Tchimon Y.S. Vodouhe
Abomey-Calavi University, BeninPresentation Title:
Determinants of in-hospital maternal mortality in the Atlantique department of Benin Republic from 2019 to 2022
Abstract
Background: The challenge of reducing the maternal mortality ratio (MMR) to achieve the third Sustainable Development Goal is greater for sub-Saharan African countries, including Benin. The rate of decline of the MMR in Benin is low for achieving this goal, unless maternal health interventions are strengthened at all levels of the health pyramid. This requires understanding the local context in which deaths occur and their determinants. This justifies our study, which aim was to identify the determinants of in-hospital maternal mortality in the Atlantique department of Benin Republic from 2019 to 2022.
Methods: The Atlantic department, the most populated of the 12 in Benin. The study was conducted in two district hospitals in the Atlantique department. It was a retrospective case-control study from 2019 to 2022. Cases included all in-hospital maternal deaths, while controls were survivors of obstetric complications. A multivariate analysis was performed with a significance threshold of 0.05.
Results: We identified 92 cases of maternal deaths and 276 controls. The maternal mortality ratio was 386 maternal deaths per 100,000 live births. The mean age of the cases was 28.67±6.54 years, while that of the controls was 26.46±6.60 years. Prenatal care was poorly followed (88.04% versus 79.71%). Several factors were associated with maternal death, including: presence of medical history (p=0.030), presence of pregnancy-related pathology (p=0.049), questionable treatment (p<0.001), inadequate monitoring (p<0.001), occurrence of maternal complications (p<0.001), indication for blood transfusion (p<0.001), in-hospital delay in providing emergency obstetric care (p<0.001).
Conclusions: Identifying the main determinants of in-hospital maternal death will help to target appropriate high-impact interventions and optimize their implementation in order to accelerate the reduction of maternal mortality.
Biography
Vodouhè Tchimon is a university hospital assistant in obstetrics and gynecology at the Faculty of Health Sciences of the University of Abomey-Calavi in Benin. He also holds a degree in epidemiology and public health interventions. He works at the Hubert Koutoukou Maga National University Hospital Center in Cotonou, Benin. He is the administrative secretary assistant of the National College of Obstetricians and Gynecologists of Benin.
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