2018-2021年拉巴特Souissi妇产医院的孕产妇死亡率

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-05-21 DOI:10.1016/j.cegh.2025.102064

Fatima Elhassouni , Rim Laaboudi , Ismail Belhaouz , Rachid Razine , Majdouline Obtel , Yahaya Maijimaa Tourey , Sabah Amrani , Zaki Hanchi , Mounia El Yousfi , Nada Bennani Mechita

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引用次数: 0

摘要

产妇死亡是一个重大的公共卫生问题，是评估一个国家卫生发展水平的重要指标。本研究的目的是描述2018年至2021年期间拉巴特Souissi妇产医院产妇死亡的流行病学特征。方法回顾性描述性研究。2018年1月至2021年12月期间在拉巴特Souissi妇产医院发生的所有孕产妇死亡病例均纳入本研究。数据是从医疗记录中收集的。我们将研究分为两个阶段（2018-2019年和2020-2021年），以便能够比较COVID-19前后的死亡率。采用Khi2检验或fisher精确检验比较两期死亡原因。结果在整个研究期间（2018-2021年），孕产妇死亡率为每10万活产156.03例死亡。在两个研究阶段，这一比率从每10万例活产88.84例上升到261.49例(p <；0.001)。68例与直接原因有关（73.9%）。先兆子痫和子痫是导致产妇直接死亡的主要原因（30.9%），其次是出血（25.0%）。结论先兆子痫和产后出血是导致产妇死亡的主要原因，两者都是高度可预防的。通过病例对照研究识别风险因素至关重要，有针对性的干预措施可以帮助降低孕产妇死亡率。

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Maternal mortality at Souissi Maternity Hospital in Rabat, 2018–2021

Backgroung

Maternal deaths are a major public health issue and serve as a crucial indicator for assessing a country's level of health development. The aim of this study is to describe the epidemiological characteristics of maternal deaths occurring at the Souissi Maternity Hospital in Rabat between 2018 and 2021.

Methods

This is a retrospective descriptive study. All cases of maternal death occurring at the Souissi Maternity Hospital in Rabat between January 2018 and December 2021 were included in this study. Data were collected from medical records. We divided the study into two phases (2018–2019 and 2020–2021), to be able to compare the mortality rate before and after COVID-19. Causes of death were also compared between these two phases using Khi² test or fisher's exact test.

Results

During the entire study period (2018–2021), the Maternal Mortality Rate was 156.03 deaths per 100,000 live births. This rate rose from 88.84 to 261.49 per 100,000 live births between the two study phases (p < 0.001). Sixty-eight cases were linked to a direct cause (73.9 %). Preeclampsia and eclampsia was the leading cause of maternal mortality by direct cause (30.9 %), and hemorrhage was the second leading cause (25.0 %).

Conclusion

The study identified preeclampsia and postpartum hemorrhage as the leading causes of death, both of which are highly preventable. Recognizing risk factors through a case-control study is essential, and targeted interventions could help reduce maternal mortality.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.