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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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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author Brian Barasa Masaba
Rose M. Mmusi-Phetoe
Bernard Rono
Daniel Kyalo Muthiani
Jonathan Taiswa
Stephenie Lydia Ojiambo
Damaris Moraa
John Kennedy Moturi
author_facet Brian Barasa Masaba
Rose M. Mmusi-Phetoe
Bernard Rono
Daniel Kyalo Muthiani
Jonathan Taiswa
Stephenie Lydia Ojiambo
Damaris Moraa
John Kennedy Moturi
author_sort Brian Barasa Masaba
collection DOAJ
description 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.
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institution Kabale University
issn 1735-9066
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language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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series Iranian Journal of Nursing and Midwifery Research
spelling doaj-art-87ecf74afaab47a7a751f12ca61f71862025-02-06T06:27:13ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662228-55042025-01-0130113513910.4103/ijnmr.ijnmr_255_22Maternal Mortality Determinants in Rural Kenya: An Audit of Three HospitalsBrian Barasa MasabaRose M. Mmusi-PhetoeBernard RonoDaniel Kyalo MuthianiJonathan TaiswaStephenie Lydia OjiamboDamaris MoraaJohn Kennedy MoturiBackground: 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.https://journals.lww.com/10.4103/ijnmr.ijnmr_255_22hospitalshumanskenyamaternal mortalityrural population
spellingShingle Brian Barasa Masaba
Rose M. Mmusi-Phetoe
Bernard Rono
Daniel Kyalo Muthiani
Jonathan Taiswa
Stephenie Lydia Ojiambo
Damaris Moraa
John Kennedy Moturi
Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
Iranian Journal of Nursing and Midwifery Research
hospitals
humans
kenya
maternal mortality
rural population
title Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
title_full Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
title_fullStr Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
title_full_unstemmed Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
title_short Maternal Mortality Determinants in Rural Kenya: An Audit of Three Hospitals
title_sort maternal mortality determinants in rural kenya an audit of three hospitals
topic hospitals
humans
kenya
maternal mortality
rural population
url https://journals.lww.com/10.4103/ijnmr.ijnmr_255_22
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