<strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</str...<strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong> The maternal mortality ratio in developing countries is 239/</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">100,000 live births (LV) in 2015, compared to 12/100,000 live births (LV) in developed countries. This study aims to analyze the avoidability of maternal deaths at the CHU-MEL from 2015 to 2019.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Patients and Method</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: This was a descriptive analytical study with retrospective data collection from January 1st 2015 to August 31st 2019, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 56 months. The data </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">were</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> collected from medical records, maternal death registers, anaesthesia registers. They were entered and analyzed using Epi info version 7 software. The associations between avoidability of death and aetiologies were tested using Chi</span><sup><span style="font-family:Verdana;">2</span></sup><span style="font-family:Verdana;"> or Fisher’s test as appropriate. The threshold for statistical significance was 5%.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Results: </span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The maternal mortality ratio over 5 years was 905 maternal deaths per</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> 100,000 LV. The age of the deceased women ranged from 15 to 44 years, with an average of 29.09 ± 7.04 years. They were illiterate or primary educated (47.02%), married (64.50%) primigravida or paucigravidae (47.02%) and primiparous or pauciparous (59.52%). Of the 151 maternal deaths, (90.73%) were deemed preventable. Delay was the main reason for maternal death, and 82.11% had </span><span style="font-family:Verdana;">at least one type of delay. There was no significant difference between the</span><span style="font-family:Verdana;"> avoidability of death and the main aetiologies of haemorrhage (p = 0.865), infections (p = 0.208) and hypertensive complications (p = 0.438).</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Conclusion:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> The maternal mortality ratio during the study period was 905 maternal </span><span style="font-family:Verdana;">deaths per 100,000 LV. Deaths were preventable in 90.73% of cases. The</span><span style="font-family:Verdana;"> avoidability factors found were varied.</span></span></span></span>展开更多
文摘<strong>Introduction</strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><strong>:</strong> The maternal mortality ratio in developing countries is 239/</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">100,000 live births (LV) in 2015, compared to 12/100,000 live births (LV) in developed countries. This study aims to analyze the avoidability of maternal deaths at the CHU-MEL from 2015 to 2019.</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Patients and Method</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">: This was a descriptive analytical study with retrospective data collection from January 1st 2015 to August 31st 2019, </span><i><span style="font-family:Verdana;">i.e.</span></i><span style="font-family:Verdana;"> 56 months. The data </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">were</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> collected from medical records, maternal death registers, anaesthesia registers. They were entered and analyzed using Epi info version 7 software. The associations between avoidability of death and aetiologies were tested using Chi</span><sup><span style="font-family:Verdana;">2</span></sup><span style="font-family:Verdana;"> or Fisher’s test as appropriate. The threshold for statistical significance was 5%.</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Results: </span></b></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">The maternal mortality ratio over 5 years was 905 maternal deaths per</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> 100,000 LV. The age of the deceased women ranged from 15 to 44 years, with an average of 29.09 ± 7.04 years. They were illiterate or primary educated (47.02%), married (64.50%) primigravida or paucigravidae (47.02%) and primiparous or pauciparous (59.52%). Of the 151 maternal deaths, (90.73%) were deemed preventable. Delay was the main reason for maternal death, and 82.11% had </span><span style="font-family:Verdana;">at least one type of delay. There was no significant difference between the</span><span style="font-family:Verdana;"> avoidability of death and the main aetiologies of haemorrhage (p = 0.865), infections (p = 0.208) and hypertensive complications (p = 0.438).</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">Conclusion:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> The maternal mortality ratio during the study period was 905 maternal </span><span style="font-family:Verdana;">deaths per 100,000 LV. Deaths were preventable in 90.73% of cases. The</span><span style="font-family:Verdana;"> avoidability factors found were varied.</span></span></span></span>