Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)

Ouattara Adama; Kiemtoré Sibraogo; Sawadogo Yobi Alexis; Ouédraogo Issa; Barry Fatimata; Traoré/Millogo Francoise Danielle; Ouédraogo Charlemagne Marie Rayangwende; Ouédraogo Ali; Thieba/Bonané Blandine

doi:doi:10.11648/j.jgo.20210901.14

Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)

Ouattara Adama, Kiemtoré Sibraogo, Sawadogo Yobi Alexis, Ouédraogo Issa, Barry Fatimata, Traoré/Millogo Francoise Danielle, Ouédraogo Charlemagne Marie Rayangwende, Ouédraogo Ali, Thieba/Bonané Blandine

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 1)

Received: 31 January 2021 Accepted: 8 February 2021 Published: 27 February 2021

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Abstract

Objectives: Analyze the determinants of obstetric lethality in the Department of Obstetrical Gynecology at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from 2015 to 2018. Methodology: We conducted an analytical, descriptive cross-sectional study on maternal deaths in the UTH-YO. The data were collected retrospectively. All patients meeting the World Health Organization (WHO) definition of maternal death and patients who died as a result of direct obstetric complications in the Department of Gynaecology and Obstetrics at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from January 1, 2015 to December 31, 2018 were included. Results: We recorded 484 maternal deaths and 22947 births, for a maternal mortality ratio of 2109 deaths per 100,000 live births (NV). Patients who died as a result of direct obstetric complications accounted for 412 out of 10,564 cases, representing an obstetric lethality rate of 3.9%. These were patients with an average age of 27.6 years, without income generating activities (93.6%), nulliparous and pauciparous patients respectively (26%) and (31%). Most of them came from health facilities in the city of Ouagadougou (50%). The 4 main causes of death were haemorrhages (29.7%), hypertensive disorders (20.8%), abortion complications (16.8%) and infections (14%) respectively. The most lethal causes were thromboembolic pathology (27.27%), infections (13%), abortion complications (7.6%), bleeding (5.4%) and hypertensive disorders (4.2%). The notion of the 3 delays, the insufficient technical platform, the lack of financial resources and the lack of staff qualification were the contributing factors to the causes of death. Conclusion: From our study, it appears, as elsewhere, that most maternal deaths are preventable, hence the need for coordinated action to take effective action against maternal mortality.

Published in	Journal of Gynecology and Obstetrics (Volume 9, Issue 1)
DOI	10.11648/j.jgo.20210901.14
Page(s)	14-20
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Direct Obstetric Complication, Lethality, UTH-YO, Ouagadougou

References

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Ouattara Adama, Kiemtoré Sibraogo, Sawadogo Yobi Alexis, Ouédraogo Issa, Barry Fatimata, et al. (2021). Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). Journal of Gynecology and Obstetrics, 9(1), 14-20. https://doi.org/10.11648/j.jgo.20210901.14

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ACS Style

Ouattara Adama; Kiemtoré Sibraogo; Sawadogo Yobi Alexis; Ouédraogo Issa; Barry Fatimata, et al. Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). J. Gynecol. Obstet. 2021, 9(1), 14-20. doi: 10.11648/j.jgo.20210901.14

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AMA Style

Ouattara Adama, Kiemtoré Sibraogo, Sawadogo Yobi Alexis, Ouédraogo Issa, Barry Fatimata, et al. Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). J Gynecol Obstet. 2021;9(1):14-20. doi: 10.11648/j.jgo.20210901.14

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@article{10.11648/j.jgo.20210901.14,
  author = {Ouattara Adama and Kiemtoré Sibraogo and Sawadogo Yobi Alexis and Ouédraogo Issa and Barry Fatimata and Traoré/Millogo Francoise Danielle and Ouédraogo Charlemagne Marie Rayangwende and Ouédraogo Ali and Thieba/Bonané Blandine},
  title = {Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {1},
  pages = {14-20},
  doi = {10.11648/j.jgo.20210901.14},
  url = {https://doi.org/10.11648/j.jgo.20210901.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.14},
  abstract = {Objectives: Analyze the determinants of obstetric lethality in the Department of Obstetrical Gynecology at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from 2015 to 2018. Methodology: We conducted an analytical, descriptive cross-sectional study on maternal deaths in the UTH-YO. The data were collected retrospectively. All patients meeting the World Health Organization (WHO) definition of maternal death and patients who died as a result of direct obstetric complications in the Department of Gynaecology and Obstetrics at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from January 1, 2015 to December 31, 2018 were included. Results: We recorded 484 maternal deaths and 22947 births, for a maternal mortality ratio of 2109 deaths per 100,000 live births (NV). Patients who died as a result of direct obstetric complications accounted for 412 out of 10,564 cases, representing an obstetric lethality rate of 3.9%. These were patients with an average age of 27.6 years, without income generating activities (93.6%), nulliparous and pauciparous patients respectively (26%) and (31%). Most of them came from health facilities in the city of Ouagadougou (50%). The 4 main causes of death were haemorrhages (29.7%), hypertensive disorders (20.8%), abortion complications (16.8%) and infections (14%) respectively. The most lethal causes were thromboembolic pathology (27.27%), infections (13%), abortion complications (7.6%), bleeding (5.4%) and hypertensive disorders (4.2%). The notion of the 3 delays, the insufficient technical platform, the lack of financial resources and the lack of staff qualification were the contributing factors to the causes of death. Conclusion: From our study, it appears, as elsewhere, that most maternal deaths are preventable, hence the need for coordinated action to take effective action against maternal mortality.},
 year = {2021}
}

