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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.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|December 7, 2024
PubMed
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.

Keywords:
Ethiopiaassociated factorsauditmaternal mortalityobstetric complications

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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.