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
1 Department of Public health, College of Health Sciences, Mizan - Tepi University, Ethiopia
2 Department of Nursing, College of Health Sciences, Meqele University, Ethiopia


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Creative Commons License
© 2017 Dadi et al.

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.

* Address correspondence to this author at the Department of Public health, College of Health Sciences, Mizan-Tepi University, Mizan teferi, SNNPR region, Ethiopia; Tel: +251916125736; E-mails: tege2004@gmail.com, tegegnlegesse@mtu.edu.et


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.

Key words: : Cause of death, Maternal death, Timing of death.