Trends in concurrent maternal and perinatal deaths at a teaching hospital in Ghana: the facts and prevention strategies

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
A T Lassey, S A Obed

Abstract

To determine the trend of concurrent maternal and perinatal mortality at the Korle-Bu Teaching Hospital (KBTH), Ghana, and to propose measures for its prevention. A retrospective study, from January 1995 to December 2002, of all concurrent maternal and perinatal deaths in which the woman was 28 weeks' gestation or more (or, if gestational age was not known, the baby weighed 1000 g or more) and died either undelivered or in the perinatal period (within 1 week of delivery) at the KBTH. Over the 8-year study period, there was a total of 93 622 deliveries at the KBTH with 108 concurrent maternal and perinatal mortalities, giving a ratio of 115.4 concurrent maternal and perinatal deaths per 100 000 deliveries. More than 80% of the mothers who died had little or no formal education. Of the 108 mothers, 22 died undelivered. The leading cause of death was a medical condition in pregnancy along with eclampsia/gestational hypertension. Of the 86 delivered mothers, the leading cause of concurrent death was a medical condition in pregnancy. Approximately two-thirds (72/108) of the perinatal deaths were stillbirths. Over the study period, there was a rising trend of the obstetric disaster of losing both mother and baby. There is a rising tr...Continue Reading

Citations

Jan 12, 2011·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Bolajoko O Olusanya, Olumuyiwa A Solanke
Oct 3, 2008·Journal of Community Health·Fiifi Amoako JohnsonJames J Brown
Aug 27, 2009·The Journal of Obstetrics and Gynaecology Research·Ashma RanaArchana Amatya
Aug 12, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kwame Adu-BonsaffohJoseph D Seffah
Sep 2, 2014·Bulletin of the World Health Organization·Sarah SaleemUNKNOWN Global Network Maternal Newborn Health Registry Study Investigators
Mar 20, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jocelynn T OwusuLouise M O'Brien
Aug 24, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kwame Adu-BonsaffohObed A Samuel
Apr 14, 2010·International Anesthesiology Clinics·Cyril EngmannMedge Owen

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