Table 1 Trend in maternal mortality: 2007–2014
From: A retrospective analysis of trends in maternal mortality in a Gambian tertiary health centre
2007–2010 | 2011–2014 | Total | |
|---|---|---|---|
Maternal mortality ratio (MMR) | |||
Total births | 24,080 | 20,227 | 44,307 |
Live births | 21,353 | 17,543 | 38,896 |
Maternal deaths | 332 | 331 | 663 |
MMR (per 100,000 live births) | 1555 | 1887 | 1705 |
n = 260 | n = 330 | n = 590 | |
|---|---|---|---|
Demographic characteristics of maternal deaths (%) | |||
Age (years) | |||
< 20 | 11.9 | 11.5 | 11.7 |
20–29 | 45.4 | 43.9 | 44.6 |
30–39 | 35.8 | 38.2 | 37.1 |
≥ 40 | 6.9 | 6.4 | 6.6 |
n = 260 | n = 331 | n = 591 | |
|---|---|---|---|
Parity | |||
0 | 26.2 | 21.8 | 23.7 |
1–4 | 47.3 | 42.6 | 44.7 |
≥ 5 | 26.5 | 35.6 | 31.6 |
n = 332 | n = 331 | n = 663 | |
|---|---|---|---|
Antenatal clinic attendance | |||
Yes | 37.3 | 65.0 | 51.1 |
No | 1.2 | 2.7 | 2.0 |
Missing | 61.4 | 32.3 | 46.9 |
n = 282 | n = 331 | n = 613 | |
|---|---|---|---|
Residence | |||
Urban | 43.3 | 49.8 | 46.8 |
Rural | 56.7 | 50.2 | 53.2 |
n = 260 | n = 330 | n = 590 | |
|---|---|---|---|
Age (years) | |||
<20 | 11.9 | 11.5 | 11.7 |
20–29 | 45.4 | 43.9 | 44.6 |
30–39 | 35.8 | 38.2 | 37.1 |
≥ 40 | 6.9 | 6.4 | 6.6 |
n = 260 | n = 331 | n = 591 | |
|---|---|---|---|
Parity | |||
0 | 26.2 | 21.8 | 23.7 |
1–4 | 47.3 | 42.6 | 44.7 |
≥ 5 | 26.5 | 35.6 | 31.6 |
n = 332 | n = 331 | n = 663 | |
|---|---|---|---|
Antenatal clinic attendance | |||
Yes | 37.3 | 65.0 | 51.1 |
No | 1.2 | 2.7 | 2.0 |
Missing | 61.4 | 32.3 | 46.9 |
n = 282 | n = 331 | n = 613 | |
|---|---|---|---|
Residence | |||
Urban | 43.3 | 49.8 | 46.8 |
Rural | 56.7 | 50.2 | 53.2 |
n = 332 | n = 331 | n = 663 | |
|---|---|---|---|
Causes of maternal deaths (%) | |||
Haemorrhage | 22.0 | 31.2 | 26.5 |
Hypertensive | 18.4 | 20.5 | 19.8 |
Sepsis | 8.1 | 13.1 | 10.6 |
Anaemia | 9.3 | 8.5 | 8.9 |
Malaria | 2.4 | 3.0 | 2.7 |
Pulmonary embolism | 1.5 | 3.6 | 2.6 |
HIV/AIDS | 2.2 | 1.5 | 1.8 |
Cardiomyopathies | 2.2 | 4.2 | 3.2 |
Liver disease | 0.3 | 1.8 | 1.1 |
Anaesthesia | 1.5 | 1.2 | 1.4 |
Transfusion reactions | 0.6 | 0.3 | 0.5 |
Other medical conditions | 0.6 | 3.3 | 2.0 |
Uncertain or not documented | 7.8 | 3.3 | 6.3 |
Missing case notes | 21.6 | 0.0 | 10.8 |
Dead on arrival | 1.5 | 4.5 | 3.0 |
Total | 100.0 | 100.0 | 100.0 |
n = 332 | n = 331 | ||
|---|---|---|---|
Timing of death in relation to pregnancy (%) | |||
Antepartum death | 16.9 | 10.0 | 13.4 |
Postpartum death | 61.4 | 84.6 | 73.0 |
Missing | 21.7 | 5.4 | 13.6 |
Total | 100.0 | 100.0 | 100.0 |
n = 258 | n = 322 | n = 580 | |
|---|---|---|---|
Duration of hospitalization at EFSTH before death (%) | |||
< 24 h | 40.3 | 52.2 | 46.9 |
24–48 h | 15.1 | 18.3 | 16.9 |
49–72 h | 14.0 | 6.2 | 9.7 |
3–7 days | 14.7 | 13.7 | 14.1 |
> 7 days | 15.9 | 9.6 | 12.4 |
Total | 100.0 | 100.0 | 100.0 |