Investigation and Analysis of Maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at U.H.C Point “G” about 389 Cases Bamako/Mali

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Investigation and Analysis of Maternal Mortality in Obstetrics and Anesthesia Resuscitation in 15 Years at U.H.C Point “G” about 389 Cases Bamako/Mali

November 10, 2020 Medical Science 0

Objective: In the world, maternal mortality reflects an unjust social inequality. The future health of society depends on the health of the children of today and that of their mothers, who are the guarantors of the future. In the two departments of CHU Point ‘G’ in Bamako, we examine maternal mortality due to the high maternal mortality rate in our region. Materials and Methods: This was an analytical cross-sectional analysis on maternal deaths for patients admitted to both departments from February 19, 2005 to November 19, 2019 who died at UHC Point ‘G’ during the pregnancy-puerperal phase. Not all patients who died beyond the pregnancy-puerperal cycle have been preserved. Using SPSS 12.0 programme, the data was entered and analysed. The statistical test used was that the level of statistical significance was set at 5% for Chi2. Results: Out of 16,033 admissions in 15 years and 18,060 live births in the same period, we reported 389 maternal deaths during our research, with a maternal mortality ratio of 2153.931 and a frequency of 2.426. We noticed at the end of our report that the incidence of maternal deaths in 2014 was higher: 12.9 percent (50/389). Young women aged 20-24 were disproportionately affected by maternal death, with a frequency of 22.4 percent (87/389). Multiparity accounted for 42.7% (166/389), 87.7% illiteracy (341/389), poor evacuation conditions (non-medicalized transport): 67.6% making 263/389; evacuation without any evacuation sheet: 66.6% making 259/389, poor standard of CPN (Prenatal consultation) (undone CPN: 49.1% making 191/389) and poor control of delivery works (no use of partography) The major causes of maternal deaths were direct in 59.4 percent with first line haemorrhage in 231/389: 21.1 percent (82/389), infection (15.68 percent with 61/389 cases), dystocia: 12.85 percent with 50 cases and high blood pressure and complications (9.76 percent with 38/389); indirect in 40.6 percent with 158/389 cases (Figures 1-3). The majority of 65.8 percent (256/389) of our patients died in the department of gynaecology and obstetrics; 18.8 percent in the Resuscitation department making 73/389; 11.1 percent in the operating room making 43/389 and the deaths found on arrivals accounted for 4.4 percent making 17/389. 10.3% (40/389) of our patients died in the antepartum, 57.1% (222/389) in the perpartum, and 32.6% (127/389) in the postpartum (Fig . 4) in our sample. The need not to be discussed in blood transfusion accounted for 91.5 percent of the 356/389 cases. Conclusion: In our country, the incidence of maternal deaths is very high. The contributing factors are poor control of pregnancy and childbirth, as well as poor evacuation conditions. Therefore, it is important to strengthen CONE (obstetric and neonatal emergency care) to reduce the incidence of such maternal deaths.

Author(s) Details

Ibrahim Ousmane Kanté
Obstetric Gynecology Service of U.H.C Point “G”, Bamako, Mali.

Mamadou. Sima
Obstetric Gynecology Service of U.H.C Point “G”, Bamako, Mali.

Ahmadou. Coulibaly
Obstetric Gynecology Service of U.H.C Point “G”, Bamako, Mali.

Mamadou Salia. Traoré
Obstetric Gynecology Service of U.H.C Point “G”, Bamako, Mali.

Tiounkani. Théra
Obstetric Gynecology Service of U.H.C Point “G”, Bamako, Mali.

Amadou Bocoum
Obstetric Gynecology Service of U.H.C Gabriel TOURE”, Bamako, Mali.

Seydou. Z. Daou
Common Reference Health Center Commune II, Bamako, Mali.

Aminata Kouma
Obstetric Gynecology Service of U.H.C KATI, Bamako, Mali.

Seydou Fané
Obstetric Gynecology Service of U.H.C Gabriel TOURE”, Bamako, Mali.

Alassane Traoré
Obstetrics Gynecology Service of U.H.C Hospital of Mali, Bamako, Mali.

Soumana Oumar Traore
Common Reference Health Center Commune V, Bamako, Mali.

Youssouf Traoré
Obstetric Gynecology Service of U.H.C Gabriel TOURE”, Bamako, Mali.

Ibrahima Teguété
Obstetric Gynecology Service of U.H.C Gabriel TOURE”, Bamako, Mali.

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