| Peer-Reviewed

Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou

Received: 24 August 2021     Accepted: 8 September 2021     Published: 23 September 2021
Views:       Downloads:
Abstract

Introduction: Due to its high frequency, maternal mortality remains a major public health problem, especially in developing countries. Therefore, it is important to establish the epidemiological and clinical profiles of women who died in order to adapt the means to fight maternal mortality. The objective was to study maternal deaths in three university associated hospitals in Benin from 2015 to 2020. Materials and methods: This was a descriptive cross-sectional and retrospective study. Were included women who died during pregnancy or within the 42 days after delivery from January 2015 to September 2020 in the maternity units of National and University Associated Hospital-Hubert Koutoukou Maga (CNHU-HKM), University Associated Hospital of Mother and Child (CHU-MEL) and Army training hospital- University-associated hospital (HIA-CHU). Results: In total, 575 cases of maternal deaths were recorded and the majority at the maternity unit of CNHU-HKM (79.30%). The average age was 29.1 (±6.5) years with extremes of 14 and 45 years. The majority of death was observed in women aged 25 to 29 years. The deceased women were most often pauciparous (33.57%), referred (78.96%), admitted in poor general condition (58.43%) and were in the postpartum period (80.17%) at the time of death. The main causes of maternal death were: haemorrhage (32.87%), hypertensive disorders during pregnancy (22.22%), infections (8.35%) and abortion (5.74%). Conclusion: Maternal mortality remains high in our health facilities. It mainly affects populations with modest socio-economic conditions. The reduction of maternal mortality requires an improvement in the socio-economic conditions of the population, in the technical platform and in the referral modalities.

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 5)
DOI 10.11648/j.jgo.20210905.12
Page(s) 145-149
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

