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Maternal mortality study in the Eastern Democratic Republic of the Congo

BACKGROUND: The reduction of maternal mortality in developing countries such as the Democratic Republic of Congo (DRC) still raises many questions. Indeed, this large country in the heart of Africa ranks 4th among the eight countries that alone account for more than 50% of maternal deaths in the wor...

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Autores principales: Ramazani, Imani Bin-Eradi, Ntela, Simon-Decap Mabakutuvangilanga, Ahouah, Mathieu, Ishoso, Daniel Katuashi, Monique, Rothan-Tondeur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153209/
https://www.ncbi.nlm.nih.gov/pubmed/35641954
http://dx.doi.org/10.1186/s12884-022-04783-z
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author Ramazani, Imani Bin-Eradi
Ntela, Simon-Decap Mabakutuvangilanga
Ahouah, Mathieu
Ishoso, Daniel Katuashi
Monique, Rothan-Tondeur
author_facet Ramazani, Imani Bin-Eradi
Ntela, Simon-Decap Mabakutuvangilanga
Ahouah, Mathieu
Ishoso, Daniel Katuashi
Monique, Rothan-Tondeur
author_sort Ramazani, Imani Bin-Eradi
collection PubMed
description BACKGROUND: The reduction of maternal mortality in developing countries such as the Democratic Republic of Congo (DRC) still raises many questions. Indeed, this large country in the heart of Africa ranks 4th among the eight countries that alone account for more than 50% of maternal deaths in the world, behind India, Nigeria and Pakistan. However, there is no up-to-date data on maternal mortality in eastern DRC. This study measures the mortality rate rate in health facilities in eastern DRC and identifies the associated risk factors. METHODS: This analytical epidemiological study was based on retrospective data materna deaths recorded in 59 health facilities, in three health zones in the southern part of Maniema province in east DRC. The study was conducted from July 1, 2015 to June 30, 2020. Descriptive, bi and multivariate analyses were used. RESULTS: The maternal mortality rate was estimated at 620 deaths per 100,000 live births, of which 46% of maternal deaths were related to a parturients’ delayed decision in seeking healthcare in time (first delay). Maternal deaths were significantly associated with extreme ages (≤ 19 years and ≥ 40 years: p =  < 0.001), patient parity (in primigravidas and in large multiparas: p = 0.001), complications such as hemorrhagic, (p =  < 0.001), uterine ruptures:(p =  < 0.001), infections, (p =  < 0.001), and dystocia (p =  < 0.001). CONCLUSION: Despite the efforts made by the DRC and its partners in the fight against maternal mortality, women continue to lose their lives when they decide to give birth. The results imply that it is imperative to strengthen both women and health professionals’ knowledge about pregnancy and maternal health and their power to reduce instances of first delay by supporting women in formulating their birth plans.
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spelling pubmed-91532092022-06-01 Maternal mortality study in the Eastern Democratic Republic of the Congo Ramazani, Imani Bin-Eradi Ntela, Simon-Decap Mabakutuvangilanga Ahouah, Mathieu Ishoso, Daniel Katuashi Monique, Rothan-Tondeur BMC Pregnancy Childbirth Research Article BACKGROUND: The reduction of maternal mortality in developing countries such as the Democratic Republic of Congo (DRC) still raises many questions. Indeed, this large country in the heart of Africa ranks 4th among the eight countries that alone account for more than 50% of maternal deaths in the world, behind India, Nigeria and Pakistan. However, there is no up-to-date data on maternal mortality in eastern DRC. This study measures the mortality rate rate in health facilities in eastern DRC and identifies the associated risk factors. METHODS: This analytical epidemiological study was based on retrospective data materna deaths recorded in 59 health facilities, in three health zones in the southern part of Maniema province in east DRC. The study was conducted from July 1, 2015 to June 30, 2020. Descriptive, bi and multivariate analyses were used. RESULTS: The maternal mortality rate was estimated at 620 deaths per 100,000 live births, of which 46% of maternal deaths were related to a parturients’ delayed decision in seeking healthcare in time (first delay). Maternal deaths were significantly associated with extreme ages (≤ 19 years and ≥ 40 years: p =  < 0.001), patient parity (in primigravidas and in large multiparas: p = 0.001), complications such as hemorrhagic, (p =  < 0.001), uterine ruptures:(p =  < 0.001), infections, (p =  < 0.001), and dystocia (p =  < 0.001). CONCLUSION: Despite the efforts made by the DRC and its partners in the fight against maternal mortality, women continue to lose their lives when they decide to give birth. The results imply that it is imperative to strengthen both women and health professionals’ knowledge about pregnancy and maternal health and their power to reduce instances of first delay by supporting women in formulating their birth plans. BioMed Central 2022-05-31 /pmc/articles/PMC9153209/ /pubmed/35641954 http://dx.doi.org/10.1186/s12884-022-04783-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Ramazani, Imani Bin-Eradi
Ntela, Simon-Decap Mabakutuvangilanga
Ahouah, Mathieu
Ishoso, Daniel Katuashi
Monique, Rothan-Tondeur
Maternal mortality study in the Eastern Democratic Republic of the Congo
title Maternal mortality study in the Eastern Democratic Republic of the Congo
title_full Maternal mortality study in the Eastern Democratic Republic of the Congo
title_fullStr Maternal mortality study in the Eastern Democratic Republic of the Congo
title_full_unstemmed Maternal mortality study in the Eastern Democratic Republic of the Congo
title_short Maternal mortality study in the Eastern Democratic Republic of the Congo
title_sort maternal mortality study in the eastern democratic republic of the congo
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9153209/
https://www.ncbi.nlm.nih.gov/pubmed/35641954
http://dx.doi.org/10.1186/s12884-022-04783-z
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