Correlates of Maternal Mortality: The Case of Adama Hospital, Eastern shoa

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Addis Ababa University


Maternal mortality is an indicator of disparity and inequality between men and women. It is also a sign of women's place in the society and their access to social services and economic opportunities. It is well documented that, of all human development indicators, maternal mortality ratio shows the largest discrepancy between developed and developing countries. The main objective of this study was to identify major socio-demographic and pathogenic correlates of maternal mortality among women admitted for maternal cases in Adama hospital over the last seven years based on the hospital records. In the bivariate analysis all of the demographic variables, residence and almost all the pathogenic variables considered were found to be statistically significant. In the logistic regression analysis, contrary to what is expected and hypothesized, age and parity of the women show no statistical significance. Gravidity on the other hand, was found to be a significant predictor of maternal mortality, and as hypothesized, women of gravidity 4 and above are at higher risk of maternal mortality compared to their counterparts with gravidity 2-3. Residence was also a highly significant variable with high predictive value. Consistent with expectation, women coming from outside Adama town were at higher risk of maternal death compared with their counterparts of Adama town. Once the statistical association between the dependent and the independent variables were examined, to identify the relative contribution of each of the specific pathogenic factor to maternal mortality, a separate model was fitted. The result showed that all of the major specific pathogenic variables were statistically significant. In order of their importance in influencing maternal mortality they can be listed as: hemorrhage, infection, hypertensive disorder of pregnancy, malaria, obstructed or prolonged labour, anemia and abortion. Contrary to expectation,experiencing abortion was found to reduce the risk of maternal death in the hospital. The possible explanation given for this finding is the availability and effectiveness of post abortion care in the hospital. The study thus, provide an insight as to what mainly causes maternal mortality in the areas around the study hospital which those concerned in improving maternal health might find usefu



Maternal Mortality