Puerperal sepsis, the leading cause of maternal deaths at a Tertiary University Teaching Hospital in Uganda

BMC Pregnancy and Childbirth

Volumn 16, Issue 1, 2016, Pages

  Ngonzi, Joseph ^a   Tornes, Yarine Fajardo ^a   Mukasa, Peter Kivunike ^a   Salongo, Wasswa ^a   Kabakyenga, Jerome ^a   Sezalio, Masembe ^a   Wouters, Kristien ^b,c   Jacqueym, Yves ^b,c   Van Geertruyden, Jean Pierre ^b,c  

^a MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Uganda)

^b ANTWERP UNIVERSITY HOSPITAL   (Belgium)

^c UNIVERSITY OF ANTWERP   (Belgium)

Author keywords

Maternal mortality; Mbarara University; Obstetrical hemorrhage; Puerperal sepsis; Uganda

Indexed keywords

ABORTION; ADOLESCENT; ADULT; ARTICLE; CASE CONTROL STUDY; CAUSE OF DEATH; CONTROLLED STUDY; EDUCATIONAL STATUS; FEMALE; HOSPITAL ADMISSION; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MAJOR CLINICAL STUDY; MALARIA; MATERNAL DEATH; MATERNAL HYPERTENSION; MATERNAL MORTALITY; OBSTETRIC HEMORRHAGE; PATHOGENESIS; PREGNANT WOMAN; PRENATAL CARE; PUERPERAL INFECTION; RETROSPECTIVE STUDY; RURAL POPULATION; TERTIARY CARE CENTER; UGANDA; MICROBIOLOGY; MORTALITY; POSTPARTUM HEMORRHAGE; RISK FACTOR; SEPSIS; TEACHING HOSPITAL; TIME TO TREATMENT; YOUNG ADULT;

ADOLESCENT; ADULT; CASE-CONTROL STUDIES; CAUSE OF DEATH; EDUCATIONAL STATUS; FEMALE; HIV SEROPOSITIVITY; HOSPITALS, TEACHING; HUMANS; HYPERTENSION, PREGNANCY-INDUCED; MALARIA; MATERNAL MORTALITY; POSTPARTUM HEMORRHAGE; PRENATAL CARE; PUERPERAL INFECTION; RETROSPECTIVE STUDIES; RISK FACTORS; RURAL POPULATION; SEPSIS; TIME-TO-TREATMENT; UGANDA; YOUNG ADULT;

EID: 84982812254     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/s12884-016-0986-9     Document Type: Article

References (27)

