Objectives: 1) To calculate the ratio of maternal mortality. 2) To describe the\nsocio-demographic characteristics of deceased patients. 3) To identify the\nmain causes of maternal deaths. Methodology: This was a retrospective study\nof the 12-month period from January 1st to December 31st, 2015 performed at\nthe Gynaecology Obstetrics Department of the Ignace Deen National Hospital,\nConakry, Guinea. The study included women who died during pregnancy,\nchildbirth, and in its peripheries according to WHOâ??s maternal death report.\nResults: We collected 38 cases of maternal deaths out of 4404 live births, accounting\na ratio of 863 per 100,000 live births. The socio-demographic characteristics\nof these 38 patients were: 20 - 24 years of age (26%), married\n(78%), housewives (37%), students (44%), and nulliparous (29%), no prenatal\nfollow-up (47%), and home-birth (49%). The 1st and 3rd type of delay\namounted for 40% and 53%, respectively. Patients consulted after 12 hours\nafter symptom-onsets accounted 47%, whereas those before 6 hours accounted\nfor 19%, suggesting the delay of first medication. The final diagnosis\nand diagnosis at admission coincided in 69% of cases. The emergency kit was\navailable for all. The opinion of a specialist was available in 16 patients. Blood\nwas available in 40% of the patients who required it. Death caused by conditions\ndirectly related to pregnancy/delivery accounted for 71%. Haemorrhage\nwas the most frequent cause of death. Death occurred within the first 24\nhours of admission in 73% of cases.Conclusion: We here shed light on the\nmaternal death in this area. Although we did not demonstrate the\nmethod/procedure to reduce this high rate of maternal mortality, the present\nstudy may provide a fundamental data to reduce maternal death in this area.
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