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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 09 Jun 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Distribution of causes of maternal mortality during delivery and post-partum: results of an African multicentre hospital-based study. European Journal of Obstetrics & Gynecology and Reproductive Biology 2004;114(2):150-154.

Author(s) :

Thonneau PF, Matsudai T, Alihonou E, De souza J, Faye O, Moreau J-C, Djanhan Y, Welffens-Ekra C, Goyaux N.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To assess the maternal mortality ratio in maternity units of reference hospitals in large west African cities, and to describe the distribution of complications and causes of maternal deaths.

STUDY DESIGN: Prospective descriptive study in twelve reference maternities located in three African countries (Benin, Ivory Coast, Senegal). Data (clinical findings at hospital entry, medical history, complications, type of surgery, vital status of the women at discharge) were collected from obstetrical and surgical files and from admission hospital registers. All cases of maternal deaths were systematically reviewed by African and European staff.

RESULTS: Of a total of 10,515 women, 1495 presented a major obstetric complication with dystocia or inappropriate management of the labour phase as the leading cause. Eighty-five maternal deaths were reported, giving a global hospital-based maternal mortality ratio of 800/100,000. Hypertensive disorders were involved in 25/85 cases (29%) and post-partum haemorrhage in 13/85 cases (15%). Relatively few cases (14) of major sepsis were reported, leading to three maternal deaths.

CONCLUSION: The results of this multicentre study confirm the high rates of maternal mortality in maternity units of reference hospitals in large African cities, and in addition to dystocia the contribution of hypertensive disorders and post-partum haemorrhage to maternal deaths.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Etude prospective sur 10515 accouchements dans des hôpitaux de références de grandes villes de trois pays africains. Le taux de mortalité maternelle a été de 800 pour 100000. Les causes principales étaient l’hypertension et l’hémorragie post-partum.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ dystocy ; eclampsia (pre-) ; postpartum hemorrhage ; perinatal death rates

Author of this record :

Cécile Loup — 09 Jun 2004

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