摘要
Background: Maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p < 0.001), means of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (SONU) (p < 0.001) and delay of more than 2 hours in the etiological management of pregnant women (p Conclusion: Particular attention should be paid to the management of pregnant women in our healthcare system if we are looking forward to reducing maternal mortality.
Background: Maternal death is a major public health problem worldwide, particularly in sub-Saharan Africa. Objective: This study sought to investigate dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics section of the Departmental University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a retrospective cross-sectional study with descriptive and analytical purposes. The study population consisted of pregnant women, parturients and puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal mortality ratio was 1526 per 100,000 live births. The dysfunctions identified were the amount of time spent in the referring center (more than 48 hours) (p = 0.001), delay of more than 2 hours between referral and admission into the referral center (p < 0.001), means of transport (motorcycle or public transport) (p compliance to the protocol for emergency obstetric and neonatal care (SONU) (p < 0.001) and delay of more than 2 hours in the etiological management of pregnant women (p Conclusion: Particular attention should be paid to the management of pregnant women in our healthcare system if we are looking forward to reducing maternal mortality.
作者
Atade Sèdjro Raoul
Klipezo Roger
Dangbemey Patrice
Amoussa Abdoul Fadil
Togbenon Lionel David
Gogan Merveille
Bouraima Kassirath
Bakari Hikmath
Sale Leilath
Hounkponou Fanny
Salifou Kabibou
Atade Sèdjro Raoul;Klipezo Roger;Dangbemey Patrice;Amoussa Abdoul Fadil;Togbenon Lionel David;Gogan Merveille;Bouraima Kassirath;Bakari Hikmath;Sale Leilath;Hounkponou Fanny;Salifou Kabibou(Mother and Child Department, Institute of Nursing and Midwifery, University of Parakou (IFSIO-UP), Parakou, Benin;Mother and Child Department, Faculty of Medicine, University of Parakou (FM-UP), Parakou, Benin;Mother and Child Department, Faculty of Health Sciences, University of Abomey Calavi (FSS), Cotonou, Benin;Department of Health Policy and Systems, Centre of Human Reproduction and Demography Research (CERRHUD), Cotonou, Benin)
