- Title
- Severe Maternal Outcomes and Quality of Maternal Health Care in South Ethiopia
- Creator
- Beyene, Tesfalidet; Chojenta, Catherine; Smith, Roger; Loxton, Deborah
- Relation
- International Journal of Women's Health Vol. 14, p. 119-130
- Publisher Link
- http://dx.doi.org/10.2147/IJWH.S341912
- Publisher
- Dove Medical Press
- Resource Type
- journal article
- Date
- 2022
- Description
- Objective: To assess the incidence of severe maternal outcomes (SMO) and quality of maternal health care in south Ethiopia. Methods: A facility-based prospective study was conducted in three hospitals among all women who presented while pregnant, during and after childbirth between 12 July and 26 November 2018. Participants were followed from the time of admission to discharge. The World Health Organization (WHO) maternal near-miss (MNM) approach was used to assess SMO indicators and quality of maternal health care. Results: Of 2880 live births, 315 had potentially life-threatening conditions and 108 had SMOs (90 MNM and 18 maternal deaths). The SMO incidence ratio was 37.5 per 1000 live births (95% CI 30.6– 44.4) and MNM incidence ratio was 31.3 per 1000 live births (95% CI 24.9– 37.7). The ratio of near-miss to maternal deaths was 5:1. The hospitals’ maternal mortality ratio (MMR) was 625 per 100,000 live births. Most (82.1%) SMO cases were referred from other health facilities. The most common cause of SMO was eclampsia (37%) followed by postpartum haemorrhage (33.3%). The highest mortality index (MI) was among women with sepsis (27.3%). The intensive care unit (ICU) admission rate was 13% for women with SMO and 83.3% of maternal deaths occurred without ICU admission. Conclusion: The SMO ratio was comparable to other studies in the country. Most women with SMO were referred from other health facilities, which demonstrate the presence of the first delay (seeking care) and/or the second delay (reaching care) in the study area. The study suggests that effectively using the ICU, reducing delays, and improving the referral system may reduce SMO and improve the quality of care in the hospitals. Furthermore, continuous reviewing of SMO is needed to learn what treatment was given to women who experienced complications in the hospitals.
- Subject
- maternal near miss; maternal deaths; severe maternal outcomes; Ethiopia; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1469704
- Identifier
- uon:48295
- Identifier
- ISSN:1179-1411
- Rights
- © 2022 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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