Maternal Deaths, Epidemiology, Clinical, Aetiologies, Benin

References
[1] Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. 30 Jan 2016; 387 (10017): 462-74.
[2] United Nations. Report on the sustainable development goals 2019. New York: United Nations; 2019 pp. 64. Report No.: 19-06517.
[3] National Institute of Statistics and Economic Analysis (INSAE) and ICF. 2019. Benin Demographic and Health Survey, 2017-2018. Cotonou, Benin and Rockville, Maryland, USA: INSAE and ICF.
[4] Amoussou R, Vissoh Ayadji A, Acakpo S, Zountcheme S, Hounkpe E, Koukoui N. Yearbook of health statistics. 2016. 165 p.
[5] Thiam M, Faye Dieme M, Gueye L, Niane S, Niang M, Mahamat S, et al. Maternal mortality at the Centre Hospitalier Régional de Thiès: etiologies and determining factors, about 239 deaths. J SAGO Gynaecology - Obstetrics Health Reprod [Internet]. 2017 [cited 13 Jul 2020]; 18 (1). Available from: http://jsago.org/index.php/jsago/article/view/3.
[6] Traoré B, Thera T, Kokaina C, Beye S, Mounkoro N, Teguete I, et al. Maternal mortality in the gynecology-obstetrics department of the regional hospital of Segou in Mali retrospective study on 138 cases. Mali Médical. 2010; 25 (2): 42-7.
[7] Mayi-Tsonga S, Ndombi I, Oksana L, Methogo M, Diallo T, Mendome G, et al. Maternal mortality in Libreville (Gabon): status and challenges in 2006. Cah Détudes Rech Francoph Santé. 2008; 18 (4): 193-7.
[8] Penfold F, Harrison E, Bell J, Fitzmaurice A. Evaluation of delivery fee exemption policy in Ghana: population estimates of changes in delivery service utilisation in two regions. Ghana medical journal 2007; 41 (3): 100-9.
[9] Traore B, Kokaina C, Beye Sa, Traore M, Dolo A. Caesarean section in the hospital centre of Ségou in Mali. Médecine d'Afrique noire N° 5711. November 2010. P513–518.
[10] Jean Dupont Kemfang Ngowa, Anny Ngassam, Jovanny Tsuala Fouogue, Junie Metogo, Alexis Medou, Jean Marie Kasia. Early maternal complications of caesarean section: about 460 cases in two university hospitals in Yaoundé, Cameroon. Pan African Medical Journal. 2015; 21: 265 doi: 10.11604/pamj.2015.21.265.6967.
[11] Foumsou L, Saleh A, Kaïmba O. Determinants of maternal mortality in the National General Reference Hospital of N'Djamena-Chad. Revue Scientifique du Tchad. 2014; 1 (5): 35-41.
[12] Alves SV. Maternal mortality in Pernambuco, Brazil: what has changed in ten years? Reprod Health Matters. 2007; 15 (30): 134-44.
[13] Philibert M, Boisbras F, Bouvier-Colle M-H. Epidemiology of maternal mortality in France from 1996 to 2002: frequency, factors and causes. Bull Epidémiologique Hebd - BEH. 2006; (50): 392-5.
[14] Coppieters Y, Bivort P, Madani K, Metboul M. Analysis of the factors of maternal mortality in southern Algeria. Sante Publique (Bucur). 25 Nov 2011; Vol. 23 (5): 413-26.
[15] WHO, World Health Organization. Maternal mortality [Internet]. [cited 12 Jul 2020]. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/maternal-mortality.
[16] Perrin R. Maternal Mortality in the World. Proj Mère-Enfant Ministère Étrangères Eur. 2008.
[17] Fomulu FJ, Ngassa PN, Nong T, Nana P, Nkwabong E. Maternal mortality at the Maternity Hospital of the Centre Hospitalier et Universitaire de Yaoundé, Cameroon: a 5-year retrospective study (2002 to 2006). Health Sci Dis. 2013; 10 (1).
[18] Veronique F, Doris C, Carine R, Wendy G, Say L. Level and Causes Maternal Mortality and Morbidity. Reproductive, Maternal, Newborn, and Child Health. Level Causes Matern Mortal Morb Reprod Matern Newborn Child Health. 2016; 51-70.
[19] Dujardin B, Mine F, De Brouwere V. Improving maternal health: a guide for systemic action. L'Harmattan; 2014. 303 p.
[20] Yambare A, Ibemba G. Analysis of the determinants of Pre-partum Maternal Mortality in the Republic of Congo (2013-2015). 2017.
[21] Cissé ML, Raad B, Diouf A, Wade F, Moreau JC. Assessment of obstetrical evacuations at the regional hospital of Kolda (Senegal). Médecine Afr Noire. 2010; 57 (1): 37-43.
[22] Fenomanana MS, Riel AM, Rakotomena SD, Andrianjatovo JJ, Andrianampanalinarivo HR. Risk factors for postpartum hemorrhage mortality at the Maternité de Befelatanana-CHU Antananarivo-Madagascar. Rev D'anesthésie-Réanimation Médecine D'urgence. 2009; 1 (3): 4-7.
[23] Sépou A, Yanza MC, Nguembi E, Dotte GR, Nali MN. Analysis of medical evacuations in gynaecology-obstetrics in Bangui, Central African Republic. Cah Détudes Rech Francoph. 2001; 10 (6): 399-405.
[24] Schutte JM, Steegers E a. P, Schuitemaker NWE, Santema JG, de Boer K, Pel M, et al. Rise in maternal mortality in the Netherlands. BJOG Int J Obstet Gynaecol. March 2010; 117 (4): 399-406.
[25] Schuitemaker N, van Roosmalen J, Dekker G, van Dongen P, van Geijn H, Gravenhorst JB. Confidential enquiry into maternal deaths in The Netherlands 1983-1992. Eur J Obstet Gynecol Reprod Biol. 1998; 79 (1): 57-62.
[26] Bouvier-Colle M-H ne, Ouedraogo C, Dumont A, Vangeenderhuysen C, Salanave B, Decam C. Maternal mortality in West Africa: rates, causes and substandard care from a prospective survey. Acta Obstet Gynecol Scand. 2001; 80 (2): 113.
[27] Lathrop E, Jamieson DJ, Danel I. HIV and maternal mortality. Int J Gynaecol Obstet off Organ Int Fed Gynaecol Obstet. Nov 2014; 127 (2): 213-5.
Cite This Article
  • APA Style

    Aboubakar Moufalilou, Obossou Achille Awade, Ogoudjobi Mathieu, Lokossou Symphorose, Dangbemey Patrice, et al. (2021). Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou. Journal of Gynecology and Obstetrics, 9(5), 145-149. https://doi.org/10.11648/j.jgo.20210905.12

    Copy | Download

    ACS Style

    Aboubakar Moufalilou; Obossou Achille Awade; Ogoudjobi Mathieu; Lokossou Symphorose; Dangbemey Patrice, et al. Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou. J. Gynecol. Obstet. 2021, 9(5), 145-149. doi: 10.11648/j.jgo.20210905.12

