Factors associated with maternal mortality in eastern Ethiopia: A multicenter case-control study
Mohammed Yuya1,2, Abera Kenay Tura3,4, Sagni Girma2,3
1School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Summary
Maternal deaths in Ethiopia were linked to caesarean sections, intensive care unit admission, postpartum hemorrhage, and pre-existing conditions. Improving maternal survival necessitates better surgical care, inter-facility communication, and intensive care management.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Maternal mortality remains a significant public health challenge in low-resource settings.
- Identifying specific risk factors is crucial for targeted interventions.
Purpose of the Study:
- To identify factors associated with maternal mortality in public hospitals in eastern Ethiopia.
- To inform strategies for reducing preventable maternal deaths.
Main Methods:
- A nested case-control study was conducted within the Ethiopian Obstetric Surveillance System (EthOSS) cohort.
- Cases were women who died from obstetric complications; controls were survivors.
- Multivariable logistic regression analysis identified significant risk factors.
Main Results:
- Women who died were more likely to have undergone caesarean section (aOR=3.35).
- Intensive care unit admission (aOR=6.58), postpartum hemorrhage (aOR=6.39), and pre-existing medical conditions (aOR=5.39) were significantly associated with mortality.
- A total of 70 deaths and 210 controls were analyzed.
Conclusions:
- Caesarean section indications and surgical safety are critical for maternal survival.
- Effective management of postpartum hemorrhage and pre-existing conditions is essential.
- Enhanced intensive care and inter-facility communication are vital for high-risk pregnancies.
Related Concept Videos
01:26Factors Affecting the Risk of Infection
11.4K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.4K
01:18Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
01:28Anorexia Nervosa
43
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
43
01:25Statistical Methods for Analyzing Epidemiological Data
301
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
301
02:41Lethal Alleles
14.9K
Agouti: A Lethal Allele
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
Lucien Cuénot discovered lethal alleles in 1905 while studying the inheritance of coat color in mice. The agouti gene is responsible for the color of the coat in mice. This gene codes for an agouti-signaling protein, which is responsible for melanin distribution in mammals. The wild-type allele gives rise to gray-brown coat color in mice, while the mutant allele gives rise to yellow coat color. In addition to coat color, the agouti gene is associated with the yellow...
14.9K
01:21Dimensions of Health and Illness
7.1K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.1K