American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: http://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2016, 4(4), 120-127
DOI: 10.12691/ajphr-4-4-1
Open AccessArticle

Risk Factors of Maternal Death in Jimma University Specialized Hospital: A Matched Case Control Study

Tegene Legese1, , Misra Abdulahi2 and Anteneh Dirar2

1Collage of Health Science, Mizan-Tepi University

2Collage of Health Science, Jimma University

Pub. Date: June 06, 2016

Cite this paper:
Tegene Legese, Misra Abdulahi and Anteneh Dirar. Risk Factors of Maternal Death in Jimma University Specialized Hospital: A Matched Case Control Study. American Journal of Public Health Research. 2016; 4(4):120-127. doi: 10.12691/ajphr-4-4-1

Abstract

Background: Maternal death has devastating effects on the family she leaves behind and country level. Most of the literatures in our country are reviews of maternal death which are unable to determine the predictors of maternal death and do not consider change of time since there is variation in care given and did not identify timing of death. Objective: To assess risk factors of maternal death in Jimma University specialized hospital, Southwest Ethiopia from January 2010 to December 2014. Methods: A time matched case control study was conducted on 600 charts, 120 cases and 480controls. Data was collected using checklist adapted from maternal death surveillance review of Ethiopia guide line. Data were entered into epi data 3.1 and exported to Stata 13 for analysis. Conditional logistic regression was done to identify the independent predictors of maternal death. The adjusted matched odds ratio with the 95% confidence interval was reported and statistical significance was declared at p =<0.05. To ensure confidentiality only code was written on the check list. Result: More than two third (68%) of death occurred during post-partum period. Predictors of maternal death include: age group of 20 – 34 (AMOR= 0.299, 95% CI (0.113, 0.792)), being from rural area (AMOR = 2.594, 95%CI(1.001,6.726)), prolonged labour (AMOR=37.141, 95%CI(13.296, 103.750)), comorbidities (AMOR=9.631,95%CI(3.135, 29.588), referred cases from health center (AMOR=4.011, 95% CI (1.113, 14.464) and other health institution (AMOR=6.029, 95%CI(1.565, 24.626)). Conclusion: Duration of labour, age, comorbidities, residence and referral were the major factors that affect maternal death.

Keywords:
maternal death risk factors of maternal death maternal health Jimma University

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Divya A. Patel, Nancy M. Burnett, BS Kathryn M. Curtis P. Maternal health epidemiology. 2003.
 
[2]  WHO. International statistical classification of diseases and related health problems. 10th revision. Vol.2 Instruction Manual. 2010 Edition. Geneva: 2010;2.
 
[3]  Baden S. Challenges to women ’ s reproductive health: maternal mortality. 1996;44(38).
 
[4]  The world bank. The millennium development goals for health to rising the challenges. 2004.
 
[5]  Ye F, Wang H, Huntington D, Zhou H, Li Y, You F, et al. The Immediate Economic Impact of Maternal Deaths on Rural Chinese Households. 2012;7(6).
 
[6]  Reed HE, Koblinsky MA, Mosley WH. The Consequences of Maternal Morbidity and Maternal Mortality. 2000.
 
[7]  Bryce J, Victora C, Berman P, Lawn J, Mason E, Starrs A, et al. Fulfilling the Health Agenda for Women and Children The 2014 Report ER. 2014.
 
[8]  BS Garg SC and SMZ. Safe motherhood: social , economic , and medical determinants of maternal mortality Women. 2006;(September). Available from: http://www.the-networktufh.org/publications_resources/trainingmodules.asp.
 
[9]  Kirigia JM, Oluwole D, Mwabu GM, Gatwiri D, Kainyu LH. Effects of maternal mortality on gross domestic product ( GDP ) in the WHO African region. Afr J Heal Sci. 2006;13(1):86-95.
 
[10]  WHO, world bank, UNFPA U and U. Trends in Maternal Mortality: 1990 to 2013. 2013.
 
[11]  Koblinsky M, Tain F, Tesfaye S. Reducing maternal mortality and increasing use of skilled birth attendance: Ethiopia and MDG 5. 2010;4(1).
 
[12]  Gidey G. Patterns of maternal mortality and associated factors; a case-control study at public hospitals in Tigray region, Ethiopia. Int J Pharm Sci Res. 2013;4(5):1918-29.
 
[13]  Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. 2011.
 
[14]  Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey Preliminary Report. 2005.
 
[15]  Evjen-olsen B, Hinderaker SG, Lie RT, Bergsjø P, Gasheka P, Kvåle G. Risk factors for maternal death in the highlands of rural northern Tanzania: a case-control study. BMC Public Heal 2008,. 2008;9.
 
[16]  Yego F, Este CD, Byles J, Williams JS, Nyongesa P. Risk factors for maternal mortality in a Tertiary Hospital in Kenya: a case control study. BMC Pregnancy Childbirth. 2014;14(38).
 
[17]  Jimma univeristy specialized hospital. services given in the hospital. 2015.
 
[18]  Federal Democratic Republic of Ethiopia Ministry of Health. Maternal Death Surveillance and Response (MDSR) Technical Guideline. 2012.
 
[19]  Yaya Y, Eide KT, Norheim OF, Lindtjørn B. Maternal and Neonatal Mortality in South-West Ethiopia: Estimates and Socio-Economic Inequality. PLoS ONE 9(4) e06294. 2014;9(4).
 
[20]  Olopade, F.E. and Lawoyin T. Maternal Mortality in a Nigerian Maternity Hospital. African J Biomed Res. 2008;11(June):267-73.
 
[21]  Garomssa H and ADD. Maternal mortality in Ambo Hospital: a five year retrospective review. Ethiop J Reprod Heal. 2008;2(1): 2-13.
 
[22]  Pembe AB, Paulo C, Brenda SD, Roosmalen J Van. Maternal mortality at muhimbili national hospital in Dar-es-Salaam, Tanzania in the year 2011. BMC Pregnancy Childbirth. 2015;1-7.
 
[23]  Adelaja LM, Taiwo OO. Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria. Int Sch Res. 2011;2011.