    Copy | Download

    AMA Style

    Aboubakar Moufalilou, Obossou Achille Awade, Ogoudjobi Mathieu, Lokossou Symphorose, Dangbemey Patrice, et al. Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou. J Gynecol Obstet. 2021;9(5):145-149. doi: 10.11648/j.jgo.20210905.12

    Copy | Download

  • @article{10.11648/j.jgo.20210905.12,
      author = {Aboubakar Moufalilou and Obossou Achille Awade and Ogoudjobi Mathieu and Lokossou Symphorose and Dangbemey Patrice and Tshabu-Aguemon Christiane and Tonato-Bagnan Angeline and Denakpo Lewis Justin},
      title = {Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {9},
      number = {5},
      pages = {145-149},
      doi = {10.11648/j.jgo.20210905.12},
      url = {https://doi.org/10.11648/j.jgo.20210905.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210905.12},
      abstract = {Introduction: Due to its high frequency, maternal mortality remains a major public health problem, especially in developing countries. Therefore, it is important to establish the epidemiological and clinical profiles of women who died in order to adapt the means to fight maternal mortality. The objective was to study maternal deaths in three university associated hospitals in Benin from 2015 to 2020. Materials and methods: This was a descriptive cross-sectional and retrospective study. Were included women who died during pregnancy or within the 42 days after delivery from January 2015 to September 2020 in the maternity units of National and University Associated Hospital-Hubert Koutoukou Maga (CNHU-HKM), University Associated Hospital of Mother and Child (CHU-MEL) and Army training hospital- University-associated hospital (HIA-CHU). Results: In total, 575 cases of maternal deaths were recorded and the majority at the maternity unit of CNHU-HKM (79.30%). The average age was 29.1 (±6.5) years with extremes of 14 and 45 years. The majority of death was observed in women aged 25 to 29 years. The deceased women were most often pauciparous (33.57%), referred (78.96%), admitted in poor general condition (58.43%) and were in the postpartum period (80.17%) at the time of death. The main causes of maternal death were: haemorrhage (32.87%), hypertensive disorders during pregnancy (22.22%), infections (8.35%) and abortion (5.74%). Conclusion: Maternal mortality remains high in our health facilities. It mainly affects populations with modest socio-economic conditions. The reduction of maternal mortality requires an improvement in the socio-economic conditions of the population, in the technical platform and in the referral modalities.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Epidemiological and Clinical Profiles of Maternal Deaths in Cotonou
    AU  - Aboubakar Moufalilou
    AU  - Obossou Achille Awade
    AU  - Ogoudjobi Mathieu
    AU  - Lokossou Symphorose
    AU  - Dangbemey Patrice
    AU  - Tshabu-Aguemon Christiane
    AU  - Tonato-Bagnan Angeline
    AU  - Denakpo Lewis Justin
    Y1  - 2021/09/23
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jgo.20210905.12
    DO  - 10.11648/j.jgo.20210905.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 145
    EP  - 149
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20210905.12
    AB  - Introduction: Due to its high frequency, maternal mortality remains a major public health problem, especially in developing countries. Therefore, it is important to establish the epidemiological and clinical profiles of women who died in order to adapt the means to fight maternal mortality. The objective was to study maternal deaths in three university associated hospitals in Benin from 2015 to 2020. Materials and methods: This was a descriptive cross-sectional and retrospective study. Were included women who died during pregnancy or within the 42 days after delivery from January 2015 to September 2020 in the maternity units of National and University Associated Hospital-Hubert Koutoukou Maga (CNHU-HKM), University Associated Hospital of Mother and Child (CHU-MEL) and Army training hospital- University-associated hospital (HIA-CHU). Results: In total, 575 cases of maternal deaths were recorded and the majority at the maternity unit of CNHU-HKM (79.30%). The average age was 29.1 (±6.5) years with extremes of 14 and 45 years. The majority of death was observed in women aged 25 to 29 years. The deceased women were most often pauciparous (33.57%), referred (78.96%), admitted in poor general condition (58.43%) and were in the postpartum period (80.17%) at the time of death. The main causes of maternal death were: haemorrhage (32.87%), hypertensive disorders during pregnancy (22.22%), infections (8.35%) and abortion (5.74%). Conclusion: Maternal mortality remains high in our health facilities. It mainly affects populations with modest socio-economic conditions. The reduction of maternal mortality requires an improvement in the socio-economic conditions of the population, in the technical platform and in the referral modalities.
    VL  - 9
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Faculty of Medicine, University of Parakou, Parakou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Mother and Child Department/Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

  • Sections