Table 5. Underlying causes of life-threatening conditions and severe maternal outcomes in eastern Ethiopia.
| Variables | Sub-Saharan Africa tool | WHO tool | ||||
|---|---|---|---|---|---|---|
| MNM | MD | MI | MNM | MD | MI | |
| n (%) | n (%) | % | n (%) | n (%) | % | |
| Overall | 594 | 28 | 4.5 | 128 | 26 | 16.9 |
| Underlying complications | ||||||
| Hypertensive disorders | 271(45.6) | 14(50) | 4.9 | 36(28.1) | 13(50) | 26.5 |
| Severe pre-eclampsia | 52(8.8) | 6(21.4) | 9.5 | 17(13.3) | 5(19.2) | 22.7 |
| Eclampsia | 219(36.9) | 9(32.1) | 3.6 | 18(14.1) | 8(30.8) | 30.8 |
| Obstetric hemorrhage | 214(36.0) | 14 (50) | 6.3 | 79(61.7) | 14(53.8) | 15.1 |
| Abortion related | 25(4.2) | 1(3.6) | 3.9 | 6(4.7) | 1(3.8) | 14.3 |
| Ectopic pregnancy | 21(3.5) | 0(0) | 0 | 3(2.3) | 0(0) | 0 |
| Abruptio placenta | 22(3.7) | 4(14.3) | 12 | 3(2.3) | 3(11.5) | 50 |
| Placenta previa | 24(4.0) | 1(3.6) | 4 | 11(8.6) | 1(3.8) | 8.3 |
| Uterine rupture | 46(7.7) | 2(7.1) | 4.2 | 34(26.6) | 2(7.7) | 5.6 |
| Severe postpartum hemorrhage | 48(8.1) | 6(21.4) | 12.5 | 16(12.5) | 8(30.8) | 33.3 |
| Others | 18(3.0) | 0(0) | 0 | 1(0.8) | 0(0) | 0 |
| Sepsis/severe systemic infection | 126(21.2) | 3(10.7) | 2.4 | 20(15.6) | 5(19.2) | 20 |
| Contributory factors | ||||||
| Anemia | 195(32.8) | 14(50) | 6.7 | 52(40.6) | 13(50) | 20 |
| Previous cesarean section | 15(2.5) | 1(3.6) | 6.3 | 5(3.9) | 1(3.8) | 16.7 |
| Critical interventions | ||||||
| Blood transfusion | 225(37.9) | 19(67.9) | 6(4.7) | 3(11.5) | ||
| Admission to ICU | 53(8.9) | 12(42.9) | 29(22.7) | 11(42.3) | ||
| Cesarean section | 166(27.9) | 9(32.1) | 39(30.5) | 8(30.8) | ||
| Laparotomy other than CS | 73(12.3) | 4(14.3) | 40(31.2) | 4(15.4) | ||
MNM, maternal near miss; MD, Maternal death; MI, mortality index (MD/MD+MNM*100); WHO, World Health Organization; ICU, intensive care unit; CS, cesarean section