Recording of maternal deaths in an East African university hospital
Open accessAbstract
Objective. To trace all maternal deaths at a tertiary East African university hospital with a systematic registration of all births. Design. Descriptive study. Sample. One hundred and nineteen cases of maternal death which occurred in the period from 2000 to 2007 (including). Methods. Identification through the birth registry and separate manual tracing of all case records. Account of practical problems concerning identification of cases and analysis of time trends, mothers' domicile, occurrence by phase of pregnancy, birth and puerperium, and diagnoses. Results. There was considerable under‐reporting of deaths in the medical birth registry. Twenty of 119 mothers died before 23 weeks' gestational age, most of them of unsafe abortion. Other prevalent direct causes of death were hemorrhage, eclampsia and other hypertensive complications. HIV/AIDS was primary cause in 20 cases. Conclusion. Even with relatively complete ascertainment of births, single hospital‐based medical birth registries have limitations in studies of maternal deaths. They may identify risks among women who arrive for delivery at the hospital, but are not well suited for estimation of total maternal mortality within the hospital walls. This would require additional data. Extending the birth registry monitoring system to all health institutions with obstetrical services in a region will give more reliable estimates to be followed over time and serve as a basis for regular auditing, to the benefit of mothers and their children.
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In Tanzania, a review of 113 maternal deaths suggested that 14 (12%) women had died following an unsafe abortion.
“In Tanzania, a recent review of 113 maternal deaths suggested that 14 (12%) women had died following an unsafe abortion (24),”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [24]
The Results state that 14 women died following unsafe abortion, and 14 of the study’s 119 maternal deaths is approximately 12%. The cited paper reports 119 deaths, not the 113 stated in the citing sentence. Page numbers are unavailable in our copy. (LLM, conf=0.92)
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Cites
Maternal mortality in 2000: estimates developed by WHO, UNICEF and UNFPA.
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Reducing maternal mortality in Kigoma, Tanzania
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Maternal HIV status and pregnancy outcomes in northeastern Tanzania: a registry‐based study
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Self-citationOlsen, B. E., Hinderaker, S. G., Kazaura, M. R., Lie, R. T., Bergsjø, P., Gasheka, P., & Kvåle, G. (2000) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2000.tb11622.x · Cited by 32 · see citing works
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Research works printed but not linked: 3
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
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Measuring Unsafe Abortion-Related Mortality: A Systematic Review of the Existing Methods
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- Authors
- BERGSJØ, P., VANGEN, S., LIE, R. T., LYATUU, R., LIE‐NIELSEN, E., & ONEKO, O.
- Affiliations
- Norwegian Institute of Public Health (NO)
- University of Bergen (NO)
- Kilimanjaro Christian Medical Centre (TZ)
- Corresponding author
- BERGSJØ, PER
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2010-06
- Volume
- 89
- Issue
- 6
- Pages
- 789-793
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W2153032994
- Cited by
- 11
- References
- 4
- Citations by year
- 2021: 1 · 2020: 2 · 2017: 2 · 2016: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universitetet i Bergen
- Council for Higher Education
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- maternal mortality, birth registry, underreporting, unsafe abortion, hemorrhage, eclampsia, hypertension complications, HIV/AIDS, miscarriage, postpartum period, East Africa
- MeSH terms
- Cause of Death, Developing Countries, Female, Hospitals, University, Humans, Maternal Mortality, Pregnancy, Registries, Tanzania
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