Factors associated with postpartum hemorrhage maternal death in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey

Table 3 Characteristics of the hospitals: distribution in the cohort of PPH and risk of death, univariate analysis and multivariate analysis

	Number	Percent	CFR* (%)	OR	95 % IC	aOR^a	95 % IC
Type of hospital
Hospital in the Capital	655	20,0	4.3	1.00	-
Regional hospital outside the capital	1668	50.9	5.3	1.30	0.76–2.22
District hospital outside the capital	955	29.1	6.5	1.69	0.98–2.93
Specialized care services availability
Blood bank	1982	60.5	5.9	1.27	0.84–1.92
Adult intensive care unit	1516	46.2	5.5	1.07	0.71–1.63
Human resource availability
Skilled staff for cardiopulmonary resuscitation	1886	57.5	4.8	0.73	0.50–1.09	0.98	0.65–1.47
Skilled staff for hysterectomy	3232	98.6	5.4	0.66	0.18–2.43
Qualification of physician for obstetric care on staff
Trained general practitioner	558	17.0	9.7	1.00	_	1.00	_
Gynecologist-obstetrician	2720	83.0	6.1	0.45	0.32–0.62	0.55	0.35–0.89
Physician specialised in anaesthesia	1323	40.4	4.5	0.69	0.45–1.05	0.87	0.57–1.34
Protocol and training
Intrapartum care guidelines	2650	80.8	5.5	1.19	0.68–2.06
Postpartum care guidelines	2650	80.8	5.5	1.19	0.68–2.06
Continuous medical training	2562	78.2	5.5	1.12	0.67–1.87

*CFR: Case fatality rate. ^aaOR: Odds Ratio and 95 % confidence interval, adjusted for country of residence, location of residence, age, pre-existing diseases before pregnancy, prepartum severe anemia, mode of delivery and birth weight; transfusion and transfer to another hospital; and for gynecologist-obstetrician, physician specialist in anesthesia, skilled staff for cardio-pulmonary resuscitation (N = 3229 PPH). Type of hospital is not included because it is highly correlated with the qualification of physician for obstetric care on staff

ISSN: 1471-2393