia (16.1%) and retroplacental hematoma (8.9%). Chronic anemia (12.9%) was the main indirect obstetric cause. Risk factors associated with maternal death were primiparity (OR for paucigravida and multigravida at 0.05;P = 0.001);ambulance transport (OR for patients referred and brought in by personal vehicle = 0.3, p < 0.001) and vaginal delivery (OR for cesarean deliveries = 0.4, p < 0.001). Conclusion: To reduce maternal mortality in Burkina Faso, strategies such as educating women about danger signs during pregnancy and promoting women’s educatioBackground: Although maternal mortality is declining in most countries, it remains a significant public health problem worldwide, with high rates, particularly in developing and insecure countries like ours. Objective: To study the epidemiological factors and factors associated with the occurrence of maternal death in the Gynecology-Obstetrics Department of University Hospital of Tengandogo. Method: It was a retrospective case-control study with a descriptive and analytical purpose over a period of 6 years from January 1, 2017 to December 31, 2022. Cases were women with maternal deaths during the study period. Data processing and analysis were performed using Stata version 13 software. Univariate and multivariate analyses were performed with Stata version 13 software, and logistic regression modeling was used to estimate crude and adjusted odds ratios (OR), their 95% confidence intervals (CI), and the threshold for statistical significance was set at a p value < 0.05. Results: A total of 372 patients were included in the study, including 146 cases of maternal death. The in-hospital maternal mortality rate was 1933 deaths per 100,000 live births. The average age was 28.5 years. 58.9% of patients lived in rural areas. Married patients accounted for 88.7% of cases. The average parity was 3. Direct obstetrical causes were the main causes of death, accounting for 72.6%. They were dominated by post-partum hemorrhage (24.2%), puerperal infection (18.6%), pre-eclampsia/eclampsia (16.1%) and retroplacental hematoma (8.9%). Chronic anemia (12.9%) was the main indirect obstetric cause. Risk factors associated with maternal death were primiparity (OR for paucigravida and multigravida at 0.05;P = 0.001);ambulance transport (OR for patients referred and brought in by personal vehicle = 0.3, p < 0.001) and vaginal delivery (OR for cesarean deliveries = 0.4, p < 0.001). Conclusion: To reduce maternal mortality in Burkina Faso, strategies such as educating women about danger signs during pregnancy and promoting women’s educatio

关 键 词：Maternal Death EPIDEMIOLOGY Associated Factors University Hospital of Tengandogo 

分 类 号：R71[医药卫生—妇产科学]