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- Title
Risk factors for maternal mortality: results of a case-control study conducted in Conakry (Guinea).
- Authors
Thonneau, P.; Touré, B.; Cantrelle, P.; Barry, T.M.; Papiernik, E.; Touré, B
- Abstract
<bold>Objective: </bold>To assess the risk factors of maternal mortality in an urban area of West Africa (Conakry, capital of Guinea).<bold>Method: </bold>A case-control study where 102 maternal deaths were compared with 338 control women who had given birth and survived, during 1 year (from July 1, 1989 to June 30, 1990).<bold>Result: </bold>Of all the socio-demographic variables studied, only a low family income (R = 2.6; 1.1-6.5) was found to be a risk factor for maternal death In the obstetrical part of the survey, neither parity nor the number or location of pre-natal consultations constituted risk factors. However, the presence during pregnancy or delivery of signs of infection (R = 3.7; 1.4-9.8), anemia (R = 2.1; 1.1-4.1), hypertension (R = 19.8; 5.8-67.8) and dystocia (R = 9.0; 3.7-21.5) were found to be the main predictive risk factors of maternal death. The maternal mortality risk was multiplied by 12 if the women had had a cesarean section, and by 4 in the case of complications in the post-partum period.<bold>Conclusion: </bold>To achieve substantial reductions in maternal mortality levels, work must be done on these specific risk factors, and future programs must urgently be concentrated on a higher standard of pre-natal monitoring, obstetrical emergency facilities and training of obstetrical staff.
- Subjects
GUINEA; CESAREAN section; MATERNAL mortality; PRENATAL care; SOCIOECONOMIC factors; RESEARCH bias; CASE-control method
- Publication
International Journal of Gynecology & Obstetrics, 1992, Vol 39, Issue 2, p87
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/0020-7292(92)90902-U