TITLE:
Causes of Maternal Mortality in 2020 in the Kara Region (Togo)
AUTHORS:
Dédé Régine Diane Ajavon, Logbo-Akey Kossi Edem, Kambote Yendoube, Agoro Sibabe, Ali Hélène, Beley Christine, Aledi Tchilalo, Sodou Pouzouwè, Gnakou Louise, Aboubakari Abdoul Samadou
KEYWORDS:
Maternal Deaths, Audit, Causes, Preventable
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.1,
January
27,
2022
ABSTRACT: Objective:
Determine the maternal mortality rate, the epidemiological profile, the causes
of death and the dysfunctions noted. Patients and method: This was a
cross-sectional and descriptive study from January 1 to December 31, 2020. All
maternal deaths during pregnancy or within 42 days after its termination
fitting the World Health Organisation definition criteria that occurred in the
seven districts of Kara region were included. The data were processed using Excel microsoft. Results: A total of 41
maternal deaths occurred among 23,456 live births, accounting for a maternal
mortality ratio of 174.8 deaths per 100,000 live births. The followings were
observed: the average age of 30 years; 88% married; 39% multiparous; 78%
housewives without income; 5%
students. Hemorrhage, preeclampsia, and complications of abortion were the main
direct obstetric causes, while anemia was the main indirect obstetric cause.
Factors related to deaths were inadequate quality of health care and lack of
universal health insurance. The
various maternal death audit reports found
that 94.4% of deaths were preventable. Conclusion: Most maternal deaths would be prevented in the Kara region if women during pregnancy and the
postpartum period received quality health care and the community was involved
in decision-making about their health.