Author/Authors :
Foumane, P Université de Yaoundé 1 - Faculté de Médecine et des Sciences Biomédicales, Cameroon , Foumane, P Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun , Dohbit, JS Université de Yaoundé 1 - Faculté de Médecine et des Sciences Biomédicales, Cameroun , Dohbit, JS Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun , Ngo Um Meka, E Université de Yaoundé 1 - Faculté de Médecine et des Sciences Biomédicales, Cameroon , Ngo Um Meka, E Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun , Nkada, MN Université de Yaoundé 1 - Faculté de Médecine et des Sciences Biomédicales, Cameroon , Ze Minkande, J Université de Yaoundé I - Faculté de Médecine et des Sciences Biomédicales de Yaoundé, Cameroun , Ze Minkande, J Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun , Mboudou, ET Hôpital Gynéco-Obstétrique et Pédiatrique de Yaoundé, Cameroun , Mboudou, ET Université de Yaoundé 1 - Faculté de Médecine et des Sciences Biomédicales, Cameroun
Abstract :
Objectives: The main objective of the study was to analyze the aetiologies of hospital maternal deaths in a tertiary hospital. Methodology: It was a cross-sectional study with a retrolective data collection of the maternal deaths at the Yaoundé Gynaeco- Obstetric and Pediatric Hospital, from the January 1st 2007 to the December 31st 2010. All the maternal deaths respecting the World Health Organization definition were included. The data were computerized and analyzed with Epi Info 3.5.1 and Excel 2007 softwares. Results: Fifty-eight (58) maternal deaths were recorded during the study period. The main aetiologies identified were: hypertension (22.4%), HIV/AIDS (19.0%), septic abortions (17.2%), haemorrhage (13.8%), cancer (10.3%) and postpartum sepsis (8.6%). Conclusion: Hypertension, HIV infection and septic abortion are the main aetiologies of maternal mortality in this tertiary hospital. Haemorrhage is responsible of only 13.8% of the deaths. We recommend implementation of interventions to prevent maternal deaths due to hypertension, HIV infection and septic abortion. A hospital policy based on the provision without emergency fees payable, of a minimal set of drugs for obstetrical surgery, blood and both surgical and anaesthetic teams could effectively reduce the proportion due to haemorrhage in the occurrence of maternal deaths in sub-Saharan Africa.
NaturalLanguageKeyword :
maternal mortality , obstetric hemorrhage , preeclampsia , HIV , AIDS , septic abortion , Cameroon
