Millennium development goal 5: a review of maternal mortality at the Kenyatta National Hospital, Nairobi

East African Medical Journal
J B O OyiekeC S Kigondu

Abstract

To review if there is a change in the maternal mortality rate at the Kenyatta National Hospital since the inception of the Millennium Development Goal strategy in 1990, compared to earlier reviews. A retrospective descriptive study. Kenyatta National Hospital. Maternal deaths attributed directly to obstetric causes. Determination of maternal mortality rates of all patients admitted to the Kenyatta National Hospital Maternity and died after admission up till six weeks of admission. Also determine any avoidable causes of the same. During the period under review, there were 27,455 deliveries and 253 maternal deaths giving a maternal mortality ratio of 921.5 per 100,000 live births. Direct obstetric causes accounted for 71% of all maternal deaths with sepsis, haemorrhage, and hypertension being the leading causes. Respiratory tract infections associated with HIV/ AIDS infection was the prominent indirect cause. 67.5% of deaths occurred in women aged between 25 and 35 years and 78.7% were Para 2 or less. Evidently there was poor antenatal clinic attendance with only 28.6% having had any attendance at all. Antenatal clinic attendance needs to be re-emphasised if an impact is to be realised in curbing maternal mortality; moreover ther...Continue Reading

Citations

Apr 24, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·Dorothea RischewskiChristopher Lavy
Apr 19, 2015·Globalization and Health·Sima SajedinejadKazem Mohammad
Apr 18, 2015·BMC Pregnancy and Childbirth·Abdhalah Kasiira ZirabaElizabeth W Kimani-Murage
Aug 5, 2014·BMC Pregnancy and Childbirth·Jennifer A UngerGrace C John-Stewart
Jan 23, 2010·Journal of Women's Health·Uchenna Ifeanyi NwaghaAzubuike Onyebuchi

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