South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2019
Causes of maternal death at Natalspruit Hospital, Johannesburg, South Africa.
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Uzabakiriho B, Maswime S
Аннотация
BACKGROUND: Despite increased resources to reduce maternal deaths, South Africa (SA) has an unacceptably high maternal mortality rate (MMR).
OBJECTIVES: To determine the causes of maternal deaths at Natalspruit Hospital, Johannesburg, SA.
METHODS: A 2-year retrospective audit of case records was done All maternal deaths from January 2013 to December 2014 were included.
RESULTS: There were 20 676 live births and 79 deaths, with a MMR of 382.08/100 000. Forty-four women (56%) were HIV-positive, 14 (21%) died of obstetric haemorrhage and 12 (15%) had hypertensive disorders of pregnancy. Thirty women (38%) had not attended an antenatal clinic. More women died between 16h00 and 08h00 than between 08h00 and 16h00. Most women (88%) had at least one avoidable factor.
CONCLUSIONS: Natalspruit Hospital has a high MMR. The majority of deaths were HIV-related. There was a high number of women who were unbooked. Most deaths occurred after normal working hours.
OBJECTIVES: To determine the causes of maternal deaths at Natalspruit Hospital, Johannesburg, SA.
METHODS: A 2-year retrospective audit of case records was done All maternal deaths from January 2013 to December 2014 were included.
RESULTS: There were 20 676 live births and 79 deaths, with a MMR of 382.08/100 000. Forty-four women (56%) were HIV-positive, 14 (21%) died of obstetric haemorrhage and 12 (15%) had hypertensive disorders of pregnancy. Thirty women (38%) had not attended an antenatal clinic. More women died between 16h00 and 08h00 than between 08h00 and 16h00. Most women (88%) had at least one avoidable factor.
CONCLUSIONS: Natalspruit Hospital has a high MMR. The majority of deaths were HIV-related. There was a high number of women who were unbooked. Most deaths occurred after normal working hours.
Предметные рубрики MeSH
AIDS-Related Opportunistic InfectionsAbortion, IncompleteAdolescentAdultAfter-Hours CareCause of DeathCesarean SectionDelivery, ObstetricFemaleHIV InfectionsHumansHypertension, Pregnancy-InducedIntensive Care UnitsMaternal MortalityPostpartum HemorrhagePregnancyPregnancy, EctopicPrenatal CareRetrospective StudiesRisk FactorsSepsisSouth AfricaUterine HemorrhageYoung Adult