Cargando…

Critical factors associated with postpartum maternal death in Ethiopia

BACKGROUND: Globally most maternal deaths occur during the postpartum period; however, the burden is disproportionately higher in some Sub-Saharan African countries including Ethiopia. According to Ethiopian Ministry of Health’s annual report, in 2019 alone, nearly 70% of maternal deaths happen duri...

Descripción completa

Detalles Bibliográficos
Autores principales: Tesfay, Neamin, Tariku, Rozina, Zenebe, Alemu, Woldeyohannes, Fitsum
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231747/
https://www.ncbi.nlm.nih.gov/pubmed/35749471
http://dx.doi.org/10.1371/journal.pone.0270495
_version_ 1784735413814951936
author Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Woldeyohannes, Fitsum
author_facet Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Woldeyohannes, Fitsum
author_sort Tesfay, Neamin
collection PubMed
description BACKGROUND: Globally most maternal deaths occur during the postpartum period; however, the burden is disproportionately higher in some Sub-Saharan African countries including Ethiopia. According to Ethiopian Ministry of Health’s annual report, in 2019 alone, nearly 70% of maternal deaths happen during the postpartum period. Although several studies have been conducted on postpartum maternal deaths in Ethiopia, most of the studies were focused either on individual-level or district-level determinants with limited emphasis on the timing of death and in relatively small and localized areas. Therefore, this study aimed at identifying the determinants of postpartum death both at an individual and districts level, which could shed light on designing pragmatic policies to reduce postpartum maternal death. METHODS: The study utilized secondary data obtained from the Ethiopian maternal death surveillance system. A total of 4316 reviewed maternal death from 645 districts of Ethiopia were included in the analysis. A multilevel multinomial logistic regression model was applied to examine factors significantly associated with postpartum maternal death in Ethiopia. RESULT: The findings revealed that 65.1% of maternal deaths occurred during the postpartum period. The factors associated with postpartum death included previous medical history (history of ANC follow up and party), medical causes (obstetrics haemorrhage, hypertensive disorder of pregnancy, pregnancy-related infection, and non-obstetrics complication), personal factors (poor knowledge of obstetrics complication), and facility-level barriers (shortage of life-saving maternal commodities and delay in receiving treatment). CONCLUSION: Almost seven in ten maternal deaths happen during the postpartum period. The rate was even higher for some women based on their previous medical history, level of awareness about obstetrics complication, medical conditions, as well as the readiness of the health facility at which the women was served. Since the postpartum period is identified as a critical time for reducing maternal death, policies and actions must be directed towards improving health education, ANC service utilization, and facility-level readiness.
format Online
Article
Text
id pubmed-9231747
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-92317472022-06-25 Critical factors associated with postpartum maternal death in Ethiopia Tesfay, Neamin Tariku, Rozina Zenebe, Alemu Woldeyohannes, Fitsum PLoS One Research Article BACKGROUND: Globally most maternal deaths occur during the postpartum period; however, the burden is disproportionately higher in some Sub-Saharan African countries including Ethiopia. According to Ethiopian Ministry of Health’s annual report, in 2019 alone, nearly 70% of maternal deaths happen during the postpartum period. Although several studies have been conducted on postpartum maternal deaths in Ethiopia, most of the studies were focused either on individual-level or district-level determinants with limited emphasis on the timing of death and in relatively small and localized areas. Therefore, this study aimed at identifying the determinants of postpartum death both at an individual and districts level, which could shed light on designing pragmatic policies to reduce postpartum maternal death. METHODS: The study utilized secondary data obtained from the Ethiopian maternal death surveillance system. A total of 4316 reviewed maternal death from 645 districts of Ethiopia were included in the analysis. A multilevel multinomial logistic regression model was applied to examine factors significantly associated with postpartum maternal death in Ethiopia. RESULT: The findings revealed that 65.1% of maternal deaths occurred during the postpartum period. The factors associated with postpartum death included previous medical history (history of ANC follow up and party), medical causes (obstetrics haemorrhage, hypertensive disorder of pregnancy, pregnancy-related infection, and non-obstetrics complication), personal factors (poor knowledge of obstetrics complication), and facility-level barriers (shortage of life-saving maternal commodities and delay in receiving treatment). CONCLUSION: Almost seven in ten maternal deaths happen during the postpartum period. The rate was even higher for some women based on their previous medical history, level of awareness about obstetrics complication, medical conditions, as well as the readiness of the health facility at which the women was served. Since the postpartum period is identified as a critical time for reducing maternal death, policies and actions must be directed towards improving health education, ANC service utilization, and facility-level readiness. Public Library of Science 2022-06-24 /pmc/articles/PMC9231747/ /pubmed/35749471 http://dx.doi.org/10.1371/journal.pone.0270495 Text en © 2022 Tesfay et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tesfay, Neamin
Tariku, Rozina
Zenebe, Alemu
Woldeyohannes, Fitsum
Critical factors associated with postpartum maternal death in Ethiopia
title Critical factors associated with postpartum maternal death in Ethiopia
title_full Critical factors associated with postpartum maternal death in Ethiopia
title_fullStr Critical factors associated with postpartum maternal death in Ethiopia
title_full_unstemmed Critical factors associated with postpartum maternal death in Ethiopia
title_short Critical factors associated with postpartum maternal death in Ethiopia
title_sort critical factors associated with postpartum maternal death in ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231747/
https://www.ncbi.nlm.nih.gov/pubmed/35749471
http://dx.doi.org/10.1371/journal.pone.0270495
work_keys_str_mv AT tesfayneamin criticalfactorsassociatedwithpostpartummaternaldeathinethiopia
AT tarikurozina criticalfactorsassociatedwithpostpartummaternaldeathinethiopia
AT zenebealemu criticalfactorsassociatedwithpostpartummaternaldeathinethiopia
AT woldeyohannesfitsum criticalfactorsassociatedwithpostpartummaternaldeathinethiopia