Characteristics and outcomes of pregnant women hospitalized with severe maternal outcomes in eastern Ethiopia: Results from the Ethiopian Obstetric Surveillance System study
Characteristics and outcomes of pregnant women hospitalized with severe maternal outcomes in eastern Ethiopia: Results from the Ethiopian Obstetric Surveillance System study
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DOI：
10.1002/ijgo.15240
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发表时间：
2023-11-14
影响因子：
3.8
通讯作者：
Knight，Marian
中科院分区：
文献类型：
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作者：
Tura，Abera Kenay;Knight，Marian
本研究的目的是通过新建立的产科监测系统在东部Ethiopia.MethodsMonthly产科出血，子痫，子宫破裂，严重贫血和败血症的登记，以确定设施为基础的严重产科并发症的发病率在埃塞俄比亚东部的13个产科单位。在每家医院，指定的临床医生报告了2021年4月1日至2022年3月31日期间在怀孕、分娩或终止妊娠后42天内住院的妇女出现上述任何情况的详细信息。社会人口特征，产科并发症和出院状态的详细数据收集由训练有素的research assistants.ResultsAmong 38 782产妇在研究期间，2043（5.3%）妇女有任何五个条件。70名妇女死亡，病死率为3.4%。入院的三大原因是产科出血（972; 47.6%）、严重贫血（727; 35.6%）和子痫（438; 21.4%）。大多数的孕产妇死亡是产科出血（27/70; 38.6%）其次是子痫（17/70; 24.3%）。几乎每29名患有产科并发症的妇女中就有一人死亡。对护理质量进行审计，是为了设计有针对性的干预措施，以改善产妇存活率和产科并发症。
ObjectiveThe aim of the present study was to identify facility‐based incidence of severe obstetric complications through a newly established obstetric surveillance system in eastern Ethiopia.MethodsMonthly registration of obstetric hemorrhage, eclampsia, uterine rupture, severe anemia and sepsis was introduced in 13 maternity units in eastern Ethiopia. At each hospital, a designated clinician reported details of women admitted during pregnancy, childbirth or within 42 days of termination of pregnancy from April 01, 2021 to March 31, 2022 developing any of these conditions. Detailed data on sociodemographic characteristics, obstetric complications and status at discharge were collected by trained research assistants.ResultsAmong 38 782 maternities during the study period, 2043 (5.3%) women had any of the five conditions. Seventy women died, representing a case fatality rate of 3.4%. The three leading reasons for admission were obstetric hemorrhage (972; 47.6%), severe anemia (727; 35.6%), and eclampsia (438; 21.4%). The majority of the maternal deaths were from obstetric hemorrhage (27/70; 38.6%) followed by eclampsia (17/70; 24.3%).ConclusionObstetric hemorrhage, severe anemia and eclampsia were the leading causes of severe obstetric complications in eastern Ethiopia. Almost one in 29 women admitted with obstetric complications died. Audit of quality of care is indicated to design tailored interventions to improve maternal survival and obstetric complications.