Maternal Deaths due to Obstetric Haemorrhage in Dodoma Regional Referral Hospital, Tanzania.
Mzee M NassoroEnid ChiwangaAthanase LilunguluDeogratius BintabaraPublished in: Obstetrics and gynecology international (2020)
Maternal mortality due to obstetric haemorrhage is high at Dodoma Regional Referral Hospital where more than one-third of women died between 2018 and 2019. Almost all of these deaths were avoidable. The leading contributing factors were late referral from other health facilities, inadequate skills in managing PPH due to uterine atony, delays in performing caesarean section at DRRH, and inadequate preparation for managing PPH in patients with abruptio placentae and IUFD which are risk factors for the condition. There is a need of conducting supportive supervision, mentorship, and other modes of teaching programmes on the management of obstetric haemorrhage to health care workers of referring facilities as well as those at DRRH. Monitoring of labour by using partograph and identifying pregnant women at risk should also be emphasized in order to avoid uterine rupture.
Keyphrases
- pregnant women
- pregnancy outcomes
- healthcare
- primary care
- public health
- birth weight
- acute care
- medical students
- mental health
- polycystic ovary syndrome
- cardiovascular events
- adverse drug
- risk factors
- emergency department
- type diabetes
- molecularly imprinted
- metabolic syndrome
- physical activity
- insulin resistance
- gestational age
- adipose tissue