Keywords
maternal health
child health
health zone
ROC curve
How to Cite
Abstract
Maternal mortality is a major public health problem in developing countries. In the DRC, a woman dies every two minutes from obstetric causes. The rural health zone of Kikongo, in Kwilu province, is also affected. This study, conducted between 2020 and 2024, aimed to identify the determinants of maternal mortality. Data were collected through a desk-based survey using a questionnaire. Out of 28,069 deliveries, 68 maternal deaths were recorded, representing a frequency of 24.2 per 1,000. The main direct causes are hemorrhage (73.5%), obstructed labor (8.8%), postpartum infections (7.4%), and abortions (5.9%). Obstetric and gynecological determinants include prolonged labor, vaginal delivery, narrowed pelvis, precious pregnancy, scarred uterus, fetal distress, malpresentation, macrosomia, premature rupture of membranes, uterine rupture, circular cord, NIPT, placenta previa, myoma previa, and polyhydramnios. These factors highlight the need for enhanced prenatal monitoring and better obstetric care to reduce maternal mortality in this region.
References
1. Organisation mondiale de la Santé. Mortalité maternelle. 2023. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/maternal-mortality.
2. Abdoun M, Bouaoud S, Saoudi S. Epidémiologie de la mortalité maternelle dans la Wilaya de Sétif, Algérie de 2014 à 2022. J Epidemiol Popul Health. 2024;72:202347.
3. Saucedo M, Deneux-Tharaux C. Mortalité maternelle en France, 2016–2018, fréquence, causes et profil des femmes. Gynecol Obstet Fertil Senol. 2024;52(4):185-200.
4. Ravit M, Fomba B, Audibert M. Mesurer la mortalité maternelle dans les pays du sud: Un exemple au Cameroun. The Conversation France. 2024. Available from: https://hal.science/hal-04689740/
5. Sombié I, Sanni Yaya H. Chapitre I Situation épidémiologique et stratégies de réduction de la mortalité maternelle dans le monde et en Afrique subsaharienne. In: Sanni Yaya H, editor. Risquer la mort pour donner la vie. Laval: Les Presses de l’Université de Laval; 2017. p. 23-39. doi:10.1515/9782763735054-002.
6. Minkobame U, Ej NM, O MK, Ej MN, R EM, I EM, JA BN, JF M. Analyse des décès maternels au Centre Hospitalier Universitaire Mère-Enfant Fondation Jeanne Ebori (Libreville) de 2019 à 2022. Health Sci Dis. 2024;25(3):Article 3. doi:10.5281/hsd.v25i3.5318.
7. Raoul AS, Nouessèwa HAFM, Awadé Afoukou OA, Madoué GB, Isabelle DSM, Imorou SR, et al. Facteurs associés aux décès maternels à l’hôpital de zone Saint Jean de Dieu de Tanguieta de 2015 à 2019. Eur Sci J. 2021;17(29). doi:10.19044/esj.2021.v17n29p93.
8. Safari IK, Djeko LAK, Kasambula PK, Mandro CN, Mosomo TK, Wembonyama SO. Déterminants des décès maternels dans la province du Nord-Kivu. J Med Public Health Policy Res. 2024;4(1). Available from: http://pugoma.com/index.php/JMPHPR/article/view/348
9. Bello J, et al. Management of high-risk obstetric conditions and maternal outcomes. J Matern Fetal Neonatal Med. 2019;32(4):546-52.
10. Sampson, M., et al. (2017). Fetal distress and its management: a global perspective. Archives of Disease in Childhood, 102(3), 229-233.
11. Nzuzi NT., Eloko EMG, Kafinga LE. (2024). Facteurs associés à la mortalité maternelle chez les gestantes et accouchées dans la zone de santé de Kisenso: analyse de survie. Rev Congol Sci Technol. 2024;3(3),52-60.
Available from: https://rcst.cd/index.php/rcst/article/view/142
12. Oumarou ZM, Lamine MM, Issaka T, Moumouni K, Alkassoum I, Maman D, et al. Infection palustre de la femme enceinte à Niamey au Niger. Pan Afr Med J. 2020;37:365. doi:10.11604/pamj.2020.37.365.20034
13. Swets JA. ROC analysis applied to the evaluation of medical imaging techniques. Invest Radiol 1979; 14:109-21.
14. Karimollah HJ. Receiver Operating Characteristic (ROC) Curve Analysis for Medical Diagnostic Test Evaluation. Caspian J Intern Med 2013; 4(2): 627-635
15. Ruiz-Cantero MT, Guijarro-Garvi M, Bean DR, Martínez-Riera JR, Fernández-Sáez J. Governance commitment to reduce maternal mortality. A political determinant beyond the wealth of the countries. Health Place. 2019;57:313-20. doi:10.1016/j.healthplace.2019.05.012
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