ArticleObstetrics and gynecology international2020
Maternal Deaths due to Obstetric Haemorrhage in Dodoma Regional Referral Hospital, Tanzania.
Article in Obstetrics and gynecology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Measurement of maternal mortality, United Republic of Tanzania.Bulletin of the World Health Organization · 2026Article
- Prehospital emergency response and management of pregnancy-associated haemorrhage in KwaZulu-Natal Province, South Africa: A Retrospective Cross-Sectional Study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.Journal of personalized medicine · 2024Article
- Factors associated with postpartum hemorrhage in selected Southern Oromia hospitals, Ethiopia, 2021: an unmatched case-control study.Frontiers in global women's health · 2024Article
- Causes for Medical Errors in Obstetrics and Gynaecology.Healthcare (Basel, Switzerland) · 2023Review
- Individual, health facility and wider health system factors contributing to maternal deaths in Africa: A scoping review.PLOS global public health · 2022Article
- Target areas to reduce the burden of maternal death due to obstetric hemorrhage in Ethiopia.PloS one · 2022Article
- Prevalence and risk factors for maternal mortality at a tertiary care centre in Eastern Nepal- retrospective cross sectional study.BMC pregnancy and childbirth · 2021Article
- Maternal knowledge-seeking behavior among pregnant women in Tanzania.Women's health (London, England)Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the availability of comprehensive emergency obstetric care at Dodoma Regional Referral Hospital, deaths due to obstetric haemorrhage are still high. This study was carried out to analyse the circumstances that had caused these deaths.
methodsA retrospective review of all files of women who had died of obstetric haemorrhage from January 2018 to December 2019 was made.
resultsA total of 18,296 women gave birth at DRRH; out of these, 61 died of pregnancy-related complications of the deceased while 23 (38%) died of haemorrhage, with many of them 10 (44%) between the age of 30 and 34. Many were grand multiparous women 8 (35%) and almost half of them (11 (48%)) had stayed at DRRH for less than 24 hours. More than half (12 (52%)) had delivered by caesarean section followed by laparotomy due to ruptured uterus (8 (35%)). The leading contributing factors to the deaths of these women were late referral (6 (26%)), delays in managing postpartum haemorrhage due to uterine atony (4 (17%)), inadequate preparations in patients with the possibility of developing PPH (4 (17%)), and delay in performing caesarean section (3 (13%)).
conclusionMaternal 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.
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Registered trials
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