Maternal death audit in Rwanda 2009-2013: a nationwide facility-based retrospective cohort study

BMJ Open
Felix SayinzogaKoos van der Velden

Abstract

Presenting the results of 5 years of implementing health facility-based maternal death audits in Rwanda, showing maternal death classification, identification of substandard (care) factors that have contributed to death, and conclusive recommendations for quality improvements in maternal and obstetric care. Nationwide facility-based retrospective cohort study. All cases of maternal death audited by district hospital-based audit teams between January 2009 and December 2013 were reviewed. Maternal deaths that were not subjected to a local audit are not part of the cohort. 987 audited cases of maternal death. Characteristics of deceased women, timing of onset of complications, place of death, parity, gravida, antenatal clinic attendance, reported cause of death, service factors and individual factors identified by committees as having contributed to death, and recommendations made by audit teams. 987 cases were audited, representing 93.1% of all maternal deaths reported through the national health management information system over the 5-year period. Almost 3 quarters of the deaths (71.6%) occurred at district hospitals. In 44.9% of these cases, death occurred in the post-partum period. Seventy per cent were due to direct causes, ...Continue Reading

References

Mar 15, 2006·BMC Pregnancy and Childbirth·Olufemi T OladapoTuminu A Fakoya
Apr 4, 2006·Bulletin of the World Health Organization·Alexandre DumontMarie-Hélène Bouvier-Colle
Apr 14, 2006·Acta Obstetricia Et Gynecologica Scandinavica·Jeroen van DillenJos van Roosmalen
Oct 3, 2006·Lancet·Carine RonsmansUNKNOWN Lancet Maternal Survival Series steering group
Oct 31, 2006·Lancet·Fernando Althabe, José M Belizán
May 6, 2008·American Journal of Obstetrics and Gynecology·Steven L ClarkGary D Hankins
Dec 30, 2008·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Eugene J KongnyuyNynke van den Broek
Aug 28, 2009·Transfusion Medicine·J J ZwartJ van Roosmalen
Jan 7, 2011·Kathmandu University Medical Journal (KUMJ)·A S DongolC D Chawla
Nov 18, 2011·BMC Pregnancy and Childbirth·Angelo S NyamtemaJos van Roosmalen
Feb 5, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·B D Schoub
Apr 9, 2013·Global Health Action·Linda SannevingSarah Thomsen
Oct 3, 2013·Obstetrics and Gynecology·Monica SaucedoUNKNOWN French National Experts Committee on Maternal Mortality
Jan 23, 2014·BMC Pregnancy and Childbirth·Faith YegoPaul Nyongesa
Apr 8, 2014·Lancet·Agnes BinagwahoPeter C Drobac
May 20, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jan J Hofman, Hauwa Mohammed
Sep 28, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yirgu Gebrehiwot, Birukkidus T Tewolde
Nov 15, 2014·The Pan African Medical Journal·Onesmus Maina Muchemi, Agnes Wangechi Gichogo
Apr 14, 2015·The Lancet Global Health·Joshua P VogelUNKNOWN WHO Multi-Country Survey on Maternal and Newborn Health Research Network

❮ Previous
Next ❯

Citations

Mar 7, 2020·Tropical Medicine & International Health : TM & IH·Steffie HeemelaarThomas van den Akker
Sep 13, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Achamyelesh GebretsadikMillion Teshome
Jun 24, 2020·International Journal of Environmental Research and Public Health·Edwin TayebwaJelle Stekelenburg
Oct 9, 2020·BMC Health Services Research·Anaclet NgabonzimaDavid F Cechetto
Feb 3, 2021·Tropical Medicine & International Health : TM & IH·Slawa RokickiJessica L Cohen

❮ Previous
Next ❯

Methods Mentioned

BETA
MDA

Software Mentioned

Excel

Related Concepts

Related Feeds

Autoimmune Thyroiditis

Autoimmune thyroiditis is an inflammatory disease of thyroid gland due to autoimmune responses leading to lymphocytic infiltration of the gland. It is characterized by the presence of circulating thyroid antigen-specific T-cells and thyroid autoantibodies. Discover the latest research on autoimmune thyroiditis here.

Antimalarial Agents (ASM)

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Antimalarial Agents

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.