Tuesday, September 24, 2013

Maternal Mortality

Cameroon has a very high maternal mortality. There are approximately 600 maternal deaths per 100,000 live births. Comparing Cameroon maternal mortality to other countries, we have worked in, it is the highest we have seen.

Countries Maternal Mortality comparison:
USA = 24             Ghana = 350        India = 230
Guatemala = 110  Kenya = 530        Malawi = 510
http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf

Here is some additional information from WHO
http://www.who.int/mediacentre/factsheets/fs348/en/index.html

Key Facts
  • Every day, approximately 800 women die from preventable causes related to pregnancy and childbirth. 
  • 99% of all maternal deaths occur in developing countries. 
  • Maternal mortality is higher in women living in rural areas and among poorer communities. 
  • Young adolescents face a higher risk of complications and death as a result of pregnancy than older women. 
  • Skilled care before, during and after childbirth can save the lives of women and newborn babies.
  • Between 1990 and 2010, maternal mortality worldwide dropped  by almost 50%

The other night exemplified the challenges facing the developing world regarding education and appropriate available obstetrical services.

Mareline was 9 months pregnant when she presented urgently to St. Martin De Porres Catholic Hospital, from a referring hospital, with bleeding. She had had some bleeding a few days before, at home, but did not think it was of concern.  When she arrived, her clothes were soaked with blood and her Haemoglobin was = 6 (normal = 12-15) . We were able to perform an emergent C-section and found a complete placenta previa.

 A Placenta Previa is when the placenta grows over the cervix and when the mother's cervix begins to dilate, during labor,  the mother can exsanguinate.

 Mareline and baby are doing well!


1 comment:

  1. I love reading the stories about your patients! Thanks for all the work you do, and know we are reading you here in Kumbo!

    -Eric

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