Etiologies of Maternal Mortality in the Hospital Provincial Janson Sendwe in Lubumbashi (DR. Congo)

摘要

Objectives: The objective of this work was to analyze the etiologies of maternal deaths occurring in a tertiary hospital. Methodology: This is a descriptive cross-sectional study with retrospective data collection of maternal deaths that occurred in the reference provincial hospital Jason Sendwe from 2013 to 2015. All cases of maternal deaths in line with the definition of World Health Organization have been included. Data were analyzed by the software Epi info and Excel 2010 7.1.4.0. Results: Seventy seven (77) maternal deaths were identified during the study period. 74.03% of deaths occurred direct obste tric causes. Bleeding with 61.04% was the leading cause of maternal death followed by eclampsia (31.58%). Indirect causes were dominated by heart disease (30.0%). Note that 75.32% of deaths had occurred within 24 hours of admission. Conclusion: haemorrhage, eclampsia and infections are the main causes of maternal deaths in our study. The reduction of maternal deaths happens through access to emergency medication, transfusion and anesthetic and surgical teams in hospitals but also through the involvement of religious leaders, traditional and any community to better understand the population obstacles to reducing maternal mortality.