Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals

Background: Global health agencies advocate that no mother should die while giving life, more so from preventable causes. However, there are persistently high maternal mortalities in various regions with a current global maternal mortality ratio of 211/100,000 live births. This study sought to inves...

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Bibliographic Details
Main Authors: Brian Barasa Masaba, Rose M. Mmusi-Phetoe, Bernard Rono, Daniel Kyalo Muthiani, Jonathan Taiswa, Stephenie Lydia Ojiambo, Damaris Moraa, John Kennedy Moturi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Iranian Journal of Nursing and Midwifery Research
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Online Access:https://journals.lww.com/10.4103/ijnmr.ijnmr_255_22
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Summary:Background: Global health agencies advocate that no mother should die while giving life, more so from preventable causes. However, there are persistently high maternal mortalities in various regions with a current global maternal mortality ratio of 211/100,000 live births. This study sought to investigate the causes and determinants of maternal mortality. Materials and Methods: A four-year retrospective, cross-sectional study was conducted in three tertiary hospitals within Migori county in Kenya. Data were extracted from 101 maternal mortality records from January 1, 2016 to December 31, 2019. Results: Leading complications were hemorrhage 34.70%, eclampsia 20.80%, and sepsis 15.80%. Mothers who were unmonitored using partograph, had reactive HIV status, were in the postpartum period, were referred from periphery facilities, and low socioeconomic levels were most vulnerable. Conclusions: Improvement in healthcare systems to enable optimal care to mothers diagnosed with leading complications and socioeconomically empowering women in Migori county is urgently needed.
ISSN:1735-9066
2228-5504