1. World Health Organization, World Bank, UNICEF, UNFPA, United Nations Population Division: Trends in Maternal Mortality between 1990-2013.
2. Ronsmans C, Walraven G, Etard JF. Verbal autopsies: learning from reviewing deaths in the community. In: Beyond the Numbers. Reviewing Maternal Deaths and Complications to Make Pregnancy Safer. Geneva: World Health Organization; 2004.
3. WHO, UNICEF, UNFPA, World Bank. Trends in maternal mortality: 1990 to 2010. Geneva: World Health Organization; 2012.
4. Oliveira Jr FC, Surita FG, Pinto E, Silva JL, Cecatti JG, Parpinelli MA, Haddad SM, Costa ML, Pacagnella RC, Sousa MH, Souza JP. Severe maternal morbidity and maternal near miss in the extremes of reproductive age: results from a national cross- sectional multicenter study. Brazilian Network for Surveillance of Severe Maternal Morbidity Study Group. BMC Pregnancy Childbirth. 2014;14:77. doi: 10.1186/1471-2393-14-77.
5. United Nations. The Millennium Development Goals Report 2012. New York: United Nations Publications; 2012.
6. Say L, Chou D, Gemmill A, Tunçalp O, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2:e323-33.
7. Uganda Bureau of Statistics. Uganda Demographic and Health Survey 2011. Uganda: Uganda Bureau of Statistics Kampala; 2012.
8. Uganda Bureau of Statistics: Uganda Demographic and Health Survey 2006. Uganda: Uganda Bureau of Statistics Kampala; 2006.
9. Ebuehi OM, Chinda GN, Sotunde OM, Oyetoyan SA. Emergency Obstetric Care: Urban Versus Rural Comparison of Health Workers' Knowledge, Attitude and Practice in River State, Nigeria. Implications for Maternal Health Care in Rivers State. Clin Med Diagn. 2013;3(2):29-51. doi: 10.5923/j.cmd.20130302.03.
10. Mukasa PK, Kabakyenga J, Senkungu JK, Ngonzi J, Kyalimpa M, Roosmalen VJ. Uterine rupture in a teaching hospital in Mbarara, western Uganda, Unmatched case- control study. Reprod Health. 2013;10:29.
11. Mathai M. To ensure maternal mortality is reduced, quality of care needs to be monitored and improved alongside increasing skilled delivery coverage rates. BJOG. 2011;118 Suppl 2:12-4.
12. Thaddeus S, Maine D. Too far to walk: Maternal Mortality in context. Sm Sci Med. 1994;38(8):1091-110.
13. Gabrysch S, Campbell OM. Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnanc Childbirth. 2009;9:34.
14. Yalem T, Tesfay G, Isabel G, Kerstin E, Haile ML, Miguel SS. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. Int J Equity Health. 2013;12:30.
15. Woldemichael G, Tenorang EY. Women's autonomy and maternal health seeking behavior in Ethiopia. Matern Child Health J. 2010;14:988-98.
16. Chow SC, Shao J, Wang H. Sample Size Calculations in Clinical Research. New York: Marcel Dekker; 2003.
17. D'Agostino RB, Chase W, Belanger A. The Appropriateness of Some Common Procedures for Testing the Equality of Two Independent Binomial Populations. Am Stat. 1988;42(3):198-202.
18. Fleiss JL, Levin B, Paik MC. Statistical Methods for Rates and Proportions. 3rd ed. New York: John Wiley & Sons; 2003.
19. Lachin JM. Biostatistical Methods. New York: John Wiley & Sons; 2000.
20. Machin D, Campbell M, Fayers P, Pinol A. Sample Size Tables for Clinical Studies. 2nd ed. Malden: Blackwell Science; 1997.
21. Carine R, Wendy JG. Maternal mortality: who, when, where, and why. The Lancet Maternal Survival Series steering group. Lancet. 2006;368:1189-200. 37.
22. Julius NW, Pat D, Benjamin LM, Paul K, Betty K, Emmanuel O, Noreen M. Human immunodeficiency virus and AIDS and other important predictors of maternal mortality in Mulago Hospital Complex Kampala Uganda. BMC Public Health. 2011;11:565.
23. Calvert C, Ronsmans C, The contribution of HIV to pregnancy-related mortality: a systematic review and meta-analysis. AIDS 27, advance online edition, doi: 10.1097/qad.0b013e32835fd940 , 2013
24. Alvarez JL, Gil R, Hernández V, Gil A. Factors associated with maternal mortality in Sub-Saharan Africa: an ecological study. BMC Public Health. 2009;9:462. doi: 10.1186/1471-2458-9-462.
25. Yego F, D'Este C, Byles J, Williams JS, Nyongesa P. Risk factors for maternal mortality in a Tertiary Hospital in Kenya: a case control study. BMC Pregnancy and Childbirth. 2014;14:38. doi: 10.1186/1471-2393-14-38.
26. Kongnyuy EJ, Mlava G, van den Broek N. Facility-based maternal death review in three districts in the central region of Malawi: an analysis of causes and characteristics of maternal deaths. Womens Health Issues. 2009;19(1):14-20. doi: 10.1016/j.whi.2008.09.008.
27. J R Lori, A E. Starke. A critical analysis of maternal morbidity and mortality in Liberia, West Africa: Midwifery 2011. doi: 10.1016/j.midw.2010.12.001