Table 1 Characteristics of mothers who died and near misses in the Sardjito hospital during the study period (n 114)
Characteristics | Maternal Death (28) | Near Miss (86) |
|---|---|---|
Age (mean ± standard deviation) | 31.64 ± 2.40 | 30.19 ± 1.67 |
Gestation age in current pregnancy (weeks) | 33.11 ± 1.88 | 35.5 ± 0.77 |
Estimated Foetal weight at admission (gram) | 1876.5 ± 287 | 2119.4 ± 191.50 |
Parity (n, %): | ||
 Primigravid | 8 (30.77%) | 43 (50.0%) |
 Secundi or multigravida | 16 (69.23%) | 43 (50.05%) |
Referral from other health care facilities (n, %) | 23 (88.46%) | 85 (98.84%) |
Diagnoses during hospitalization (n, %): | ||
 Eclampsia | 6 (21.43%) | 24 (27.91%) |
 Severe Pre-eclampsia | 17 (60.7%) | 82 (95.35%) |
 HELLP or partial HELLP syndrome | 7 (25%) | 28 (32.56%) |
 Sepsis or severe systemic infection | 17 (18.42%) | 4 (4.65%) |
 Postpartum Haemorrhage | 4 (14.29%) | 5 (5.81%) |
 Ruptured uterus | 0 (0.00%) | 1 (1.16%) |
 Severe complication of abortion | 1 (3.57%) | 0 (0.00%) |
Admission to intensive care unit (n,%) | 24 (85.71%) | 39 (45.35%) |
Use of blood products (n, %) | 6 (24%) | 19 (22.89%) |
Stillbirth in current pregnancy (n, %) | 10 (41.67%) | 5 (5.95%) |
ANC history in current pregnancy (n, %) | 14 (87.50%) | 72 (97.20%) |
Timeliness (mean ± standard deviation): | ||
 Triage response time (minute) | 8 ± 3.59 | 1.29 ± 0.24 |
 Obstetric resident response time (minute) | 36.17 ± 23.48 | 18.78 ± 4.85 |
 ICU waiting time (minute) | 109.5 ± 61.4 | 73.8 ± 19.35 |
 Surgery waiting time (minute) | 119.7 ± 34.75 | 142.5 ± 23.15 |
 Length of stay in ICU (hour) | 143.5 ± 87.21 | 56.16 ± 23.58 |
 Length of stay in emergency (minute) | 252.05 ± 90.66 | 202.28 ± 35.34 |
Process Indicators (n, %): | ||
 Oxytocin treatment | 22 (84.62%) | 83 (97.65%) |
 Magnesium sulphate in Preeclampsia/Eclampsia | 15 (88.24%) | 78 (97.50%) |
 Antibiotic as prophylactic | 24 (88.90%) | 81 (96.43%) |
 Antibiotic as treatment | 25 (92.69%) | 84 (100,00%) |
Comorbidities (n, %): | ||
 Hypertension | 6 (25.00%) | 14 (16.47%) |
 Diabetes Mellitus | 0 (0.00%) | 1 (1.19%) |
 Heart Disease | 6 (26.10%) | 0 (0.00%) |
 Asthma | 3 (12.50%) | 3 (3.53%) |
 Infectious disease | 3 (13.0%) | 0 (0.00%) |
Mode of delivery: | ||
 (Emergency) Caesarean section (n, %) | 19 (70.37%) | 80 (94.12%) |
 Vaginal delivery (n, %) | 6 (24.00%) | 7 (8.33%) |
 Induction in Labour (n, %) | 5 (19.23%) | 13 (15.66%) |
Hysterectomy (n, %) | 3 (11.11%) | 3 (3.57%) |
History of Preeclampsia/Eclampsia in previous pregnancy (n, %) | 4 (16.67%) | 5 (5.95%) |
History of Postpartum haemorrhage in previous pregnancy (n, %) | 0 (0.00%) | 3 (3.53%) |