Audit of Maternal Mortality Ratio and Causes of Maternal Deaths in the Largest Maternity Hospital in Cairo, Egypt (Kasr Al Aini) in 2008 and 2009; Lessons Learned

Wael F. Saleh, Wael S. Ragab, Samah S. Aboulgheit

Abstract

 

This study examined maternal deaths at Cairo University Maternity Hospital between January 2008 and December 2009. The aim was to calculate Maternal Mortality Ratio (MMR) as well as identify the causes and predisposing factors to maternal deaths. Data were collected from the files of the hospitalized pregnant women in the hospital. There were 38 maternal deaths and MMR was 79 per 100,000 live births for the two years examined. The main causes of death were obstetric hemorrhage, hypertensive disorders of pregnancy and cardiac arrest. Substandard medical care and the delay in seeking of medical advice were two contributing factors to maternal deaths recorded. The need for audit and publication of all obstetric hospitals MMR to compare and identify areas of improvements is recommended. (Afr J Reprod Health 2013; 17[3]: 105-109).

 

Résumé               

Cette étude a examiné les décès maternels au Centre  Hospitalier de la maternité  au Caire entre janvier 2008 et décembre 2009. L'objectif était de calculer les taux de mortalité maternelle (TMM) ainsi que d'identifier les causes et les facteurs prédisposant à la mortalité maternelle. Les données ont été recueillies à partir des dossiers des femmes enceintes hospitalisées à l'hôpital. Il y a eu 38 décès maternels et TMM était de 79 pour 100,000 naissances vivantes pour les deux années étudiées. Les principales causes de décès étaient l'hémorragie obstétricale, les troubles hypertensifs de la grossesse et l'arrêt cardiaque. Les soins médicaux de qualité inférieure et le retard dans la recherche de conseils médicaux étaient deux facteurs qui contribuent aux décès maternels enregistrés. Nous préconisons la vérification et la publication de tous les TMM des hôpitaux obstétriques pour permettre d'identifier les domaines qui méritent  d’être améliorés. (Afr J Reprod Health 2013; 17[3]: 105-109).

 

Keywords: Maternal Mortality; Cairo University 

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