Trends in maternal deaths from Obstetric Haemorrhage in South Africa 2008-2010

Fawcus, S.; Mbombo, N.; Hofmeyr, G. J.
May 2012
Obstetrics & Gynaecology Forum;May2012, Vol. 22 Issue 2, p9
Academic Journal
The most recent report on Maternal deaths in South Africa for 2008-2010 shows that there has been a significant increase in the number of maternal deaths (32.4%) due to obstetric haemorrhage and the Institutional Haemorrhage Maternal Mortality Ratio has increased from 18.8/100000 live births in 2005-2007 to 24.9/100000 live births in 2008-2010. This article is an abridged version of the chapter on the 688 maternal deaths from obstetric haemorrhage mentioned in the above report. The chapter identifies priority provinces (Mpumulanga, Limpopo, Free State and North West) and priority problems (bleeding associated with caesarean section, abruptio placentae and ruptured uterus) for particular attention. Bleeding during and after caesarean section accounted for 26.2% of deaths due to obstetric haemorrhage, occurring most commonly in public hospitals particularly district and regional. Obstetric haemorrhage continues to be the most common avoidable cause of maternal death; 81% of the deaths having been assessed as avoidable. Resuscitation was sub-optimal in 22.3% of cases where it was attempted and the cases had sufficient information to assess. Vignettes are presented to illustrate the numerous administrative problems and examples of poor quality of care. Interventions at different levels of care and by different stakeholders are discussed.


Related Articles

  • Rapid reduction of maternal mortality in Uganda and Zambia through the saving mothers, giving life initiative: results of year 1 evaluation. Serbanescu, Florina; Goldberg, Howard I.; Danel, Isabella; Wuhib, Tadesse; Marum, Lawrence; Obiero, Walter; McAuley, James; Aceng, Jane; Chomba, Ewlyn; Stupp, Paul W.; Morrissey Conlon, Claudia; Conlon, Claudia Morrissey // BMC Pregnancy & Childbirth;1/19/2017, Vol. 17, p1 

    Background: Achieving maternal mortality reduction as a development goal remains a major challenge in most low-resource countries. Saving Mothers, Giving Life (SMGL) is a multi-partner initiative designed to reduce maternal mortality rapidly in high mortality settings through...

  • Placenta accreta diagnosed 15 days following primary cesarean section. Parasar, Krutika; Shah, Shruti; Cohen, Shaul; Mohiuddin, Adil // Journal of Obstetric Anaesthesia & Critical Care;Jul-Dec2015, Vol. 5 Issue 2, p95 

    Placenta accreta is a life-threatening obstetric complication with an ever-increasing incidence. Between 1982 and 2002, the reported incidence of placenta accreta was 1/533 pregnancies, nearly 4 times its incidence in the 1980s and 8 times its incidence in the 1970s. As Cesarean sections (C/S)...

  • Emergencies Associated With Pregnancy and Delivery: Peripartum Hemorrhage. Kainer, Franz; Hasbargen, Uwe // Deutsches Aerzteblatt International;9/11/2008, Vol. 105 Issue 37, p3 

    The article focuses on the study of peripartum hemorrhage which was known to be associated with pregnancy and delivery. The said medical case has been regarded as one of the leading cause of maternal morbidity and mortality worldwide especially to those patients who have undergone a cesarean...

  • Maternal Mortality in Pregnancy with Heart Disease. Dali, B.; Baral, J. // Journal of Institute of Medicine;Apr2014, Vol. 36 Issue 1, p14 

    Introduction: The incidence of heart disease complicating pregnancy is approximately 1--3% of pregnancies and is responsible for 10 to 15% of maternal mortality. While rheumatic heard disease is on real decline in western world, it is adamantly remaining unchanged here in Nepal and persistently...

  • Thromboprophylaxis in pregnancy: Do we need new Guidelines? Sivasubramaniam, Subash; Paul, Jaison // Internet Journal of Anesthesiology;2008, Vol. 17 Issue 2, p12 

    Introduction Venous Thromboembolism is the leading cause of maternal deaths in the UK and most other developed countries. Pregnancy and caesarean section increase the risk of thromboembolism. High Body Mass Index (BMI) further increases the risk and mortality. We sought to evaluate the...

  • Anesthesia for cesarean section in a parturient with acute varicella: Is general anesthesia better than neuraxial anesthesia? Ray, Bikash R.; Singhal, Deepak; Kumar, Anil; Borle, Anuradha; Baidya, Dalim K. // Journal of Obstetric Anaesthesia & Critical Care;Jul-Dec2012, Vol. 2 Issue 2, p105 

    The incidence of varicella infection during pregnancy is low. However, it is associated with a signifi cant risk of morbidity and mortality, both to the mother and the fetus. The risk for any complication is highest for the mother during the third trimester and pneumonia is the leading cause of...

  • Maternal and neonatal outcomes in morbidly adherent placenta: a developing country experience. Singh, Renu; Pradeep, Yashodhara // Tropical Doctor;Jul2015, Vol. 45 Issue 3, p183 

    Background: Morbid adherent placenta, a severe pregnancy complication, is associated with massive obstetrical haemorrhage and high maternal mortality. Antenatal diagnosis and meticulous multidisciplinary planning at delivery is crucial for optimal outcome. We aim to identify the maternal and...

  • DELIVERY OPTIONS. RICHARDS, ANDREA // Los Angeles Magazine;Feb2013, Vol. 58 Issue 2, p84 

    The article focuses on contrast in delivery options for a healthy pregnant woman and a woman who already had a cesarean or had given birth to twins. It also offers information on a study that shows high rate of maternal mortality and morbidity and tells that the increase in cesareans may be the...

  • Maternal mortality at the end of a decade: signs of progress? AbouZahr, Carla; Wardlaw, Tessa // Bulletin of the World Health Organization;2001, Vol. 79 Issue 6, p561 

    Maternal mortality is an important measure of women's health and indicative of the performance of health care systems. Several international conferences, most recently the Millennium Summit in 2000, have included the goal of reducing maternal mortality. However, monitoring progress towards the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics