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DETERMINANTS OF MATERNAL MORTALITY AMONG WOMEN OF REPRODUCTIVE AGE ATTENDING KISII GENERAL HOSPITAL, KISII CENTRAL
A A Osoro1, Z Ng'ang'a, M Mutugi
1Jomo Kenyatta University of Agriculture & Technology, Institute of Tropical Medicine and Infectious Diseases, Nairobi, Kenya.
Objective:
To describe the causes and determinants of maternal mortality among women of reproductive age seeking healthcare services at Kisii General Hospital.
Design:
Descriptive retrospective study.
Setting:
Kisii General Hospital which is a Level-5 Referral Hospital.
Subjects:
Seventy-two women who had died as a result of pregnancy and childbirth related conditions who had sought obstetric services at Kisii General Hospital.
Results:
Majority 51(70.8%) of deceased did not go to hospital promptly, due to; lack of transport 22 (30.6%), lack of money 17 (23.6%), and hospital distance 8 (11.1%). About 43 (60%) of those who died were between 15-25 years of age. Hospital experiences included; delay in service provision by staff 14 (19.4%), unavailability of blood for transfusion 6 (8.3%), and lack of money for drugs 12 (16.7%). Complications which led to maternal mortality were mainly; postpartum sepsis, bleeding, hypertension and cardiovascular conditions.
Conclusion:
Lack of lack of transport, inability to pay, delayed care seeking and lack of emergency obstetrics were the major challenges. Postpartum sepses, bleeding and pre-eclampsia were the leading complications that led to death.