Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan 20:2019:5698436.
doi: 10.1155/2019/5698436. eCollection 2019.

Determinants of Maternal Death in a Pastoralist Area of Borena Zone, Oromia Region, Ethiopia: Unmatched Case-Control Study

Jarso Sara  1 , Yusuf Haji  2 , Achamyelesh Gebretsadik  2
Affiliations

Determinants of Maternal Death in a Pastoralist Area of Borena Zone, Oromia Region, Ethiopia: Unmatched Case-Control Study

Jarso Sara et al. Obstet Gynecol Int. .

Abstract

Background: Globally, more than 830 maternal deaths happen daily, and nearly, all of these occur in developing countries. Similarly, in Ethiopia, maternal mortality is still very high. Studies done in pastoralist women are almost few. Therefore, the objective of this study was to assess the determinant factors of maternal death in the pastoralist area of Borena zone, Oromia region, Ethiopia.

Methods: Community-based unmatched case-control study was conducted on 236 mothers (59 maternal deaths (cases) and 177 controls). The sample included pregnant women aged 15-49 years from September 2014 to March 2017. Data were collected using a structured questionnaire adapted from Maternal Death Surveillance and Response Technical Guideline, entered into the EpiData, exported into SPSS for analyses. Odds ratios (ORs) and 95% confidence interval (CI) were computed to determine contributing factors of maternal death and control potential confounding variables.

Results: About 51 (86%) of all maternal deaths were due to direct obstetric causes. Of this, hemorrhage (45%), hypertensive disorders of pregnancy (23%), and obstructed labor (18%) were the leading direct causes of maternal deaths. Husbands who had no formal education were 5 times higher compared with their counterparts (AOR = 5.1, 95% CI: 1.6-16). Mothers who were not attending ANC were 5 times more at risk for death than those who attend (AOR 5.3, 95% CI 2.3-12.1). Mothers who gave birth at home/on transit were twice to die compared to health facility delivery (AOR 2.6, 95% CI 2.4-6) that were contributing factors of maternal deaths.

Conclusions: Husband's level of education, lack of antenatal care, and home delivery were the factors contributing to maternal deaths in the zone. Frequent and tailored antenatal care, skilled delivery, and access to education also need due attention.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Maternal death by place among pastoralist pregnant women in the Borena zone of Oromia region, Ethiopia, 2017.
Figure 2
Figure 2
State of pregnancy at time of death, at pastoralist area of Borena zone, Oromia region, Ethiopia, 2017.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. WHO. International Classification of Diseases (ICD) 10. Geneva, Switzerland: 2010.
    1. WHO. Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. Geneva, Switzerland: 2015.
    1. WHO. Trends in maternal mortality: 1990 to 2015: Estimates by WHO, UNICEF, UNFPA. Geneva, Switzerland: World Bank Group and the United Nations Population Division; 2015.
    1. Ethiopia. Central Statistical Agency (CSA) and ICF Ethiopia Demographic and Health Survey: Key Indicators Report Addis Ababa, Ethiopia and Rockville. MD, USA: CSA and ICF; 2016.
    1. Tegene L., Misra A., Anteneh D. Risk factors of maternal death in Jimma University specialized hospital: a matched case control study. American Journal of Public Health Research. 2016;4(4)

LinkOut - more resources