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Int J Gynaecol Obstet. 2000 Nov;71(2):127-33.

Maternal mortality in a tertiary center after introduction of free antenatal care.

Author information

1
Department of Obstetrics and Gynecology, Johannesburg Hospital and University of the Witwatersrand Medical School, Parktown, South Africa.

Abstract

OBJECTIVE:

Determination of maternal mortality rate (MMR) and the main causes of maternal death after the implementation of free antenatal care in a tertiary center in South Africa.

METHODS:

Retrospective case study on maternal deaths from 1 January 1993 to 31 July 1997.

RESULTS:

The maternal mortality rate was 128/100000 births. Hypertension disorders (18%), hemorrhage (18%) and sepsis (13%) were the most important causes of death; 44% of all deaths were considered preventable.

CONCLUSIONS:

The high percentage (44%) of preventable deaths is a cause of concern and is the result of increased workload, decreased staff numbers and late referrals with low socio-economic class of the patient. The discrepancy in the mortality rate between patients booked at the tertiary institution (29.8/100000) and patients booked elsewhere (304.7/100000) or not booked at all (348.5/100000) indicates the need for improving antenatal care in the periphery.

PMID:
11064009
[Indexed for MEDLINE]
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