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. 2020 Sep 16;10:15181. doi: 10.1038/s41598-020-72144-x

Table 3.

Distribution of organ dysfunction, underlying causes and contributory conditions among maternal near-miss cases and maternal deaths, Kenya 2018.

Organ dysfunctiona Potentially life-threatening conditions Maternal near-miss Maternal deathsd Mortality index
N % N % N % %
Cardiovascular n/a n/a 342 27 35 83 9
Respiratory n/a n/a 255 20 39 93 13
Renal n/a n/a 316 25 2 5 1
Hematologic n/a n/a 457 36 21 50 4
Hepatic n/a n/a 142 11 3 7 2
Neurologic n/a n/a 219 17 14 34 6
Uterineb n/a n/a 292 23 2 5 1
Underlying causesa
Pregnancy with abortive outcome 291 15 112 9 5 12 4
Obstetric haemorrhage 1,181 60 686 54 24 57 3
Hypertensive disorders 442 22 327 26 9 21 3
Pregnancy-related infections 117 6 75 6 2 5 3
Other obstetric disease or complications 783 40 354 28 1 2 0
Medical/surgical/mental disease or complications 2 0 45 4 2 5 4
Contributory causes/associated conditionsa
Anaemia 234 15 103 8 1 2 1
HIV infectionc 115 6 31 3 1 4 3
Previous caesarean section 312 16 204 16 1 2 0
Prolonged obstructed labour 552 28 46 4 1 2 2
Total 1,972 100 1,279 100 42 100

All estimates are weighted from the three-month study period and include only patients who consented to be interviewed.

aThese categories are not mutually exclusive and can add up to more than 100%.

bIncludes paralytic ileus (absent bowel sounds in a gaseous distended abdomen), PTE (pulmonary thromboembolism) showing the above respiratory symptoms and signs, hysterectomy following infection or haemorrhage, and laparotomy.

cFive patients who died were missing on HIV status so the denominator used to estimate this proportion is smaller than for other contributory causes.

dPatients who did not consent and were a maternal death (unweighted n = 7) were not included in the maternal death total in this table, but are included in the incidence calculations.