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.