Severe acute maternal morbidity: analysis of the incidence, causes and management outcomes at Dodoma regional referral hospital

Mujungu, Simon Masau

dc.creator	Mujungu, Simon Masau
dc.date	2019-01-18T12:01:11Z
dc.date	2019-01-18T12:01:11Z
dc.date	2017
dc.date.accessioned	2022-10-20T14:03:11Z
dc.date.available	2022-10-20T14:03:11Z
dc.identifier	Mujungu, S. M. (2017). Severe acute maternal morbidity: analysis of the incidence, causes and management outcomes at Dodoma regional referral hospital. Dodoma: The University of Dodoma
dc.identifier	http://hdl.handle.net/20.500.12661/551
dc.identifier.uri	http://hdl.handle.net/20.500.12661/551
dc.description	Dissertation (Master of Medicine in Obstetrics and Gynaecology)
dc.description	Background: Severe Acute Maternal Morbidity (SAMM) auditing is rarely conducted and has never been done in DRRH despite the established fact that SAMM auditing is useful in the prevention of maternal mortality and improve the quality of obstetric care perhaps with better results than just maternal mortality audit as suggested by some published works done elsewhere. Objective: The main objective was to determine the incidence, causes and management outcomes of severe acute maternal morbidity among women admitted at DRRH between September 2015 and February, 2016. Methods: This was a retrospective cross-sectional descriptive study. Medical records of all women who were admitted in the obstetrical wards, gynecological wards, and the Intensive care Unit of the Dodoma Regional Referral Hospital between September 2015 and February 2016 were retrieved and information analyzed. Main outcome measures: Incidence, case fatality rate, and causes. Results: During the study period, a total of 7789 women were admitted to the hospital for various pregnancy-related conditions. Severe Acute Maternal Morbidity was found in 140 cases of all admitted patients giving an overall incidence of 17.9 per 1000 women. Severe pre-eclampsia/eclampsia was the leading cause with 64 cases (45.7%) and an incidence of 8.2 per 1000, followed by major obstetric haemorrhage with 57 cases (40.7%) with an overall incidence of 7.3 per 1000. During this period 16 deaths were recorded among those who were classified as being SAMM cases giving case fatality rate of 11.4%. Substandard care was found in 77 (55%) patients. Conclusions: The incidence of Severe acute maternal morbidity in this facility is high reflecting a high maternal mortality and therefore should be well thought-out locally and country wide as a new indicator of a quality of obstetric care.
dc.language	en
dc.publisher	The University of Dodoma
dc.subject	Maternal morbidity
dc.subject	Management
dc.subject	Referral hospital
dc.subject	Dodoma
dc.subject	Obstetric care
dc.subject	Incidence
dc.subject	Causes
dc.subject	Case fatality rate
dc.subject	Severe acute maternal morbidity
dc.subject	Tanzania
dc.subject	Maternal mortality
dc.subject	Mortality prevention
dc.title	Severe acute maternal morbidity: analysis of the incidence, causes and management outcomes at Dodoma regional referral hospital
dc.type	Dissertation