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[Maternal mortality in Brazzaville (1993-1994)]
L H Iloki1, M V G'Bala Sapoulou, F Kpekpede
1Service de Gynécologie-Obstétrique B, CHU, Brazzaville, Congo.
Summary
Maternal mortality in Brazzaville is 408 per 100,000 live births, with obstetrical hemorrhages and infections being leading causes. Addressing AIDS, clandestine abortions, and improving emergency care are crucial for reduction.
Area of Science:
- Public Health
- Obstetrics & Gynecology
- Epidemiology
Context:
- Maternal mortality remains a critical global health issue, particularly in low-resource settings.
- Brazzaville, Congo, faces significant challenges in reducing preventable maternal deaths.
Purpose:
- To determine the maternal mortality rate in Brazzaville.
- To identify primary pathologies and risk factors contributing to maternal deaths.
- To propose actionable strategies for mortality reduction.
Summary:
- A cross-sectional study in Brazzaville (1993-1994) found a maternal mortality rate of 408 per 100,000 live births.
- Leading direct causes included obstetrical hemorrhages (40.55%) and infections (post-abortion 18.85%, post-delivery 12.69%).
- Acquired Immunodeficiency Syndrome (AIDS) emerged as a major indirect factor and the primary mortality cause among mothers-to-be.
Impact:
- Findings underscore the urgent need for improved prenatal care access and information dissemination.
- Recommendations include intensified efforts against AIDS through condom use and combating clandestine abortions.
- Enhancing hospital emergency preparedness is crucial for reducing maternal mortality.