Facility-Based Maternal Death Review In Three Districts In The Central Region of Malawi

Kongnyuy, Eugene J; Mlava, Grace; Broek, Nynke van den

doi:10.1016/j.whi.2008.09.008

Cited by 97 publications

(101 citation statements)

References 7 publications

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“…In sub-Saharan Africa, the major causes of maternal deaths are haemorrhage (34%), infection (10%), pre-eclampsia (9%) and obstructed labour (4%), while haemorrhage accounts for only 13% of maternal deaths in developed countries (6). A study which was conducted in Malawi reported that postpartum haemorrhage, sepsis and HIV/AIDS were the leading causes of maternal death (7). According to Tanzania demographic and health survey (TDHS) report of 2010, it was found that postpartum haemorrhage, puerperal sepsis and, preeclampsia/eclampsia, obstructed labor and complications of unsafe abortion were the main causes of maternal deaths (7), a hospital-based in the rural setting in Tanzania reported that the leading causes of maternal deaths were haemorrhage (28%), eclampsia (19%) and puerperal sepsis (8%).…”

Section: Introductionmentioning

confidence: 99%

“…According to Tanzania demographic and health survey (TDHS) report of 2010, it was found that postpartum haemorrhage, puerperal sepsis and, preeclampsia/eclampsia, obstructed labor and complications of unsafe abortion were the main causes of maternal deaths (7), a hospital-based in the rural setting in Tanzania reported that the leading causes of maternal deaths were haemorrhage (28%), eclampsia (19%) and puerperal sepsis (8%). A hospital-based in the rural setting in Tanzania reported that the leading causes of maternal deaths were haemorrhage (28%), eclampsia (19%) and puerperal sepsis (8%) (7)(8)(9). The increased mortality risk related to pregnancy and delivery calls for an urgent need for strategies to reduce these risks.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Maternal Mortality and its Associated Causes at Shinyanga Regional Hospital in Tanzania

Mapunda

Msuya

Kapologwe³

et al. 2016

Women Health Bull

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Maternal Mortality and its Associated Causes at Shinyanga Regional Hospital in Tanzania

Mapunda

Msuya

Kapologwe³

et al. 2016

Women Health Bull

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“…In 2008 an estimated 358,000 maternal deaths occurred worldwide [1], 99% of which were in developing countries and half of which occurred in Sub-Saharan Africa (SSA) [1,2]. For every maternal death in SSA another 16 to 100 women will be disabled or permanently impaired [3].…”

Section: Introductionmentioning

confidence: 99%

Prospective Study on Birth Outcome and Prevalence of Postpartum Morbidity among Pregnant Women Who Attended for Antenatal Care in Gondar Town, North West Ethiopia

Abate¹,

Kebede²,

Feleke³

et al. 2014

Andrology(Los Angel)

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Introduction: In Ethiopia, an estimated 676 maternal deaths occur for every 100,000 live births. The major causes of mortality and morbidity are direct obstetric causes; they mainly occur from the third trimester of pregnancy to the first week following delivery. This study elucidates the type, magnitude and associated factors of postpartum morbidity conditions among pregnant women who gave birth at the health institutions and is essential to understand the health care need for obstetric emergencies, postpartum conditions and to prepare health organizations to better monitoring and evaluation of safe motherhood programs.Objective: To assess birth outcome and prevalence of postpartum morbidity among women attending antenatal care and gave birth at health institutions in Gondar town. Methods:We have conducted a four-month follow up study among 203 randomly selected pregnant women from five health institutions in Gondar town. Data were collected between

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“…[9][10][11] The Delays Framework describes these factors leading to preventable maternal mortality for women who deliver at home or in the community: (1) delay in recognizing complications, (2) delay in the decision to seek care, (3) delay in arrival at the point of care, and (4) delay in the provision of adequate care. 12 The non-pneumatic anti-shock garment (NASG) is a lowcost first-aid device that may help women with obstetrical hemorrhage survive these delays without long-lasting adverse effects.…”

Section: Introductionmentioning

confidence: 99%

Positive Effects of the Non-pneumatic Anti-shock Garment on Delays in Accessing Care for Postpartum and Postabortion Hemorrhage in Egypt and Nigeria

Turan

Ojengbede

Fathalla

et al. 2011

Journal of Women's Health

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Background: We examined whether the non-pneumatic anti-shock garment (NASG) ameliorates the effects of delays in transport to and treatment at hospitals for women with postpartum hemorrhage (PPH) and postabortion hemorrhage (PAH) and investigated the effects of NASG use on timing of delivery of interventions inhospital. Methods: Pre=post studies of the NASG were conducted at hospitals in Cairo (n ¼ 349 women), Assuit (n ¼ 274), Southern Nigeria (n ¼ 57), and Northern Nigeria (n ¼ 124). In post-hoc analyses, comparisons of delays were conducted using analysis of variance (ANOVA), and associations of delays with extreme adverse outcomes (EAO, mortality or severe morbidity) were examined using chi-square tests, odds ratios (ORs), and multivariate logistic regression. Results: Median minutes from hemorrhage start to study admission differed by site, ranging from 15 minutes in Cairo to 225 minutes in Northern Nigeria ( p < 0.001). Median minutes from study admission to blood transfusion ranged from 30 minutes in Cairo to 209 minutes in Southern Nigeria ( p < 0.001). Twenty percent of women with !60 minutes between hemorrhage start and study admission experienced an EAO without the NASG compared with only 6% with the NASG (w 2 ¼ 13.71, p < 0.001). In-hospital delays in receiving intravenous (IV) fluids and blood were more common in the NASG phase. Conclusions: Women with PPH or PAH in Egypt and Nigeria often face delays in reaching emergency obstetrical care facilities and delays in receiving definitive therapies after arrival. Our results indicate that the NASG can reduce the impact of these delays. Stabilization does not replace treatment, however, and delays in fluid=blood administration with NASG use must be avoided.

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Facility-Based Maternal Death Review In Three Districts In The Central Region of Malawi

Cited by 97 publications

References 7 publications

Assessment of Maternal Mortality and its Associated Causes at Shinyanga Regional Hospital in Tanzania

Assessment of Maternal Mortality and its Associated Causes at Shinyanga Regional Hospital in Tanzania

Prospective Study on Birth Outcome and Prevalence of Postpartum Morbidity among Pregnant Women Who Attended for Antenatal Care in Gondar Town, North West Ethiopia

Positive Effects of the Non-pneumatic Anti-shock Garment on Delays in Accessing Care for Postpartum and Postabortion Hemorrhage in Egypt and Nigeria

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