TITLE:
Maternal Deaths in Patients Evacuated to the Fousseyni Daou Hospital in Kayes over a Decade
AUTHORS:
Mahamadou Diassana, Sitapha Dembele, Ballan Macalou, Alima Sibibe, Falaye Keita, Mamadou Haidara, Famakan Kane, Cheickna Sylla, Amadou Bocoum, Sanogo Siaka Amara, Soumaila Traoré
KEYWORDS:
Maternal Mortality, Evacuation, Kayes Hospital
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.8,
August
29,
2023
ABSTRACT: Introduction: Evacuation refers to the rapid transfer of a patient in an emergency,
from one health center to another more equipped and better specialized. The
objective of this study was to study maternal mortality in patients evacuated
to the gynecology and obstetrics department at the Fousseyni Daou Hospital in
Kayes over a period of 10 years. Materials and Methods: This was a
descriptive, cross-sectional, retrospective study over nine years from January
1, 2011 to December 31, 2019 and prospective over one year from January 1, 2020
to December 31, 2020 involving all patients or parturients evacuated for
obstetrical causes and died in the gynecology-obstetrics department of the
Fousseyni Daou Hospital. Confidentiality and anonymity were respected. The
processing and analysis of the statistical data was carried out using SPSS 20.0
software. Results: during our study period we identified 38,854 obstetric
admissions including 6758 evacuations or 17.4%, among the 6758 cases of
obstetric evacuations 284 died, a frequency of 4.2%. The maternal death audit
committee of the Fousseyni Daou hospital in Kayes audited 101/284 cases (files)
or 35.5% of which 64 maternal deaths (63.4%) were considered inevitable. In our
study the 20 - 29 age group was more represented with 38%. 85% of the deceased
patients lived in rural areas. In our series, 63.7% of the deceased patients
had not had antenatal consultations (NPC). Eclampsia accounted for 26.8% of
admissions diagnoses and 30.9% of causes of death. Seventy-two (72%) of deaths
occurred postpartum, 15% perpartum and 13%
prepartum. Direct obstetric causes were predominant at 65.1%. Conclusion: Indicators of maternal deaths among evacuated patients remain poor in our
work. Maternal deaths were driven by socio-economic and cultural factors, but
also by factors related to the health system.