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Assessment of Maternal Vascular Remodeling During Pregnancy in the Mouse Uterus
Published on: December 5, 2015
[Study of factors associated with maternal mortality by the audit method in the Segou region]
M Berthé1,2, A T Diallo2, C Kokaina3
1Direction Nationale de la Santé/ Santé de la Reproduction.
Introduction:
Maternal mortality remains a public health problem in developing countries, including Mali. Among the factors associated with maternal mortality are sociodemographic and economicfactors, but also dysfunctions related to the health care system. It is in this context that this study was conducted in the gynecology and obstetrics department of the Nianankoro Fomba Hospital in Ségou to determine the factors associated with maternal deaths by the audit method in the Segouregion.
Method:
It was a cross-sectional, descriptive and retrospective study that was conducted from January 2014 to December 2015. The data were captured and analyzed on Epi Info version 2003.
Results:
The analysisincluded 41 auditeddeaths out of 79 maternaldeathsreportedduring the period, amaternalmortality rate of 51.90%. Direct obstetric causes accounted for the majority (51.23%). Of these causes hemorrhagewas the main with 17.08% followed by eclampsia (14.63%). 31.71% of deathswerepreventable. The main riskfactorsidentifiedwere: delayed care, referral / evacuationdelay, diagnostic errors (hospitallevel), non-availability of blood.
Conclusion:
Continueddeath audits at the healthfacilitylevelcouldbe an approach to improving the quality of care and reducingmaternal and perinataldeaths.
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