[ Mortalité maternelle intra-hospitalière dans la Division Provinciale de la Santé de Lubumbashi: Cas des cliniques universitaires de Lubumbashi, Hôpital Sendwe, Hôpital SNCC, Hôpital Kenya pendant l'année 2019 ]
Volume 53, Issue 1, February 2021, Pages 71–84
Nkakala Kabuiku Aimé1 and Daniel Matili Widobana2
1 Docteur en Médecine, MPH en Santé Publique, Université Protestante de l’Ubangi, Gemena, RD Congo
2 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DR Congo is among the African countries with a maternal mortality ratio and rate above the African average. A maternal death is not an isolated event but rather the culmination of a process. Many indicators make it possible to assess the state of health of a population and maternal mortality (intra-hospital) is that which has been studied in our work. This study aims to determine the ratio, the proportions and their respective frequencies, by establishing associations with their factors, in each structure (C.U.L., SENDWE, SNCC, KENYA). This is a cross-sectional descriptive study including 9,977 deliveries for 10 maternal deaths during the year 2019 and retained on the basis of the documentary review and supported by a medical audit. The mean age of the deceased women was 29 years (standard deviation 5.6151). The mean distance was 8 km (E-T 3.3665, KCC 14, 3750, p = 0.1566). The RMMIH is 82 deaths per 100,000 NV, with a rate of 0.08. The mean parity was 4.2 (SD 3.1552), with 50% large multiparas (5 and over), and gestity 5.5 (SD 3.5668), with 40% multigests (6 and more). Genital hemorrhages represented 60% of cases (p = 0.06, KCC 3.1250). 90% followed ANC, which was the only highly significant association with the causes of maternal deaths. The mean recovery time interval was 8.5 minutes (E-T 3.4400). 90% were referred (KCC 10.00, p = 0.067). The staff were 100% qualified. We believe that the results obtained in this study will make it possible to understand the importance of the organization of services, not only in a hospital structure, but also in a service and especially in a health system, while knowing that the environmental conditions childbirth also influence the outcome of pregnancy.
Author Keywords: Intra-hospital, maternal, mortality.
Volume 53, Issue 1, February 2021, Pages 71–84
Nkakala Kabuiku Aimé1 and Daniel Matili Widobana2
1 Docteur en Médecine, MPH en Santé Publique, Université Protestante de l’Ubangi, Gemena, RD Congo
2 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
DR Congo is among the African countries with a maternal mortality ratio and rate above the African average. A maternal death is not an isolated event but rather the culmination of a process. Many indicators make it possible to assess the state of health of a population and maternal mortality (intra-hospital) is that which has been studied in our work. This study aims to determine the ratio, the proportions and their respective frequencies, by establishing associations with their factors, in each structure (C.U.L., SENDWE, SNCC, KENYA). This is a cross-sectional descriptive study including 9,977 deliveries for 10 maternal deaths during the year 2019 and retained on the basis of the documentary review and supported by a medical audit. The mean age of the deceased women was 29 years (standard deviation 5.6151). The mean distance was 8 km (E-T 3.3665, KCC 14, 3750, p = 0.1566). The RMMIH is 82 deaths per 100,000 NV, with a rate of 0.08. The mean parity was 4.2 (SD 3.1552), with 50% large multiparas (5 and over), and gestity 5.5 (SD 3.5668), with 40% multigests (6 and more). Genital hemorrhages represented 60% of cases (p = 0.06, KCC 3.1250). 90% followed ANC, which was the only highly significant association with the causes of maternal deaths. The mean recovery time interval was 8.5 minutes (E-T 3.4400). 90% were referred (KCC 10.00, p = 0.067). The staff were 100% qualified. We believe that the results obtained in this study will make it possible to understand the importance of the organization of services, not only in a hospital structure, but also in a service and especially in a health system, while knowing that the environmental conditions childbirth also influence the outcome of pregnancy.
Author Keywords: Intra-hospital, maternal, mortality.
Abstract: (french)
La RD Congo est parmi les pays africains ayant un ratio et un taux de mortalité maternelle au-dessus de la moyenne africaine. Un décès maternel n'est pas un événement isolé mais plutôt l'aboutissement d'un processus. Bien d'indicateurs permettent d'évaluer l'état de santé d'une population et la mortalité maternelle (intra hospitalière) est celui qui a été étudié dans notre travail.Cette étude vise à déterminer le ratio, les proportions et leurs fréquences respectives, en établissant les associations avec leurs facteurs, dans chaque structure (C.U.L., SENDWE, SNCC, KENYA). Il s'agit d'une étude descriptive transversale incluant 9977 accouchements pour 10 décès maternels au cours de l'année 2019 et retenus sur base de la revue documentaire et appuyée par un audit médical.L'âge moyen des femmes décédées était de 29 ans (écart-type 5,6151). La distance moyenne était de 8 Km (E-T 3,3665, KCC 14, 3750, p=0,1566). Le RMMIH est de 82 décès pour 100.000 NV, avec un taux de 0,08. La moyenne de la parité était de 4,2 (E-T 3,1552), avec 50 % de grandes multipares (5 et plus), et la gestité 5,5 (E-T 3,5668), avec 40 % de multigestes (6 et plus). Les hémorragies génitales ont représenté 60 % des cas (p=0,06, KCC 3,1250). 90% ont suivi les CPN qui ont constitué la seule association hautement significative avec les causes des décès maternels. La moyenne de l'intervalle de temps de prise en charge était de 8,5 minutes (E-T 3,4400). 90% ont été référées (KCC 10,00, p=0,067). Le personnel était qualifié à 100%.Nous pensons que les résultats obtenus dans cette étude, permettront de comprendre l'importance de l'organisation des services, non seulement dans une structure hospitalière, mais aussi dans un service et surtout dans un système de santé, tout en sachant que les conditions environnementales d'accouchement influent aussi sur l'issue de la grossesse.
Author Keywords: Mortalité, maternelle, intra-hospitalière.
How to Cite this Article
Nkakala Kabuiku Aimé and Daniel Matili Widobana, “Intra-hospital maternal mortality in the Provincial Health Division of Lubumbashi: Case of the University clinics of Lubumbashi, Sendwe Hospital, SNCC Hospital, Kenya Hospital during the year 2019,” International Journal of Innovation and Scientific Research, vol. 53, no. 1, pp. 71–84, February 2021.
