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Maternal mortality audit in a Zimbabwean province

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Summary

A maternal mortality audit was introduced in the Midlands Province (Zimbabwe) in order to identify which avoidable factors were involved most frequently. During the two-year study period, the maternal mortality rate was 137 per 100,000 total births. The main causes of death were uterine rupture, eclampsia, haemorrhage and caesarean section related accidents. An avoidable factor was identified among 87% of these deaths involving the health system in 57% of the cases and the patient in 33%. Access to the health facilities and transport problems only played a minor role.

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References

  • Adetoro D (1987) Maternal mortality. A twelve-year survey at the University of Ilorin Teaching Hospital Nigeria. Int J Gynaecol Obstet 25:93–98

    Article  CAS  PubMed  Google Scholar 

  • Boerma T (1987) The magnitude of the maternal mortality problem in sub-saharan Africa. Soc Sci Med 24:551–558

    Article  CAS  PubMed  Google Scholar 

  • Brown I (1978) Maternal mortality: a survey of maternal deaths occuring during 1976. Centr Afr Med 24:212–214

    CAS  Google Scholar 

  • Chamberlain G (1983) Ninth report on the Confidential Enquiries into maternal deaths in England and Wales 1976–1978. Br J Obstet Gynaecol 90:689–690

    CAS  PubMed  Google Scholar 

  • De Muylder X (1989) Caesarean section morbidity at district level in Zimbabwe. J Trop Med Hyg 92:89–92

    PubMed  Google Scholar 

  • Harrison K (1985) Child-bearing, health and social priorities: a survey of 22,774 consecutive births in Zaïre, Northern Nigeria. Br J Obstet Gynaecol [Suppl 5] 92:1–119

    PubMed  Google Scholar 

  • Harrison K (1989) Maternal mortality in developing countries. Br J Obstet Gynaecol 96:1–3

    CAS  PubMed  Google Scholar 

  • Kimball A, Cisse S, Fayemi G, Ericson S, Helfenbein S, Nakoulima A, Sene N, Papiernik E (1988) Preminary report of an identification mission for safe motherhood, Senegal: putting the M back in M.C.H. Int J Gynaecol Obstet 26:181–187

    Article  CAS  PubMed  Google Scholar 

  • Mahler H (1987) The safe motherhood initiative: a call to action. Lancet I: 668–670

    Article  Google Scholar 

  • Nordberg E (1984) Incidence and estimated need of caesarean section, inguinal hernia repair and operation for strangulated hernia in rural Africa. Br Med J 289:92–93

    Article  CAS  Google Scholar 

  • Petitti D (1985) Maternal mortality and morbidity in cesarean section. Clin Obstet Gynecol 28:763–769

    CAS  PubMed  Google Scholar 

  • Walker G, Ashley D, McCaw A, Bernard W (1986) Maternal mortality in Jamaica. Lancet I:486–488

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Gweru Provincial Hospital, Gweru, Zimbabwe

    X. De Muylder

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  1. X. De Muylder
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De Muylder, X. Maternal mortality audit in a Zimbabwean province. Arch Gynecol Obstet 247, 131–138 (1990). https://doi.org/10.1007/BF02390861

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  • DOI: https://doi.org/10.1007/BF02390861

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