Maternal death reviews at a rural hospital in Malawi

NM Vink, Erik Jonge, R Ter Haar, EM Chizimba, J Stekelenburg

Research output: Contribution to journalArticleAcademicpeer-review

14 Citations (Scopus)

Abstract

Objective: To analyze maternal deaths at Nkhoma Church of Central Africa Presbyterian (CCAP) Hospital and identify factors causing delays in care. Methods: Maternal death audits are performed after every maternal death at Nkhoma CCAP Hospital. Information regarding the care provided at the health facility, the referral process, and any delays in the community was collected by an audit team using a structured approach. Data from August 2007 to September 2011 were analyzed retrospectively. Results: In total, 61 maternal deaths occurred during the study period, of which 58 were analyzed. Most deaths were categorized as indirect (n=34 [58.6%]). Non-pregnancy-related infections were the leading cause of indirect death (n=22), with meningitis the most common (n=13). Most patients experienced a delay in seeking care (n=37 [63.8%]), a transport delay (n=43 [74.1%]), or a delay in receiving adequate care (n=34 [58.6%]. Conclusion: Most maternal deaths had indirect causes and were associated with delays in all phases. An audit makes clear which part of the referral chain needs to be strengthened. Nkhoma CCAP Hospital has taken steps to address all phases of delay. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)74-77
Number of pages4
JournalInternational Journal of Gynecology & Obstetrics
Volume120
Issue number1
DOIs
Publication statusPublished - 2013

Research programs

  • EMC NIHES-02-65-02

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