Table 2.
Magnitude of direct obstetric complications and associated maternal death among hospitals in Ethiopia, 2015
| Direct obstetric complications | Number of cases (%) | Direct obstetric complication ratea | Number of death (%) | DOCFR in % (95%CI) |
|---|---|---|---|---|
| Antepartum Haemorrhage | 4462 (6.5) | 13.3 (12.9–13.7) | 23 (5.3) | 0.51 (0.32–0.77) |
| Postpartum Haemorrhage | 2811 (4.1) | 8.4 (8.1–8.7) | 81 (18.6) | 2.88 (2.29–3.57)* |
| Retained placenta | 2201 (3.2) | 6.5 (6.3–6.8) | 4 (0.9) | 0.18 (0.04–0.46) |
| Prolonged labour | 15,875 (23.4) | 47.4 (46.7–48.2) | 25 (5.7) | 0.16 (0.10–0.23) |
| Rupture of uterus | 1516 (2.2) | 4.5 (4.3–4.7) | 41 (9.5) | 2.71 (1.95–3.65)* |
| Postpartum sepsis | 1460 (2.2) | 4.3 (4.1–4.6) | 17 (3.9) | 1.16 (0.67–1.85) |
| Hypertensive disorder | 7912 (11.6) | 23.6 (23.1–24.2) | 121 (27.8) | 1.53 (1.27–1.82)* |
| Abortion complications | 2042 (3.0) | 6.1 (5.8–6.4) | 6 (1.5) | 0.29 (0.11–0.64) |
| Ectopic pregnancy | 1801 (2.7) | 5.3 (5.1–5.6) | 0 (0.0) | – |
| Other direct causes | 27,922 (41.1) | 83.5 (82.5–84.4) | 117 (26.8) | 0.42 (0.34–0.50) |
| Total | 68,002 (100) | 203.3 (201.9–204.7 | 435 (100) | 0.64 (0.58–0.70) |
DOCFR Direct Obstetric Case Fatality Rate
*statistically significantly greater DOCFR than 1% (the recommended threshold by the World Health Organization); p < 0.05
-: there were no maternal deaths due to ectopic pregnancy hence DOCFR was not calculated
aDirect obstetric complication rate was estimated by the complications per 1000 births