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TY  - JOUR
T1  - Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)
AU  - Ouattara Adama
AU  - Kiemtoré Sibraogo
AU  - Sawadogo Yobi Alexis
AU  - Ouédraogo Issa
AU  - Barry Fatimata
AU  - Traoré/Millogo Francoise Danielle
AU  - Ouédraogo Charlemagne Marie Rayangwende
AU  - Ouédraogo Ali
AU  - Thieba/Bonané Blandine
Y1  - 2021/02/27
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210901.14
DO  - 10.11648/j.jgo.20210901.14
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 14
EP  - 20
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210901.14
AB  - Objectives: Analyze the determinants of obstetric lethality in the Department of Obstetrical Gynecology at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from 2015 to 2018. Methodology: We conducted an analytical, descriptive cross-sectional study on maternal deaths in the UTH-YO. The data were collected retrospectively. All patients meeting the World Health Organization (WHO) definition of maternal death and patients who died as a result of direct obstetric complications in the Department of Gynaecology and Obstetrics at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from January 1, 2015 to December 31, 2018 were included. Results: We recorded 484 maternal deaths and 22947 births, for a maternal mortality ratio of 2109 deaths per 100,000 live births (NV). Patients who died as a result of direct obstetric complications accounted for 412 out of 10,564 cases, representing an obstetric lethality rate of 3.9%. These were patients with an average age of 27.6 years, without income generating activities (93.6%), nulliparous and pauciparous patients respectively (26%) and (31%). Most of them came from health facilities in the city of Ouagadougou (50%). The 4 main causes of death were haemorrhages (29.7%), hypertensive disorders (20.8%), abortion complications (16.8%) and infections (14%) respectively. The most lethal causes were thromboembolic pathology (27.27%), infections (13%), abortion complications (7.6%), bleeding (5.4%) and hypertensive disorders (4.2%). The notion of the 3 delays, the insufficient technical platform, the lack of financial resources and the lack of staff qualification were the contributing factors to the causes of death. Conclusion: From our study, it appears, as elsewhere, that most maternal deaths are preventable, hence the need for coordinated action to take effective action against maternal mortality.
VL  - 9
IS  - 1
ER  -

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Author Information

Ouattara Adama

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Kiemtoré Sibraogo

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Sawadogo Yobi Alexis

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Ouédraogo Issa

Ouahigouya Regional University Hospital Centre, Ouahigouya, Burkina Faso
Barry Fatimata

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Traoré/Millogo Francoise Danielle

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Ouédraogo Charlemagne Marie Rayangwende

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Ouédraogo Ali

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso
Thieba/Bonané Blandine

Department of Gynecology-Obstetrics of the UFR/SDS of the Joseph KI ZERBO University, Ouagadougou, Burkina Faso

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APA Style

Ouattara Adama, Kiemtoré Sibraogo, Sawadogo Yobi Alexis, Ouédraogo Issa, Barry Fatimata, et al. (2021). Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). Journal of Gynecology and Obstetrics, 9(1), 14-20. https://doi.org/10.11648/j.jgo.20210901.14

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ACS Style

Ouattara Adama; Kiemtoré Sibraogo; Sawadogo Yobi Alexis; Ouédraogo Issa; Barry Fatimata, et al. Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). J. Gynecol. Obstet. 2021, 9(1), 14-20. doi: 10.11648/j.jgo.20210901.14

