Document Detail


Risk factors for maternal mortality: a case-control study in Dakar hospitals (Senegal).
MedLine Citation:
PMID:  10214399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was conducted in the three main hospitals of Dakar, the capital city of Senegal. Each case of 152 maternal deaths identified over a 12-month period was matched with two controls: a safe delivery in the same clinic, and a safe delivery in the same neighbourhood of residence. Controls were matched on age, birth order, place, and time of delivery. The leading causes of death were: puerperal sepsis and other infections (51 cases), haemorrhage (32 cases), eclampsia (29 cases), ruptured uterus (11 cases), and anaemia (7 cases). Results of the case-control study revealed the major risk factors associated with health system failures: medical equipment failure (odds ratio [OR] = 55.0), late referral (OR = 23.2), lack of antenatal visit (OR = 16.9), and lack of available personnel at time of admission (OR = 6.6). Various indicators of maternal status at time of admission (complications, blood pressure, temperature, oedema, haemoglobin level) and of health history prior to admission (previous complications, previous C-section, lack of treatment) were also strong predictors of survival. Lastly, socio-demographic factors also appeared as correlates of maternal mortality, in particular: first pregnancy (OR = 2.3), pregnancy of high birth order (OR = 1.9), rainy season (OR = 2.4), being unmarried (OR = 2.5), and low level of education (OR = 1.6). Implications for policy are discussed.
Authors:
M Garenne; K Mbaye; M D Bah; P Correa
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  African journal of reproductive health     Volume:  1     ISSN:  1118-4841     ISO Abbreviation:  Afr J Reprod Health     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1999-05-06     Completed Date:  1999-05-06     Revised Date:  2006-12-08    
Medline Journal Info:
Nlm Unique ID:  9712263     Medline TA:  Afr J Reprod Health     Country:  NIGERIA    
Other Details:
Languages:  eng     Pagination:  14-24     Citation Subset:  IM    
Affiliation:
CEPED, Paris, France. garenne@ceped.ined.fr
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Cause of Death
Female
Hospital Mortality*
Hospitals, Urban
Humans
Maternal Health Services / standards
Maternal Mortality*
Odds Ratio
Parity
Pregnancy
Risk Factors
Senegal / epidemiology
Socioeconomic Factors
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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