肯尼亚农村地区的孕产妇死亡决定因素：三家医院的审计
Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals.
作者信息
Masaba Brian Barasa, Mmusi-Phetoe Rose M, Rono Bernard, Muthiani Daniel Kyalo, Taiswa Jonathan, Ojiambo Stephenie Lydia, Moraa Damaris, Moturi John Kennedy
机构信息
Department of Health Studies, College of Human Sciences, School of Social Sciences, University of South Africa (UNISA), Pretoria, South Africa.
Centre of Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
出版信息
Iran J Nurs Midwifery Res. 2025 Jan 15;30(1):135-139. doi: 10.4103/ijnmr.ijnmr_255_22. eCollection 2025 Jan-Feb.
BACKGROUND
Global health agencies advocate that no mother should die while giving life, more so from preventable causes. However, there are persistently high maternal mortalities in various regions with a current global maternal mortality ratio of 211/100,000 live births. This study sought to investigate the causes and determinants of maternal mortality.
MATERIALS AND METHODS
A four-year retrospective, cross-sectional study was conducted in three tertiary hospitals within Migori county in Kenya. Data were extracted from 101 maternal mortality records from January 1, 2016 to December 31, 2019.
RESULTS
Leading complications were hemorrhage 34.70%, eclampsia 20.80%, and sepsis 15.80%. Mothers who were unmonitored using partograph, had reactive HIV status, were in the postpartum period, were referred from periphery facilities, and low socioeconomic levels were most vulnerable.
CONCLUSIONS
Improvement in healthcare systems to enable optimal care to mothers diagnosed with leading complications and socioeconomically empowering women in Migori county is urgently needed.
背景
全球卫生机构倡导，任何母亲都不应在分娩时死亡，更不应死于可预防的原因。然而，各地区的孕产妇死亡率一直居高不下，目前全球孕产妇死亡率为每10万活产211例。本研究旨在调查孕产妇死亡的原因和决定因素。
材料与方法
在肯尼亚米戈里县的三家三级医院进行了一项为期四年的回顾性横断面研究。数据从2016年1月1日至2019年12月31日的101份孕产妇死亡记录中提取。
结果
主要并发症为出血（34.70%）、子痫（20.80%）和败血症（15.80%）。未使用产程图监测的母亲、艾滋病毒反应性状态、处于产后阶段、从周边设施转诊而来以及社会经济水平较低的母亲最为脆弱。
结论
迫切需要改善医疗保健系统，以便为诊断出主要并发症的母亲提供最佳护理，并在社会经济方面增强米戈里县妇女的权能。
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