RESEARCH ARTICLE
Causes and Timing of Maternal Death in Mizan – Tepi University Teaching and Bonga General Hospital from 2011 – 2015: A Case Control Study and Using Propensity Score Matching Analysis
Tegene Legese Dadi1, *, Kebadnew Mulatu Mihirete1, Tensay Kahsay Welegebriel2
Article Information
Identifiers and Pagination:
Year: 2017Volume: 10
First Page: 98
Last Page: 105
Publisher ID: TOPHJ-10-98
DOI: 10.2174/1874944501710010098
Article History:
Received Date: 13/10/2016Revision Received Date: 14/11/2016
Acceptance Date: 18/01/2017
Electronic publication date: 30/06/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background:
Death of women during pregnancy, delivery and within 6 weeks of postpartum can threaten the survival of the entire family. Even though our country reduces the maternal death, still the number of death that occurs is high as WHO maternal death classification. So the need of further study is unquestionable to identify cause and timing of maternal death.
Methods:
A case control study on 595 charts, 119 cases and 476 controls was conducted in MTU teaching & Bonga general hospital. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes. Confidence interval of 95% was used to see the precision and the level of significance of p value =<0.05.
Result:
Most death (74.8%) occurred during post-partum period. Only 17.6% of women died in Intrapartum period. The major causes of maternal death in the study area were hemorrhage 47.9% (β =0.58 (95% CI (0.28, 0.87)) in hospital but when projected to population based on our sample (β =0.26 (95% CI (0.22, 0.31)). Infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92))..
Conclusion:
Most of the women died in post-partum period particularly within three days. Hemorrhage was the leading cause of death.