Predictors of Maternal Mortality in Uganda
Author Information
Author(s): Wandabwa Julius N, Doyle Pat, Longo-Mbenza Benjamin, Kiondo Paul, Khainza Betty, Othieno Emmanuel, Maconichie Noreen
Primary Institution: Mulago Hospital, Makerere University
Hypothesis
What are the predictors of progression from severe maternal morbidity to maternal mortality in Mulago Hospital, Kampala, Uganda?
Conclusion
Key predictors of maternal mortality include residing far from the hospital, low socio-economic status, non-attendance of antenatal care, poor intrapartum care, and HIV/AIDS.
Supporting Evidence
- The mortality incidence rate was 8%, with a maternal mortality ratio of 7815 per 100,000 live births.
- Independent predictors of maternal mortality included HIV/AIDS and non-attendance of antenatal care.
- Women living more than 5 kilometers from the hospital had a higher risk of death.
- Shortage of blood for transfusion significantly increased the risk of maternal mortality.
Takeaway
This study looked at why some mothers get very sick during pregnancy and die, finding that things like not going to the doctor and living far away can make it more likely.
Methodology
A longitudinal follow-up study of 499 mothers with severe maternal morbidity admitted to Mulago Hospital from November 2001 to November 2002.
Potential Biases
Potential recall bias from patients regarding their medical history and treatment.
Limitations
The number of cases that died was few, limiting the generalizability of the findings.
Participant Demographics
The majority of women were below 30 years of age, with 77% of those who died being between 20-29 years.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI ranges provided for various predictors.
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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