ArticleInternational journal of reproductive medicine2020
Maternal Mortality in Dodoma Regional Referral Hospital, Tanzania.
Article in International journal of reproductive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Causes of maternal mortality in Sub-Saharan Africa: A systematic review of studies published from 2015 to 2020.Journal of global health · 2021Pooled it
- Cause-specific mortality transition among women of reproductive age with special reference to maternal mortality: the Magu health and demographic surveillance system, Tanzania, 1995-2022.Global health action · 2026Article
- Measurement of maternal mortality, United Republic of Tanzania.Bulletin of the World Health Organization · 2026Article
- Socioeconomic and national disparities in disability distribution among population in five East African countries: insights from the demographic and health surveys.International journal for equity in health · 2026Article
- Predictors of delay seeking delivery services at labor onset among pregnant women in the singida region of Tanzania: analytical cross-sectional study.Frontiers in global women's health · 2026Article
- Socioeconomic and geographical disparities in disability distribution among Tanzanian population: insights from the 2022 demographic and health survey and malaria indicator survey.BMC public health · 2025Article
- Article
- Pregnant women's knowledge of obstetric violence and related factors: baseline evidence from an implementation study in the central zone, Tanzania.Frontiers in global women's health · 2025Article
- Development and validation of context-specific components of obstetric violence: Experiences from the central zone of Tanzania.PloS one · 2025Article
- Article
- Burst abdomen: a preventable risk of severe maternal morbidity in a developing country (a case-control study at a university teaching hospital in Tanzania).The Pan African medical journal · 2024Article
- Impacts of seasonal flooding on geographical access to maternal healthcare in the Barotse Floodplain, Zambia.International journal of health geographics · 2023Article
- Nurses' Level of Knowledge on Management of Preeclampsia / Eclampsia and the associated factors in Northern Tanzania: An Analytical Cross-Sectional Study.The East African health research journal · 2023Article
- Maternal Third Delay and Associated Factors among Women Admitted for Emergency Obstetric Care in Public Hospitals in Sidama Regional State, Ethiopia.Journal of pregnancy · 2023Article
- Towards sustainable emergence transportation system for maternal and new born: Lessons from the m-mama innovative pilot program in Shinyanga, Tanzania.PLOS global public health · 2023Article
- Determinants of Antenatal Healthcare Services Utilisation: A Case of Dodoma, Tanzania.The East African health research journal · 2022Article
- Article
- Individual, health facility and wider health system factors contributing to maternal deaths in Africa: A scoping review.PLOS global public health · 2022Article
- Quality of Maternal Death Documentation in Afghanistan: A Retrospective Health Facility Record Review.Frontiers in global women's health · 2021Article
- Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality has remained a challenge in Tanzania. The Tanzania Demographic and Health Survey 2015-16 has shown that the problem has been increasing despite various strategies instituted to curb it. It has been shown that most of the maternal deaths occurring in health facilities, whether direct or indirect, have other contributing factors. The objective of this study was to analyse causes and associated factors for maternal deaths in Dodoma Regional Referral Hospital (DRRH).
methodsA retrospective review of all files of the women who died in 2018 and were classified as maternal deaths.
resultsA total of 8722 women gave birth in DRRH, out of which 35 died and were confirmed as maternal deaths. The number of live births was 8404 making the maternal mortality ratio of 417 per 100,000 live births. The leading causes of maternal death were eclampsia (9), sepsis (6), ruptured uterus (5), and haemorrhage (5). The third-phase delay was the leading contributing factor to 19 maternal deaths. This includes delays in referral from another facility as well as delays in getting treatment at DRRH and inadequate skills of providers at both the referring facilities and DRRH. The first-phase and second-phase delays contributed to 7 and 6 deaths, respectively. Furthermore, poor antenatal care contributed to 2 deaths.
conclusionMaternal mortality is still high in Dodoma Regional Referral Hospital. Eclampsia was the leading cause of maternal deaths in 2018 followed by sepsis and obstetric haemorrhage. Delays associated with health system factors (third-phase delay) contributed much more to maternal mortality than the first-phase delay. Mentorship programmes on management of obstetric complications need to be instituted in order to reduce maternal deaths in Dodoma Regional Referral Hospital.
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Registered trials
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