| Risk factors for maternal mortality: a case-control study in Dakar hospitals (Senegal). | |
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MedLine Citation:
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PMID: 10214399 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Garenne; K Mbaye; M D Bah; P Correa |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: African journal of reproductive health Volume: 1 ISSN: 1118-4841 ISO Abbreviation: Afr J Reprod Health Publication Date: 1997 Mar |
Date Detail:
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Created Date: 1999-05-06 Completed Date: 1999-05-06 Revised Date: 2006-12-08 |
Medline Journal Info:
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Nlm Unique ID: 9712263 Medline TA: Afr J Reprod Health Country: NIGERIA |
Other Details:
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Languages: eng Pagination: 14-24 Citation Subset: IM |
Affiliation:
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CEPED, Paris, France. garenne@ceped.ined.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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