TITLE:
Dysfunctions in the Management of Patients Whose Outcome Was Classified as “Maternal Death” from 2017 to 2021, at the Departemental University Teaching Hospital of Borgou Alibori (Chud-Ba), Benin
AUTHORS:
Atade Sèdjro Raoul, Klipezo Roger, Dangbemey Patrice, Amoussa Abdoul Fadil, Togbenon Lionel David, Gogan Merveille, Bouraima Kassirath, Bakari Hikmath, Sale Leilath, Hounkponou Fanny, Salifou Kabibou
KEYWORDS:
Maternal Death, Dysfunction, Obstetric Care, Parakou, Benin
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.12,
December
15,
2023
ABSTRACT: Background: Maternal death is a major public health problem worldwide, particularly
in sub-Saharan Africa. Objective: This study sought to investigate
dysfunctions in the management of patients whose outcome was classified as “maternal death” in the Gynaecology-Obstetrics
section of the Departmental
University Teaching Hospital of Borgou Alibori (CHUD-BA) from 2017 to 2021. Method: This was a
retrospective cross-sectional study with descriptive and analytical
purposes. The study population consisted of pregnant women, parturients and
puerperas admitted into the CHUD-BA maternity ward from 2017 to 2021. Result: A total of 2011 patients were included in this study. The in-hospital maternal
mortality ratio was 1526 per 100,000 live births. The dysfunctions identified
were the amount of time spent in the referring center (more than 48 hours) (p =
0.001), delay of more than 2 hours between referral and admission into the
referral center (p compliance to the protocol for emergency obstetric and neonatal care
(SONU) (p Conclusion: Particular
attention should be paid to the management of
pregnant women in our healthcare system if we are looking forward to
reducing maternal mortality.