Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals.

IF 1.2 Q3 NURSING Iranian Journal of Nursing and Midwifery Research Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI:10.4103/ijnmr.ijnmr_255_22

Brian Barasa Masaba, Rose M Mmusi-Phetoe, Bernard Rono, Daniel Kyalo Muthiani, Jonathan Taiswa, Stephenie Lydia Ojiambo, Damaris Moraa, John Kennedy Moturi

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Abstract

Background: Global health agencies advocate that no mother should die while giving life, more so from preventable causes. However, there are persistently high maternal mortalities in various regions with a current global maternal mortality ratio of 211/100,000 live births. This study sought to investigate the causes and determinants of maternal mortality.

Materials and methods: A four-year retrospective, cross-sectional study was conducted in three tertiary hospitals within Migori county in Kenya. Data were extracted from 101 maternal mortality records from January 1, 2016 to December 31, 2019.

Results: Leading complications were hemorrhage 34.70%, eclampsia 20.80%, and sepsis 15.80%. Mothers who were unmonitored using partograph, had reactive HIV status, were in the postpartum period, were referred from periphery facilities, and low socioeconomic levels were most vulnerable.

Conclusions: Improvement in healthcare systems to enable optimal care to mothers diagnosed with leading complications and socioeconomically empowering women in Migori county is urgently needed.

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肯尼亚农村产妇死亡率的决定因素：对三家医院的审计。

背景：全球卫生机构提倡不让母亲在分娩时死亡，更不让母亲死于可预防的原因。然而，各区域的孕产妇死亡率一直很高，目前全球孕产妇死亡率为210 /100 000活产。这项研究旨在调查产妇死亡的原因和决定因素。材料和方法：在肯尼亚Migori县的三家三级医院进行了一项为期四年的回顾性横断面研究。数据取自2016年1月1日至2019年12月31日的101份孕产妇死亡记录。结果：主要并发症为出血34.70%，子痫20.80%，败血症15.80%。未使用产程监护、HIV阳性、产后、从外围设施转诊的母亲，社会经济水平低的母亲最容易感染。结论：迫切需要改善医疗保健系统，以便为被诊断为主要并发症的母亲提供最佳护理，并在Migori县赋予妇女社会经济权力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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