Iranian journal of nursing and midwifery research · 2025
Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals.
СтатьяНазвание и аннотация: Перевод в очереди
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Masaba Brian Barasa, Mmusi-Phetoe Rose M, Rono Bernard, Muthiani Daniel Kyalo, Taiswa Jonathan, Ojiambo Stephenie Lydia, Moraa Damaris, Moturi John Kennedy
Аннотация
BACKGROUND: Global health agencies advocate that no mother should die while giving life, more so from preventable causes. However, there are persistently high maternal mortalities in various regions with a current global maternal mortality ratio of 211/100,000 live births. This study sought to investigate the causes and determinants of maternal mortality.
MATERIALS AND METHODS: A four-year retrospective, cross-sectional study was conducted in three tertiary hospitals within Migori county in Kenya. Data were extracted from 101 maternal mortality records from January 1, 2016 to December 31, 2019.
RESULTS: Leading complications were hemorrhage 34.70%, eclampsia 20.80%, and sepsis 15.80%. Mothers who were unmonitored using partograph, had reactive HIV status, were in the postpartum period, were referred from periphery facilities, and low socioeconomic levels were most vulnerable.
CONCLUSIONS: Improvement in healthcare systems to enable optimal care to mothers diagnosed with leading complications and socioeconomically empowering women in Migori county is urgently needed.
MATERIALS AND METHODS: A four-year retrospective, cross-sectional study was conducted in three tertiary hospitals within Migori county in Kenya. Data were extracted from 101 maternal mortality records from January 1, 2016 to December 31, 2019.
RESULTS: Leading complications were hemorrhage 34.70%, eclampsia 20.80%, and sepsis 15.80%. Mothers who were unmonitored using partograph, had reactive HIV status, were in the postpartum period, were referred from periphery facilities, and low socioeconomic levels were most vulnerable.
CONCLUSIONS: Improvement in healthcare systems to enable optimal care to mothers diagnosed with leading complications and socioeconomically empowering women in Migori county is urgently needed.