Table 4.
Process and outcome indicators for selected obstetric complications, Kenya 2018.
| Interventions, by selected obstetric complications | Number and percentage of patients | |
|---|---|---|
| N | % | |
| Antepartum haemorrhage (APH) | ||
| Target population: patients with APH | 226 | 7 |
| Requested blood | 191 | 84 |
| Blood given (out of those with blood requested) | 109 | 67 |
| IV fluids given | 224 | 99 |
| Cases with SMOa | 96 | 43 |
| Mortalityb | – | – |
| Postpartum haemorrhage (PPH) | ||
| Target population: patients with PPH | 1755 | 53 |
| Oxytocin, ergometrine, oxytocin/ergometrine | 1597 | 93 |
| Misoprostol | 740 | 45 |
| Other uterotonic | 57 | 4 |
| Tranexamic acid | 450 | 27 |
| Removal of retained products | 704 | 43 |
| Balloon or condom tamponade | 97 | 6 |
| Artery ligation | 32 | 2 |
| Hysterectomy | 70 | 4 |
| Uterine packing, uterine massage | 821 | 50 |
| Repair of tears | 338 | 21 |
| Cases with SMO | 670 | 38 |
| Mortality | 24 | 1 |
| Severe pre-eclampsia/eclampsia | ||
| Target population: patients with severe pre-eclampsia/eclampsia | 778 | 24 |
| Magnesium sulphate | 580 | 77 |
| Other anticonvulsant | 116 | 16 |
| Cases with SMO | 137 | 67 |
| Mortality | 9 | 1 |
| Severe infections/sepsis | ||
| Target population: patients with sepsis/severe infections | 194 | 6 |
| Parenteral antibiotics | 192 | 99 |
| Cases with SMO | 77 | 40 |
| Mortality | 2 | 1 |
| Caesarean section related complications | ||
| Target population: patients undergoing caesarean | 1,216 | 37 |
| Prophylactic antibiotic | 1,181 | 98 |
| Cases with SMO | 343 | 28 |
| Mortality | 9 | 1 |
| Ruptured uterus | ||
| Target population: patients with ruptured uterus | 74 | 2 |
| Laparotomy after 3 h of hospital stay | 33 | 44 |
| Cases with SMO | 53 | 71 |
| Mortality | – | – |
All estimates are weighted from the three-month study period and include only patients who consented to be interviewed. Obstetric complications are not mutually exclusive; a patient can have more than one type of complication.
aSMO = severe maternal outcome includes maternal near-miss and maternal death.
bPatients 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.