Trends in health facility based maternal mortality in Central Region, Kenya: 2008-2012

WHO classifies Kenya as having a high maternal mortality. Regional data on maternal mortality trends is only available in selected areas. This study reviewed health facility maternal mortality trends, causes and distribution in Central Region of Kenya, 2008-2012. We reviewed health records from July...

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Bibliographic Details
Published in:The Pan African medical journal 2016, Vol.23 (259), p.259-259
Main Authors: Muchemi, Onesmus Maina, Gichogo, Agnes Wangechi, Mungai, Jane Githuku, Roka, Zeinab Gura
Format: Article
Language:English
Subjects:
Adult
causes of death
distribution
Eclampsia - epidemiology
Eclampsia - mortality
Female
Humans
Kenya - epidemiology
Maternal mortality
Maternal Mortality - trends
Postpartum Hemorrhage - epidemiology
Postpartum Hemorrhage - mortality
Pre-Eclampsia - epidemiology
Pre-Eclampsia - mortality
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Complications - mortality
Retrospective Studies
trends
Young Adult
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Summary:WHO classifies Kenya as having a high maternal mortality. Regional data on maternal mortality trends is only available in selected areas. This study reviewed health facility maternal mortality trends, causes and distribution in Central Region of Kenya, 2008-2012. We reviewed health records from July 2008 to June 2012. A maternal death was defined according to ICD-10 criterion. The variables reviewed included socio-demographic, obstetric characteristics, reasons for admission, causes of death and contributing factors. We estimated maternal mortality ratio for each year and overall for the four year period using a standard equation and used frequencies means/median and proportions for other descriptive variables. A total 421 deaths occurred among 344,191 live births; 335(80%) deaths were audited. Maternal mortality ratios were: 127/100,000 live births in 2008/09; 124/100,000 live births in 2009/2010; 129/100,000 live births in 2010/2011 and 111/100,000 live births in 2011/2012. Direct causes contributed majority of deaths (77%, n=234) including hemorrhage, infection and pre-eclampsia/eclampsia. Mean age was 30(±6) years; 147(71%) attended less than four antenatal visits and median gestation at birth was 38 weeks (IQR=9). One hundred ninety (59%) died within 24 hours after admission. There were 111(46%) caesarian births, 95(39%) skilled vaginal, 31(13%) unskilled 5(2%) vacuum deliveries and 1(
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2016.23.259.8262