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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