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AMA Style

Ouattara Adama, Kiemtoré Sibraogo, Sawadogo Yobi Alexis, Ouédraogo Issa, Barry Fatimata, et al. Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO). J Gynecol Obstet. 2021;9(1):14-20. doi: 10.11648/j.jgo.20210901.14

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@article{10.11648/j.jgo.20210901.14,
  author = {Ouattara Adama and Kiemtoré Sibraogo and Sawadogo Yobi Alexis and Ouédraogo Issa and Barry Fatimata and Traoré/Millogo Francoise Danielle and Ouédraogo Charlemagne Marie Rayangwende and Ouédraogo Ali and Thieba/Bonané Blandine},
  title = {Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {1},
  pages = {14-20},
  doi = {10.11648/j.jgo.20210901.14},
  url = {https://doi.org/10.11648/j.jgo.20210901.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.14},
  abstract = {Objectives: Analyze the determinants of obstetric lethality in the Department of Obstetrical Gynecology at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from 2015 to 2018. Methodology: We conducted an analytical, descriptive cross-sectional study on maternal deaths in the UTH-YO. The data were collected retrospectively. All patients meeting the World Health Organization (WHO) definition of maternal death and patients who died as a result of direct obstetric complications in the Department of Gynaecology and Obstetrics at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from January 1, 2015 to December 31, 2018 were included. Results: We recorded 484 maternal deaths and 22947 births, for a maternal mortality ratio of 2109 deaths per 100,000 live births (NV). Patients who died as a result of direct obstetric complications accounted for 412 out of 10,564 cases, representing an obstetric lethality rate of 3.9%. These were patients with an average age of 27.6 years, without income generating activities (93.6%), nulliparous and pauciparous patients respectively (26%) and (31%). Most of them came from health facilities in the city of Ouagadougou (50%). The 4 main causes of death were haemorrhages (29.7%), hypertensive disorders (20.8%), abortion complications (16.8%) and infections (14%) respectively. The most lethal causes were thromboembolic pathology (27.27%), infections (13%), abortion complications (7.6%), bleeding (5.4%) and hypertensive disorders (4.2%). The notion of the 3 delays, the insufficient technical platform, the lack of financial resources and the lack of staff qualification were the contributing factors to the causes of death. Conclusion: From our study, it appears, as elsewhere, that most maternal deaths are preventable, hence the need for coordinated action to take effective action against maternal mortality.},
 year = {2021}
}

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TY  - JOUR
T1  - Analysis of Obstetrical Lethality in the Department of Gynecology and Obstetrics of the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO)
AU  - Ouattara Adama
AU  - Kiemtoré Sibraogo
AU  - Sawadogo Yobi Alexis
AU  - Ouédraogo Issa
AU  - Barry Fatimata
AU  - Traoré/Millogo Francoise Danielle
AU  - Ouédraogo Charlemagne Marie Rayangwende
AU  - Ouédraogo Ali
AU  - Thieba/Bonané Blandine
Y1  - 2021/02/27
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210901.14
DO  - 10.11648/j.jgo.20210901.14
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 14
EP  - 20
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210901.14
AB  - Objectives: Analyze the determinants of obstetric lethality in the Department of Obstetrical Gynecology at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from 2015 to 2018. Methodology: We conducted an analytical, descriptive cross-sectional study on maternal deaths in the UTH-YO. The data were collected retrospectively. All patients meeting the World Health Organization (WHO) definition of maternal death and patients who died as a result of direct obstetric complications in the Department of Gynaecology and Obstetrics at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou from January 1, 2015 to December 31, 2018 were included. Results: We recorded 484 maternal deaths and 22947 births, for a maternal mortality ratio of 2109 deaths per 100,000 live births (NV). Patients who died as a result of direct obstetric complications accounted for 412 out of 10,564 cases, representing an obstetric lethality rate of 3.9%. These were patients with an average age of 27.6 years, without income generating activities (93.6%), nulliparous and pauciparous patients respectively (26%) and (31%). Most of them came from health facilities in the city of Ouagadougou (50%). The 4 main causes of death were haemorrhages (29.7%), hypertensive disorders (20.8%), abortion complications (16.8%) and infections (14%) respectively. The most lethal causes were thromboembolic pathology (27.27%), infections (13%), abortion complications (7.6%), bleeding (5.4%) and hypertensive disorders (4.2%). The notion of the 3 delays, the insufficient technical platform, the lack of financial resources and the lack of staff qualification were the contributing factors to the causes of death. Conclusion: From our study, it appears, as elsewhere, that most maternal deaths are preventable, hence the need for coordinated action to take effective action against maternal mortality.
VL  - 9
IS  - 1
ER  -

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