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Table 6 Use of interventions for prevention and treatment of major obstetric complications

From: Maternal Near Miss and quality of care in a rural Rwandan hospital

Interventions

n (%)

Prevention of PPH

 Target population: women giving birth in health facilities

4131

 Oxytocin

3862 (93.5 %)

Treatment of severe PPH

 Target population: women with severe PPH

134

 Oxytocin

97 (72.4 %)

 Ergometrine

105 (78.4 %)

 Misoprostol

44 (32.8 %)

 Other uterotonics

62 (46.3 %)

 Removal of retained products

18 (13.4 %)

 Artery ligation

7 (5.2 %)

 Hysterectomy

4 (2.9 %)

 Abdominal packing

8 (5.9 %)

 Cases with SMO

52 (38.8 %)

 Mortality

3 (2.2 %)

Anticonvulsants for Eclampsia

 Target population: women with eclampsia

53

 Magnesium sulfate

52 (98.1 %)

 Other anticonvulsant

8 (15.1 %)

 Any anticonvulsant

53 (100 %)

 Cases with SMO

24 (50.9 %)

 Mortality

4 (7.5 %)

Prevention of cesarean-related infection

 Target population: women undergoing cesarean

1442

 Prophylactic antibiotic during cesarean

1409 (97.6 %)

Treatment for sepsis

 Target population: women with sepsis

38

 Parenteral therapeutic antibiotics

18 (47.4 %)

 Cases with SMO

6 (15.8 %)

 Mortality

2 (5.3 %)

Ruptured uterus

 Target population: women with ruptured uterus

15

 Laparotomy after 3 h of hospital stay

2 (13.3 %)

 Cases with SMO

12 (80.0 %)

 Mortality

1 (6.7 %)

  1. Abbreviations: PPH postpartum hemorrhage, SMO severe maternal outcome