Epidemiological profile of maternal deaths in Bélier health region, Ivory Coast 2017-2021.

  • Maternal and child health
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Maternal death is a major public health problem. According to the World Health Organization (WHO), around 830 women die every day worldwide from preventable causes related to pregnancy or childbirth. Sub-Saharan Africa has the highest Maternal Mortality Rate (MMR) with 534 deaths per 100,000 live births. In Cote d’Ivoire, maternal deaths are among the events monitored. Bélier as health region is not left out with repeated maternal deaths. The analysis of the database surveillance not having been made, which the objective of this study to describe the phenomenon in the region of Belier.
A retrospective descriptive study was carried out, covering the period 2017-2021. Data were taken from the MAGPI monitoring database. Physical declaration forms and maternal death review reports were also used. Data were cleaned and analyzed using Excel and Epi Info 7.2 software. Measures of central tendencies, proportions and rates were calculated.
For the period, 199 deaths were recorded. The analysis covered 123 cases for which additional information were obtained. Average age 30 years (SD:+or–7 years) with predominance of the age group from 25 to 44 years. 59(48.01%) performed 4 or more Prenatal Care. 72(58.55%) had no medical history and 45(36.58%) suffered from anemia. A high number of deaths in women with less gestality and parity were found. For the cases analyzed, 56.66% are due to postpartum hemorrhage; 40.65% by natural vaginal way, 56.10% in immediate post partum and 95.12% took place in a health center. From 2017 to 2021, the MMR was respectively 10; 12; 15; 16 and 16 per 10,000 live births.
Increase in deaths from 2017 to 2021. Age group of 25 to 44 years was more represented. Nearly half were seen at least four times in prenatal and postpartum hemorrhage remains the leading cause of death. We recommend strengthening the Maternal Death de surveillance.

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