Determinants of Maternal Death in a Pastoralist Area of Borena Zone, Oromia Region, Ethiopia: Unmatched Case-Control Study.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology International Pub Date : 2019-01-20 eCollection Date: 2019-01-01 DOI:10.1155/2019/5698436
Jarso Sara, Yusuf Haji, Achamyelesh Gebretsadik
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引用次数: 20

Abstract

Background: Globally, more than 830 maternal deaths happen daily, and nearly, all of these occur in developing countries. Similarly, in Ethiopia, maternal mortality is still very high. Studies done in pastoralist women are almost few. Therefore, the objective of this study was to assess the determinant factors of maternal death in the pastoralist area of Borena zone, Oromia region, Ethiopia.

Methods: Community-based unmatched case-control study was conducted on 236 mothers (59 maternal deaths (cases) and 177 controls). The sample included pregnant women aged 15-49 years from September 2014 to March 2017. Data were collected using a structured questionnaire adapted from Maternal Death Surveillance and Response Technical Guideline, entered into the EpiData, exported into SPSS for analyses. Odds ratios (ORs) and 95% confidence interval (CI) were computed to determine contributing factors of maternal death and control potential confounding variables.

Results: About 51 (86%) of all maternal deaths were due to direct obstetric causes. Of this, hemorrhage (45%), hypertensive disorders of pregnancy (23%), and obstructed labor (18%) were the leading direct causes of maternal deaths. Husbands who had no formal education were 5 times higher compared with their counterparts (AOR = 5.1, 95% CI: 1.6-16). Mothers who were not attending ANC were 5 times more at risk for death than those who attend (AOR 5.3, 95% CI 2.3-12.1). Mothers who gave birth at home/on transit were twice to die compared to health facility delivery (AOR 2.6, 95% CI 2.4-6) that were contributing factors of maternal deaths.

Conclusions: Husband's level of education, lack of antenatal care, and home delivery were the factors contributing to maternal deaths in the zone. Frequent and tailored antenatal care, skilled delivery, and access to education also need due attention.

Abstract Image

Abstract Image

埃塞俄比亚奥罗米亚地区Borena区牧区孕产妇死亡的决定因素:不匹配病例对照研究
背景:全球每天发生830多例产妇死亡,几乎所有这些死亡都发生在发展中国家。同样,在埃塞俄比亚,产妇死亡率仍然很高。对牧民妇女进行的研究几乎很少。因此,本研究的目的是评估埃塞俄比亚奥罗米亚州Borena地区牧区孕产妇死亡的决定因素。方法:对236例产妇(59例产妇死亡)和177例对照组)进行社区不匹配病例对照研究。样本包括2014年9月至2017年3月期间15-49岁的孕妇。数据收集使用的结构化问卷改编自《孕产妇死亡监测和应对技术指南》,输入EpiData,导出到SPSS进行分析。计算优势比(ORs)和95%置信区间(CI)来确定孕产妇死亡的影响因素并控制潜在的混杂变量。结果:所有孕产妇死亡中约有51例(86%)是由直接产科原因造成的。其中,出血(45%)、妊娠高血压疾病(23%)和难产(18%)是孕产妇死亡的主要直接原因。未接受过正规教育的丈夫比其同行高出5倍(AOR = 5.1, 95% CI: 1.6-16)。未参加ANC的母亲的死亡风险是参加ANC的母亲的5倍(AOR为5.3,95% CI为2.3-12.1)。与卫生设施分娩相比,在家/在运输途中分娩的母亲的死亡率是后者的两倍(AOR为2.6,95% CI为2.4-6),这是导致孕产妇死亡的因素。结论:丈夫的受教育程度、缺乏产前护理和在家分娩是导致该区孕产妇死亡的因素。频繁和有针对性的产前保健、熟练分娩和获得教育也需要得到应有的重视。
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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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