Factors associated with maternal mortality among pregnant women and women who have recently given birth in the Kisenso health zone: survival analysis
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Abstract
This study examines factors associated with maternal mortality from 01 January 2020 to 31 December 2023 at the general referral hospital and in health centres and maternity units in the Kisenso health zone in the Kinshasa provincial health division. We used advanced statistics; with survival analysis performed using the Kaplan-Meier estimator. The Cox model helped us to identify the factors associated with maternal mortality, as it is suitable for this type of study. The results of the analysis of our data show that the factors associated with maternal mortality of pregnant women and women who have recently given birth are: factors related to pregnancy, factors related to management and factors related to gynaecological and obstetric characteristics. Taking these factors into account can contribute to the implementation of interventions aimed at significantly reducing maternal mortality at central, intermediate and operational levels.
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References
Alkema, L., Chou, D., Hogan, D., Zhang, S., Moller, A.B., Gemmill, A., Say, L. (2016). Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The lancet, 387(10017), 462‑474.
Babafide, O.O., Kinyemi, J.O.A., Ayeni, O. (2023). Subnational estimates of maternal mortality in Nigeria: secondary Data Analysis of female siblings survivorship hiistories. African journal of reproductive, 27(10), 133-147.
BCZS. (2023-2024). Carte de la zone de santé de Kisenso [Carte]. Inédit.
Diallo, F. B., Diallo, T. S., Sylla, M., Onivogui, F., Diallo, M. C., Balde, I. S., & Diallo, M. S. (1999). Problèmes médicaux et socio culturels de l’inadéquation entre les taux de consultations prénatales (CPN) et d’accouchements assistes dans les 4 régions naturelles de la Guinée. Médecine d'Afrique noire, 46(1), 32-39.
Haidara, M., Keita, S., Kanete, A. & Qudoguen, A. (2022). Les déterminants de la faible couverture en consultation prénatale 4 chez les accouchées au centre de santé de référence de Kalaban-Coro, Mali 2022. Jaccr Africa, 7(4),71-79.
Kodia, K., Alnajar, A., Szewczyk, J., Stephens-McDonnough, J., Villamizar, N. R., & Nguyen, D. M. (2022). Optimization of an Enhanced Recovery After Surgery protocol for opioid-free pain management following robotic thoracic surgery. JTCVS open, 9, 317-328.
Nkakala, K.A. (2007). Mortalité maternelle infra- hospitalière dans le district sanitaire de Lubumbashi. Cas des cliniques universitaires de Lubumbashi, hôpital Sendwe, hôpital SNCC, hôpital Kenya pendant l'année 2007 [Mémoire de DEA, Université de Lubumbashi].
OMS, FNUAP, UNICEF & Banque Mondiale. (2006). Réduire la mortalité maternelle. Déclaration commune des agences de l’ONU. Genève, OMS.
PNSR. (2016). Rapport de la revue annuelle. Inédit.
Ramazani, I.B.E., Mabakutuvangila, N.S.D., Katuashi, I.D. & Rothan-Tondeur, M. (2023). Knowledge of obstetric danger signs among pregnant women in the Eastern Democratic Republic of the Congo. Int. J. Environ. Res. Public Health, 20(8), 1-15. https://doi.org/10.3390/ijerph20085593