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Trends and causes of maternal mortality in Jimma University Specialized Hospital, Southwest Ethiopia: A matched case-control study

International Journal of Women's Health Aug 24, 2017

Legesse T, et al. – Trends and causes of maternal death in Jimma University Specialized Hospital, Southwest Ethiopia is evaluated in this study. The current study shows, there is a reducing trend of maternal death. Hemorrhage was the major cause of death identified in each year of study.

Methods

  • For this study, they designed a time–matched case–control study.
  • This study was conducted on 600 (120 cases and 480 controls) females who used obstetrics and gynecology services from January 2010 to December 2014.
  • To observe trends in maternal death, maternal mortality ratio was ascertained for every year.
  • Stata version 13 was utilized to investigate causal inference utilizing propensity score matching method.

Results

  • They observed maternal mortality ratio was 857/100,000 and had a reducing trend from it's highest in 2010 of 1,873/100,000 to it's lowest of 350/100,000 in 2014.
  • The leading cause of maternal death was hemorrhage (54%) (β=0.477, 95% confidence interval [CI]: 0.307, 0.647), followed by pregnancy–induced hypertension (20%) (β=0.232, 95% CI: 0.046, 0.419), and anemia (12%) (β=0.110, 95% CI: 0.017, 0.204).

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