Maternal near miss and mortality in a tertiary care hospital in Rwanda

BMC Pregnancy and Childbirth
Stephen RulisaJos van Roosmalen

Abstract

To determine the prevalence and factors associated with severe ('near miss') maternal morbidity and mortality in the University Teaching Hospital of Kigali-Rwanda. We performed a cross sectional study of all women admitted to the tertiary care University Hospital in Kigali with severe "near miss" maternal morbidity and mortality during a one year period using the WHO criteria for 'near miss' maternal mortality. We assessed maternal demographic characteristics and disease processes associated with severe obstetric morbidity and mortality. The prevalence of severe maternal outcomes was 11 per 1000 live births. The maternal near miss ratio was 8 per 1000 live births. The majority of severe obstetric morbidity and mortalities resulted from: sepsis/peritonitis (30.2%)--primarily following caesarean deliveries, hypertensive disease (28.6%), and hemorrhage (19.3%). Majority of our patients were found to be of lower socioeconomic status, refered from district hospitals to the tertiary care center, and resided in the eastern part of the country. The main causes associated with MNH were peritonitis, hypertensive disorders and bleeding. The high prevalence of peritonitis may reflect suboptimal intraoperative and intrapartum management of ...Continue Reading

References

Oct 8, 1998·British Journal of Obstetrics and Gynaecology·G D MantelR C Pattinson
May 17, 2002·American Journal of Obstetrics and Gynecology·James D FettRonald Pierre
Feb 8, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L Pearson, R Shoo
Feb 10, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Helen E Burchett, Susannah H Mayhew
Nov 18, 2011·BMC Pregnancy and Childbirth·Angelo S NyamtemaJos van Roosmalen
Nov 26, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ruchi PuriNathan Thielman
Jul 17, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Stephen RulisaPeter J de Vries
Aug 31, 2012·Frontiers in Physiology·Yousif E Himeidan, Eliningaya J Kweka
Dec 25, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nazaneen HomaifarNathan M Thielman
Nov 22, 2013·The New England Journal of Medicine·Agnes BinagwahoEric Goosby
Jan 2, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Victor N MivumbiJames A Greenberg
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·J J KurinczukUNKNOWN MBRRACE-UK (Mothers and Babies: Reducing Risk through Audit and Confidential Enquiries across the UK)
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·J MoodleyUNKNOWN National Committee on Confidential Enquiries into Maternal Deaths in South Africa
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·H OwolabiN van den Broek
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·Ö Tunçalp, J P Souza
Jul 7, 2016·Journal of Obstetrics and Gynaecology of India·Shilpa VenkateshAnnamma Thomas

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Citations

Oct 23, 2016·BMC Pregnancy and Childbirth·Richard KalisaJos van Roosmalen
Mar 17, 2018·Anesthesia and Analgesia·Dorothy ShawStephen Peter Munjanja
Dec 30, 2017·BMC Pregnancy and Childbirth·Abera K TuraSanne J Gordijn
May 17, 2019·PloS One·Tanneke HerklotsBenoit Jacod
Nov 30, 2019·Health Promotion Perspectives·Sedigheh AbdollahpourTalat Khadivzadeh
Sep 7, 2020·International Journal of Nursing Education Scholarship·Marie Grace Sandra MusabwasoniAnaclet Ngabonzima
Jun 6, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·John W BolngaMoses Laman
Jun 28, 2018·Reproductive Health·Stacie E GellerBeverley Lawton
Jun 27, 2018·BMC Pregnancy and Childbirth·Abebaw Wasie Kasahun, Wako Golicha Wako
Jun 25, 2020·Revista latino-americana de enfermagem·Lisiane Camargo AlvesFlávia Azevedo Gomes-Sponholz
Jul 22, 2016·BMC Pregnancy and Childbirth·Denis RwabiziMaria Small
Feb 28, 2019·BMC Pregnancy and Childbirth·Abera Kenay TuraJelle Stekelenburg
Jan 10, 2019·Revista da Escola de Enfermagem da U S P·Izabel Dayana de Lemos SantosAlexandrina Aparecida Maciel Cardelli
Mar 18, 2021·BMC Pregnancy and Childbirth·Tayue Tateke KebedeYemisirach Berhanu Sebsibe
May 27, 2021·BMC Pregnancy and Childbirth·Alcade RudakemwaThéogène Twagirumugabe

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Methods Mentioned

BETA
cesarean section
cesarean sections
hysterectomy

Software Mentioned

SPSS

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