Maternal Mortality and its Determinants among Women Utilized Obstetrics and Gynecologic Services in Asella Teaching and Referral Hospital. Oromia Region, Ethiopia. 2018 (original) (raw)

2019, Current research in diabetes & obesity journal

Background: Although maternal deaths worldwide have decreased by 45% since 1990, 800 women still die each day from largely preventable causes. Every year about 412 women out of 100,000 live births die due to pregnancy related complications in Ethiopia. Thus, the aim of this study was to identify determinants of maternal death among mothers who utilized obstetrics and gynecological services in Asella Teaching and Referral Hospital. 2018. Methods: An Institutional based retrospective cross-sectional study method was conducted on 553 charts of women who utilized Obstetrics and Gynecological services in Asella referral and Teaching Hospital from January 2017 to February 2017. The data was collected with structured check list and entered in to Epi info Version 7 software for data exploration and cleaning then exported to SPSS version 21 for analysis. Logistic regression was done to decide the association between dependent and independent factors. All explanatory variables with a p.v <0.2 in the crude analysis was included in the multiple logistic regression analysis. Crude and adjusted odds ratios were computed with the corresponding 95% confidence intervals. The predictor variables with a P-value<0.05 in multiple logistic regression were considered statistically significant. Result: During the study period a total of 14,261 women got Obstetric and Gynecologic services in this Hospital, from which 11,081 gave live births. A total of 553 charts were included in this study and out of which 520 survived and 33 died implying that maternal mortality ratio was 297.8 per 100,000 live births. Delliances before reaching health facilities for the current problem (AOR =9.01 95% CI. 1.833, 40.262), delay before referring to the next level health facility (AOR=7.57 95% CI.1.262, 45.411), presence of obstetrical complications (AOR =12.3 95% CI.2.551, 59.67), obstructed labor (AOR= 11.068, 95% CI. 2.914, 42.040), Pre-existing medical problems (AOR=8.062, 95% CI.2.232-29.118), and preeclampsia (AOR= 5.66 95% CI. 1.37, 23.27) were found to be significant factors that caused the death of the mothers. Conclusion and Recommendation: The maternal mortality ratio of this Hospital was high (297.8 per 100,000 live births). The immediate causes of maternal mortality of this study were hemorrhage (36.4%), obstructed labor (33.3%), prolonged labor (30.3%), and hypertensive disorders (27.3%). The health professionals and HEPs should have to improve awareness of the community about complications of pregnancy, danger sings, co-morbidity, ante natal care uptake and strengthen their awareness to avoid delay reaching the health facility. Conclusion: Hypertriglyceridemia was detected in most patients of T1D during DKA that significantly improved with insulin therapy. TG correlated with the DKA severity and BG levels. However, it did not affect glycemic control or insulin dose later.