Abstract
Objective: To study causes of maternal mortality according to reports of maternal death audits in the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso. Materials and Method: This was a prospective study that took place over a year from 1 January to 31 December 2017. It concerned maternal deaths that occurred during this period in the obstetrics and gynecology department of the University Teaching Hospital Bogodogo (UTH-B). All maternal deaths were systematically audited by the audit committee; interviews with providers and families were sometimes conducted. The record books of all patients were analyzed by the audit committee; if necessary, interviews were conducted with care providers and families. The main information collected were recorded on individual files, entered and analyzed using the software Epi-info 7. Result: During the study period, we recorded 32 maternal deaths i.e., 587 per 100,000 live births. Deceased women under age 20 were the most numerous, followed by women aged 20 to 24. The death occurred in most cases in the puerperium in 69.80% of cases. Complications of pregnancy were the most incriminated causes in maternal deaths. Bleeding was the leading cause, accounting for 34.3%. They are followed by hypertensive disorders of pregnancy (21.8%) and infections (18.8%). In the contributing factors, resource factors were incriminated in 56.2% of cases, social factors in 43.7% of cases and medical factors in 25.4% of cases. Death was non-preventable in 76.2% of cases compared to 23.8% of preventable deaths. Conclusion: Maternal mortality is a major public health problem at the maternity hospital of the university hospital Yalgado Ouedraogo. Hemorrhage is the first cause of death. Hypertensive diseases are more and more worrying. Solutions must be found to improve the practice of audits in the obstetrics and gynecology department of UTH-B.
Highlights
Awareness of the quality of care as a determinant in the reduction of maternal mortality leads to a process of critical and systematic analysis of the quality of medical care by comparing procedures or services with reference to quality standards, in order to make corrections [1]
To study causes of maternal mortality according to reports of maternal death audits in the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso
It concerned maternal deaths that occurred during this period in the obstetrics and gynecology department of the University Teaching Hospital Bogodogo (UTH-B)
Summary
Awareness of the quality of care as a determinant in the reduction of maternal mortality leads to a process of critical and systematic analysis of the quality of medical care by comparing procedures or services with reference to quality standards, in order to make corrections [1]. The known causes of maternal death are dominated by bleeding, dystocia, infections and complications of arterial hypertension [3]. These causes of death often reflect a lack of obstetric supervision and care, calling into question the quality of patient management in health facilities. In addition to the medical cause of maternal death, the audit highlights all the contributing factors that contributed to the death. In the University Teaching Hospital Bogodogo (UTH-B), and at the maternity ward, there is already a team in charge of recording maternal deaths and organising audit sessions. We felt it necessary to conduct this study to report the experience of our obstetrical team on maternal death audits
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