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Obstetric deaths in Lusaka

E S Grech

    Medical Journal of Zambia
    |April 1, 1978
    PubMed
    Summary

    Maternal and perinatal mortality rates in Lusaka indicate declining maternity care standards. Recommendations include integrated services and improved perinatal care to reduce obstetric deaths.

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    Area of Science:

    • Public Health
    • Obstetrics and Gynecology
    • Epidemiology

    Background:

    • Lusaka's obstetric services faced challenges in 1976, with high maternal and perinatal mortality rates.
    • A persistent increase in mortality suggested a decline in accepted maternity care standards.

    Purpose of the Study:

    • To analyze obstetric service quality in Lusaka.
    • To identify causes of maternal and perinatal deaths.
    • To propose recommendations for improving obstetric care.

    Main Methods:

    • Estimation of maternal and perinatal mortality rates for 1976.
    • Analysis of causes of death, identifying avoidable factors.
    • Review of existing maternity service structures.

    Main Results:

    • Maternal mortality rate was 1.7 per 1000 live births; perinatal mortality rate was 55.1 per 1000 live births.
    • Avoidable factors contributed to 79.6% of maternal deaths and 49.1% of stillbirths.
    • Significant room for improvement in maternity care standards was identified.

    Conclusions:

    • Urgent improvements in Lusaka's obstetric services are necessary.
    • Recommendations include integrated maternity services, dedicated centers, public education, and enhanced perinatal care.
    • A concerted effort is crucial to reduce obstetric mortality and morbidity.

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