P357: A descriptive study of maternal deaths in Algeria in 2011
- N Keddad1
© Keddad; licensee BioMed Central Ltd. 2013
Published: 20 June 2013
In our country, despite a substantial increase in the assisted delivery rate to 97%, the maternal mortality rate remains high. 70% of maternal deaths occur during delivery and the postpartum period.
Perform a clinical audit of maternal deaths to identify causes to reduce the risk of maternal death, for care based on quality assurance.
This audit was performed through the use of a standard questionnaire on all deaths occurring in 2011; the questionnaire was sent to health administrators of the 48 health departments of Wilayas. Data analysis was performed on the software SSPRO.
Out of 220 maternal deaths, 93% occurred in hospital, 26% following an evacuation in an emergency. Some causes include hemorrhage 31.4%; HTA / complication 12.7%; cardiovascular 12.3%; infections 6.4%. The ages ranged from 19 to 55 years with an average of 32.9 years. The Deaths were most frequent at first pregnancy (39%) and at fourth or later pregnancy (32%). Outcomes for fetuses were live birth in 44.5%, stillbirth in 33.6%, and abortion in 2.7%.
Access to essential obstetric care quality was limited: no hierarchy of levels of care, lack of organizational standards and functional at the hospital; evacuations late coupled with inefficient management of obstetric emergencies. Weight of the high risk of cardiovascular disease.
Disclosure of interest
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.