Background
Methods
Identification of Maternal deaths
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"A maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes". ICD 10 definition of a maternal death includes pregnancy related deaths* and late maternal deaths**
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*Pregnancy-related Death: The death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death (ICD-10)
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**Late maternal death: The death of a woman from direct or indirect obstetric cause more than 42 days but less than one year after termination of pregnancy
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Direct maternal death: Is the death of a woman as result of a complication of the pregnancy, delivery, or their management
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Indirect maternal death: Those resulting from previous existing disease or disease that developed during pregnancy and that was not due to direct obstetric cause but was aggravated by the physiological effects of pregnancy
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Incidental deaths: Other fatalities during but unrelated to a pregnancy. They are also termed non obstetrical maternal deaths
Results
Method of identification of Maternal deaths | Number of Maternal deaths | Percentage |
---|---|---|
Identified maternal deaths through RAMOS | 179 | 100 |
Officially reported Deaths | 101 | 56 |
Underreported
|
78
|
44
|
Underlying causes of maternal deaths
ICD 10 Classification | Number | Percentage |
---|---|---|
Direct maternal deaths
| ||
Obstetric haemorrhage | 57 | 32 |
(Pre) eclampsia | 26 | 14.6 |
Genital tract sepsis | 13 | 7.3 |
Pregnancies with abortive outcome | 37 | 20.8 |
Other direct causes | 13 | 7.3 |
Total
|
146
|
82
|
Indirect causes
| ||
Sickle Cell with complications | 13 | 7.3 |
Pneumonia | 4 | 2.2 |
Anaemia | 2 | 1.1 |
HIV/AIDS | 2 | 1.1 |
Hepatitis | 2 | 1.1 |
Cerebrovascular disease | 2 | 1.1 |
Others* | 7 | 3.9 |
Total
|
32
|
18
|
Total direct and indirect maternal deaths
|
178
|
100
|
Demographic characteristics
Method of identification of Maternal deaths | *More than 24 hours of admission into a hospital | **Less than 24 hours of admission into a hospital | **Either died at home or in unspecified health facility | Total |
---|---|---|---|---|
RAMOS | 79 | 28 | 72 | 179 |
Officially reported Deaths | 79 | 22 | 0 | 101 |
Underreported
|
0
|
6
|
72
|
78
|