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Table 5 Process indicators among women with severe maternal morbidity and mortality

From: Maternal near miss and mortality in a rural referral hospital in northern Tanzania: a cross-sectional study

1. Prevention of PPH

n (%)

Target population: women who delivered in hospital

201 (100%)

Oxytocin use for AMTSL

96 (48%)

Other uterotonic use for AMTSL

2 (1%)

All uterotonic use for AMTSL

96 (48%)

2. Treatment of PPH

Target population: women with PPH

66 (100%)

   Delivery in hospital

41 (62%)

   Delivery out hospital

25 (38%)

Oxytocin use (routine)

28 (42%)

Other uterotonic use (routine)

-

All uterotonic use (routine)

28 (42%)

Oxytocin use (treatment)

38 (58%)

Other uterotonic use (treatment)

10 (15%)

All uterotonic use (treatment)

39 (59%)

IV-infusion

54 (82%)

Blood products

61 (92%)

Hysterectomy

4 (6%)

CFR

9%

3. Treatment of eclampsia

Target population: women with eclampsia

15 (100%)

Magnesium sulphate use

13 (87%)

Other anticonvulsant use

10 (67%)

Any anticonvulsant use

14 (93%)

CFR

7%

4. Prevention of caesarean section related infection

Target population: women with caesarean section

74 (100%)

Prophylactic antibiotics

49 (66%)

5. Treatment of sepsis

Target population: women with sepsis

30 (100%)

Parenteral therapeutic antibiotics

28 (93%)

CFR

27%

6. Uterine rupture

Target population: women with uterine rupture

21 (100%)

Occurred in hospital

13 (62%)

Occurred out hospital

8 (38%)

Laparotomy

21 (100%)

CFR

5%

  1. PPH: postpartum haemorrhage, this is defined as the loss of 500 ml of blood or more; AMTSL: active management of third stage of labour; CFR: case fatality rate, calculated as MD/(MD + MNM).