ArticleBMJ global health2026
Levels of in-facility maternal mortality, obstetric complications and stillbirths in three urban referral hospitals in Guinea: analysis of routine data from May 2021 to April 2023.
Article in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite global efforts to reduce maternal mortality, progress has stalled, particularly in sub-Saharan Africa, where the maternal mortality ratio remains high. This study aims to assess in-facility maternal mortality, maternal and foetal complications, and stillbirths in referral hospitals at different levels of the health system in Guinea.
methodsThis was a cross-sectional study conducted at three urban referral hospitals in Guinea at the district (Hôpital de district de Forécariah or HD), regional (Hôpital Régional de Mamou or HR) and national (Hôpital National Ignace Deen or HN) levels from May 2021 to April 2023. Key indicators assessed included in-facility maternal mortality ratio (IMMR), maternal and foetal complication rates and stillbirth rates.
resultsA total of 25 235 women were admitted to the three hospitals over the 24-month period for maternal indications. The highest IMMR was recorded at HN (1264 per 100 000 live births), followed by HD (376) and HR (245). Postpartum haemorrhage was the leading cause of maternal death, accounting for 37% of cases at HR and 58% at HN. At HN, the other frequent causes included anaemia, postpartum sepsis and pre-eclampsia/eclampsia, whereas at HR, obstructed labour, anaemia and pre-eclampsia/eclampsia were frequently reported. Maternal and foetal complications were observed in 23% of deliveries at HD, 24% at HR and 40% at HN. Caesarean section rates were 35% at HD, 29% at HR and 54% at HN. Stillbirth rates ranged from 77 to 103 per 1 000 across the hospitals, with fresh stillbirths accounting for 40-50% of cases.
conclusionsThis study highlights the pressing need to strengthen emergency obstetric care and referral systems at district, regional and national hospitals. Investing in healthcare workers' capacity, ensuring timely transport for referrals and enhancing data quality systems for evidence-based decision-making are essential steps to reduce maternal and perinatal mortality and to achieve the sustainable development goals.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.