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. 2022 May 31;22(1):452.
doi: 10.1186/s12884-022-04783-z.

Maternal mortality study in the Eastern Democratic Republic of the Congo

Imani Bin-Eradi Ramazani  1   2   3 , Simon-Decap Mabakutuvangilanga Ntela  4   5   6 , Mathieu Ahouah  4 , Daniel Katuashi Ishoso  6   7 , Rothan-Tondeur Monique  4   6   8
Affiliations

Maternal mortality study in the Eastern Democratic Republic of the Congo

Imani Bin-Eradi Ramazani et al. BMC Pregnancy Childbirth. .

Abstract

Background: The reduction of maternal mortality in developing countries such as the Democratic Republic of Congo (DRC) still raises many questions. Indeed, this large country in the heart of Africa ranks 4th among the eight countries that alone account for more than 50% of maternal deaths in the world, behind India, Nigeria and Pakistan. However, there is no up-to-date data on maternal mortality in eastern DRC. This study measures the mortality rate rate in health facilities in eastern DRC and identifies the associated risk factors.

Methods: This analytical epidemiological study was based on retrospective data materna deaths recorded in 59 health facilities, in three health zones in the southern part of Maniema province in east DRC. The study was conducted from July 1, 2015 to June 30, 2020. Descriptive, bi and multivariate analyses were used.

Results: The maternal mortality rate was estimated at 620 deaths per 100,000 live births, of which 46% of maternal deaths were related to a parturients' delayed decision in seeking healthcare in time (first delay). Maternal deaths were significantly associated with extreme ages (≤ 19 years and ≥ 40 years: p = < 0.001), patient parity (in primigravidas and in large multiparas: p = 0.001), complications such as hemorrhagic, (p = < 0.001), uterine ruptures:(p = < 0.001), infections, (p = < 0.001), and dystocia (p = < 0.001).

Conclusion: Despite the efforts made by the DRC and its partners in the fight against maternal mortality, women continue to lose their lives when they decide to give birth. The results imply that it is imperative to strengthen both women and health professionals' knowledge about pregnancy and maternal health and their power to reduce instances of first delay by supporting women in formulating their birth plans.

Keywords: Delay; Democratic republic of the congo; Maternal mortality; Performance-based financing.

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Conflict of interest statement

The authors declare to have no competing interests.

Figures

Fig. 1
Fig. 1
below shows presents the annual maternal mortality rate per 100,000 live births
Fig. 2
Fig. 2
Maternal mortality rate by health zone per 100,000 per 100,000 live births
See this image and copyright information in PMC

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References

    1. Gergen J, Rajkotia Y, Lohmann J, Ravishankar N. Performance-based financing kick-starts motivational “feedback loop”: findings from a process evaluation in Mozambique. Human Resources for Health. 2018;16(1):55. doi: 10.1186/s12960-018-0320-x. - DOI - PMC - PubMed
    1. Ngom NF. Medical assistance in childbirth in Senegal [Internet] [Thesis]. Bordeaux; 2016 [cited 31 Mar 2020]. Available from: http://www.theses.fr/2016BORD0432
    1. Rollet C. Ligue contre la mortalité infantile et Alliance pour l'accroissement de la population française: deux familles de pensée et d’actions? Revue d’Histoire de la Protection Sociale. 2017;10(1):161–77. doi: 10.3917/rhps.010.0161. - DOI
    1. Wallis AB. Addressing maternal, newborn and child health gaps for the achievement of the 2030 SDG in West Africa. Afr J Reprod Health. 2018;22(4):12–16. - PubMed
    1. Malonga FK, Mukuku O, Ngalula MT, Luhete PK, Kakoma JB. External anthropometric measurement and pelvimetry among nulliparous women in Lubumbashi: risk factors and predictive score of mechanical dystocia. Pan African Medical Journal. 2018;31:69. doi: 10.11604/pamj.2018.31.69.16014. - DOI - PMC - PubMed

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