Ratio and audit of maternal deaths in a health care establishment: case of the health district of commune VI of Bamako in Mali

Abstract

Introduction: The objective of this work was to study the audit of maternal deaths at the reference health center of commune 6 of the district of Bamako.

Methodology: This study was cross-sectional retrospective from 2014 to 2018. Maternal deaths whose records were audited were included in the study.

Results: During our study, 120 files were audited among the 184 maternal deaths, a frequency of audited files of 65%. The maternal death rate was 367/100,000 live births. The characteristics of the deceased patient were: young between 27 and 32 years (40.83%), married 96.67%, housewife (79.17%), not followed in 36%, evacuated ( 62%) of cases. Direct obstetric causes accounted (81%) of maternal deaths against 19.2% for indirect causes. Postpartum hemorrhage (28.3%), abrupto placentae (12.5%) and uterine rupture (26.6%) were the main direct obstetric causes according to the audit committee. Indeed 60.68% of maternal deaths were preventable. The recommendations of the audit committee were implemented in 68% of cases. `

Conclusion: Not all cases of maternal death were audited at CSREF CVI. Maternal deaths can be prevented by improving the quality of ANC and the availability of blood.