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Maternal mortality in Ghana: a hospital-based review.
MedLine Citation:
PMID:  21793813     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. This study examines the leading causes of maternal mortality in Ghana, classifies the main causes of maternal deaths and suggests how maternal care can be improved. Design. Retrospective review. Setting. Komfo Anokye Teaching Hospital, Ghana. Sample. 322 maternal deaths with 30 269 live births in the period 1(st) January 2008 - 30(th) June 2010. Methods. Data on maternal mortality and morbidity were retrieved from the Biostatistics Unit of the hospital. Main outcome measures. Maternal mortality ratio (MMR), case fatality rate, leading causes of maternal deaths, duration of admission, staff-patient ratio. Results. The MMR was calculated to be 1004 per 100 000 live births (95% CI: 895.0 - 1113.2). 71.1% were direct deaths, 22.4% were indirect deaths and 6.5% were unclassified. Hypertensive states of pregnancy were the leading cause of mortality (26.4%) and together with hemorrhage, genital tract sepsis and early pregnancy deaths accounted for 62.2% of all-cause maternal deaths and 87.3% of direct deaths. Infection and sickle cell disease accounted for 13.7% of all-cause maternal deaths and 61.1% of indirect deaths. Conclusion. Hypertensive states of pregnancy were the current leading cause of maternal mortality. Adopting a multi-pronged approach through reducing delays in accessing emergency obstetric care, promoting contraceptive use, encouraging early, regular antenatal attendance and shared antenatal care with the medical team is essential to tackle the situation.
Authors:
Qin Yi Lee; Alexander T Odoi; Henry Opare-Addo; Edward T Dassah
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-27
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors AOGS© 2011 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
University of Leicester, Leicester Medical School, Leicester, England, and Department of Obstetrics & Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
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