From: Maternal Near Miss and quality of care in a rural Rwandan hospital
Women with PLTC | MNM | Maternal deaths | MNMR/1000 live birth | Mortality index | |
---|---|---|---|---|---|
332 (%) | 86 (%) | 13 (%) | (%) | ||
Underlying causesb | |||||
Severe hemorrhage | 134 (40.4) | 49 (57) | 3 (23.1) | 12.3 (9.2–16.1) | 5.8 (1.5–15.7) |
Abortion | 33 (9.9) | 7 (8.1) | 0 (0) | ||
Ectopic | 21 (6.3) | 13 (15.2) | 0 (0) | ||
Molar | 4 (1.2) | 0 (0) | 0 (0) | ||
Placental abruption | 10 (3.0) | 4 (4.6) | 0 (0) | ||
Placenta Previa | 17 (5.1) | 6 (7.0) | 0 (0) | ||
Postpartum Hemorrhage | 49 (14.8) | 19 (22.1) | 3 (23.1) | ||
Hypertensive disorders | 93 (28.0) | 27 (31.4) | 4 (30.7) | 6.8 (4.6–9.7) | 13 (4.1–31.1) |
Severe Pre-eclampsia | 40 (43.0) | 7 (8.1) | 0 (0) | – | |
Eclampsia | 53 (57.0) | 20 (23.3) | 4 (30.7) | ||
Pregnancy related infectionsc | 40 (12.1) | 0 (0) | 2 (15.4) | – | |
Sepsis/peritonitis post-cesarean | 38 (11.4) | 4 (4.7) | 2 (15.4) | 1.0 (0.3–2.4) | 33.3 (5.6–110.1) |
Unanticipated complications of managementd | 0 (0) | 2 (2.3) | 1 (7.7) | 0.5 (0.1–1.7) | 14.3 (1.6–164.4) |
Coincidental conditionse | 2 (0.6) | 0 (0) | 0 (0.0) | – | |
Unknown | 0 (0) | 0 (0) | 1 (7.7) | – | |
Other obstetric complicationsf | 16 (4.8) | 4 (4.7) | – | ||
Associated conditions | |||||
Anemia | 73 (22) | 21 (24.4) | 4 (30.8) | 5.3 (3.3–7.9) | 16.0 (5.1–38.6) |
HIV | 16 (4.8) | 8 (9.3) | 2 (15.4) | 2.0 (0.9–3.8) | 20.0 (3.3–66.1) |
Previous CS | 22 (6.6) | 12 (14) | 1 (7.7) | 3.0 (1.6–5.1) | 7.7 (0.3–37.9) |
Prolonged/obstructed Labor | 5 (1.5) | 5 (5.8) | 1 (7.7) | 1.3 (0.5–2.8) | 16.7 (0.8–82.2) |
Lack of medical Insurance | 28 (8.4) | 23 (26.7) | 4 (30.8) | 5.8 (3.7–8.5) | 14.8 (4.7–35.7) |