Objectives: This 5-year audit aims to estimate maternal mortality ratio (MMR) and describe causes of deaths as well as demographic and obstetric characters of maternal deaths in Mansoura University Hospital, Egypt.
Methods: A hospital-based retrospective descriptive study was carried out during the period from 2011 to 2015. All obstetric records (case notes, records of labor room, emergency records and ward admission files) of deceased mothers were reviewed for maternal deaths. The following data was abstracted: age, residence, and employment, cause of deaths, gestational age, gravidity and mode of termination pregnancy. Causes of maternal deaths were classified as direct and indirect.
Results: During the study period, 23078 obstetric admissions, 22323 live births and 61 maternal deaths were recorded. The MMR declined from 380.8 in 2011 to 145.5/100000 live births in 2015. Hemorrhage and hypertensive disorders with pregnancies were the two main direct causes of maternal deaths.
Out of total deaths, 83.6% were in the age group of 21-35 years. The majority of maternal deaths (72.1%) belonged to rural areas and 91.8% were non-employed. Most of deceased women were primigravidae (49.2%). Only 26.2% of deceased mothers received antenatal care. More than half (57.4%) of deaths occurred after 48 hours of admission.
Conclusion: The MMR in MUH is higher than national and regional figures. Adequate antenatal care, early referral of mothers with complications could contribute to reduction of maternal mortality. It is important to establish an audit committee for maternal deaths to determine the trends, causes, quality of care provided and preventability of the death.
Maternal mortality – Audit - Hospital-based - Egypt