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Table 4 Underlying causes of severe maternal outcomes (near-miss and maternal deaths) and their associated CFR

From: Severe maternal outcomes and quality of care at district hospitals in Rwanda– a multicentre prospective case-control study

Direct causes

MNM (n = 201)

MD (n = 13)

Total

CFR

 Severe postpartum haemorrhage

46 (22.9%)

4 (30.8%)

50 (23.4%)

8.0% (0.5–15.5)

 Ruptured uterus

46 (22.9%)

3 (23.1%)

49 (22.9%)

6.1% (0.6–12.8)

 Severe complications of abortion

35 (17.4%)

1 (7.7%)

36 (16.8%)

2.9% (2.6–8.4)

 Hypertensive disorders

17 (8.5%)

2 (15.4%)

19 (8.9%)

10.5% (3.3–24.3)

 Puerperal sepsis

15 (7.5%)

0

15 (7%)

0

 Abnormal/ectopic pregnancy

3 (1.5%)

0

3 (1.4%)

0

 Severe intrapartum haemorrhage

1 (0.5%)

1 (7.7%)

2 (0.9%)

50%

 Antepartum haemorrhage

1 (0.5%)

0

1 (0.5%)

0

Indirect causes

 Malaria (laboratory confirmed)

27 (13.4%)

2 (15.4%)

29 (13.6%)

6.9% (2.3–16.1)

 Unknown causes of anaemia requiring blood transfusion

10 (5.0%)

0

10 (4.7)

0