TY - JOUR
T1 - Maternal mortality at the Korle Bu Teaching Hospital, Accra, Ghana
T2 - A five-year review
AU - Boafor, Theodore K.
AU - Ntumy, Michael Y.
AU - Asah-Opoku, Kwaku
AU - Sepenu, Perez
AU - Ofosu, Bernice
AU - Oppong, Samuel A.
N1 - Publisher Copyright:
© 2021, Women's Health and Action Research Centre. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Maternal death is a major global health issue with the highest impact in low-income countries. Despite some modest decline in the maternal mortality rates in Ghana since the 1990’s, this has been below expectation. The aim of this study was to describe the trends and contributory factors to maternal mortality at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. We performed a retrospective chart review of all maternal deaths at KBTH from 2015 to 2019. Data were analyzed using SPSS version 23. A p-value of <0.05 was considered statistically significant. Over the period, there were 45,676 live births, 276 maternal deaths and a maternal mortality ratio of 604/100,000 live births (95% CI: 590/100,000-739/100,000). The leading causes of maternal death were hypertensive disorders (37.3%), hemorrhage (20.6%), Sickle cell disease (8.3%), sepsis (8.3%), and pulmonary embolism (8.0%). Significant factors associated with maternal mortalities at the KBTH were: women with no formal education [AOR 3.23 (CI: 1.737.61)], women who had less than four antenatal visits [AOR 1.93(CI: 1.23-3.03)], and emergency cesarean section [AOR 3.87(CI: 2.51-5.98)]. Hypertensive disorders remain the commonest cause of the high maternal mortality at KBTH. Formal education and improvement in antenatal visits may help prevent these deaths.
AB - Maternal death is a major global health issue with the highest impact in low-income countries. Despite some modest decline in the maternal mortality rates in Ghana since the 1990’s, this has been below expectation. The aim of this study was to describe the trends and contributory factors to maternal mortality at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. We performed a retrospective chart review of all maternal deaths at KBTH from 2015 to 2019. Data were analyzed using SPSS version 23. A p-value of <0.05 was considered statistically significant. Over the period, there were 45,676 live births, 276 maternal deaths and a maternal mortality ratio of 604/100,000 live births (95% CI: 590/100,000-739/100,000). The leading causes of maternal death were hypertensive disorders (37.3%), hemorrhage (20.6%), Sickle cell disease (8.3%), sepsis (8.3%), and pulmonary embolism (8.0%). Significant factors associated with maternal mortalities at the KBTH were: women with no formal education [AOR 3.23 (CI: 1.737.61)], women who had less than four antenatal visits [AOR 1.93(CI: 1.23-3.03)], and emergency cesarean section [AOR 3.87(CI: 2.51-5.98)]. Hypertensive disorders remain the commonest cause of the high maternal mortality at KBTH. Formal education and improvement in antenatal visits may help prevent these deaths.
KW - Case fatality
KW - Eclampsia
KW - Ghana
KW - Hypertensive disease
KW - Maternal mortality
KW - Maternal mortality ratio
UR - http://www.scopus.com/inward/record.url?scp=85104575675&partnerID=8YFLogxK
U2 - 10.29063/ajrh2021/v25i1.7
DO - 10.29063/ajrh2021/v25i1.7
M3 - Article
C2 - 34077111
AN - SCOPUS:85104575675
SN - 1118-4841
VL - 25
SP - 56
EP - 66
JO - African journal of reproductive health
JF - African journal of reproductive health
IS - 1
ER -