MATERNAL MORTALITY AT MUHIMBILI NATIONAL HOSPITAL, TANZANIA, 1999 - 2005: LEVELS, CAUSES AND CHARACTERISTICS|
Method R. Kazaura, HL Kidanto and Siriel N. Massawe
Objectives:To determine the levels, direct causes and characteristics of maternal mortality at Muhimbili National Hospital in Tanzania.
Methods: We used hospital data recorded systematically and routinely from 1999 to 2005. The outcome of interest was a maternal death that occurred at the hospital before discharge. We used descriptive analyses characterizing the outcome variable by maternal and obstetric factors.
Results: We found a maternal mortality ratio of 512 per 100,000 live births (95%CI, 465/100,000 - 559/100,000 livebirths) during the study period. Yearly maternal mortality ratios have been rising gradually over time. The top three direct obstetric causes of maternal deaths include eclampsia, 108 (23.5%), postpartum hemorrhage, 107 (23.3%) and anaemia in pregnancy, 52 (11.3%).
Conclusions:Although the current hospital-based data suggest underestimation of maternal mortality ratio, the observed constant maternal mortality risk calls for further strengthening of emergency obstetric care to reduce direct obstetric causes of maternal deaths.
Direct obstetric causes; Maternal mortality ratio; Tanzania