Conclusion
Le ratio de mortalité maternelle dans notre
étude était élevé par rapport à d'autres
hôpitaux du Cameroun. Ce ratio élevé était
particulièrement associé à l'absence de suivi
prénatal, le recours tardif aux soins, le retard de
référence, le retard de prise en charge et
l'indisponibilité desproduits sanguins. La principale stratégie
pour la réduction de ce ratio doit être axée sur
l'éducation de la communauté pour une maternité sans
risque.
Mots clés : dysfonctionnements,
revues de décès maternels, Hôpital Régional de
Maroua
ABSTRACT
Introduction
Maternal death is a familial, social and national tragedy. It
is a global disaster causing large-scale public health problems, especially in
Africa due to the low socioeconomic levels. In our country, as in our region,
the increase in maternal mortality is strongly influenced by many factors and
dysfunctions. Therefore, we set out to study the malfunctions noted during
maternal death reviews in Maroua Regional Hospital.
Methods
We carried out a cross-sectional descriptive study with
retrospective data collection in the Gynecology and Obstetrics department of
the Maroua Regional Hospital. Our study covered a period of 5 years from
January 1st, 2019 to December 31th, 2023 and lasted 7
months, from December 1st to June 3th, 2024. We studied
the records of maternal death cases and the data were collected using a
technical sheet. Data on socio-demographic characteristics and malfunctions
reported during maternal death reviews were collected and analyzed through SPSS
IBM software.
Results
We identified 150 maternal deaths cases among which 65 cases
were reviewed. The global maternal mortality ratio (MMR) was 1346 per 100,000
live births.The average age of patients who died was 26 years old #177;7.11 and
the median age was 27 years old with extreme cases of 15 and 45 years old. The
most affected age group was 20-29 years old, about 89.3% of the women who died
were unemployed, 63.3% were uneducated and 91.3% of the deceased women were
married. Large Multiparous women (36.7%) and multiparous women (30.7%)
represented the majority of the sample. Lack of prenatal care (53.9%), delayed
seeking medical help (26.2%), delayed referral (40 %), delayed care (32 %) and
lack of blood products (24.6 %) were the main dysfunctions reported during
maternal death reviews.
Conclusion
In our study, the maternal mortality rate is high compared to
other hospitals in Cameroon. The increase of this ratio was most related to
lack of prenatal care, delayed seeking medical help, delayed referral, delayed
care and lack of blood products. The main strategy to reduce maternal mortality
must be based on community education on safe motherhood.
Keywords: malfunctions, maternal death
reviews, Maroua Regional Hospital.
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