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Table 7 Changes in district-wide Maternal Mortality Ratio (per 100,000 Live Births) by cause, timing of death, and the Three Delays: Uganda SMGL Districts

From: Rapid reduction of maternal mortality in Uganda and Zambia through the saving mothers, giving life initiative: results of year 1 evaluation

 

Maternal Mortality Ratio (MMR)

 

Baseline

Year 1

% Change

Significancea

Totalb

452

316

−30

***

Causes of Death

 Obstetric Hemorrhage

128

73

−43

***

 Pre-eclampsia/Eclampsia

58

45

−22

NS

 Obstructed Labor (Including Uterine Rupture)

71

33

−53

***

 Puerperal infection/Sepsis

33

17

−48

**

 Abortion-related

42

36

−14

NS

 Other Direct Obstetric Causes

49

31

−37

NS

 Indirect Causes

70

82

17

NS

Timing of Death

 Antepartum

62

60

−3

NS

 Intrapartum and Immediate Postpartum (up to 24 h)

168

121

−28

**

  > 24 h-42 days Postpartum

222

134

−40

***

The Three Delays

 Delays in seeking care

124

66

−47

***

 Delays in reaching care

40

16

−60

***

 Delays in receiving care (one hour or more)

92

54

−41

***

  1. aAsterisks indicate significance level of the difference between baseline and Year 1 MMRs, using a z-statistic to calculate the p-value of the difference, as follows: *** p < 0.01, ** p < 0.05, NS not significant
  2. bBaseline MMR = 342 maternal deaths/75,675 live births*100,000; Year 1 MMR = 247 maternal deaths/78,261 live births *100,000