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Table 2 Numeric and percent distribution of direct obstetric complications and all maternal deaths by cause and region (33 countries)

From: Institutional maternal and perinatal deaths: a review of 40 low and middle income countries

 

All regions

Latin America & the Caribbeana

Sub-Saharan Africab

Asiac

 

Complications

Deaths

CFR

Complications

Deaths

CFR

Complications

Deaths

 

Complications

Deaths

CFR

 

n

%

n

%

n

%

n

%

n

%

n

%

CFR

n

%

n

%

Direct complications/causes

 Hemorrhage

183,232

26%

2902

33%

1.6%

5202

11%

50

23%

1.0%

149,093

28%

2588

33%

1.7%

28,937

26%

264

42%

0.9%

 Hypertensive disease

71,658

10%

1689

19%

2.4%

9441

19%

90

41%

1.0%

47,993

9%

1470

19%

3.1%

14,224

13%

129

21%

0.9%

 Abortion

65,594

9%

653

8%

1.0%

3837

8%

20

9%

0.5%

42,548

8%

598

8%

1.4%

19,209

17%

35

6%

0.2%

 Postpartum sepsis

16,363

2%

815

9%

5.0%

969

2%

11

5%

1.1%

13,994

3%

793

10%

5.7%

1400

1%

11

2%

0.8%

 Obstr/prolong labor

154,648

22%

773

9%

0.5%

6037

12%

7

3%

0.1%

128,099

24%

722

9%

0.6%

20,512

18%

44

7%

0.2%

 Ectopic pregnancy

13,732

2%

211

2%

1.5%

727

1%

6

3%

0.8%

10,756

2%

200

3%

1.9%

2249

2%

5

1%

0.2%

 Ruptured uterus

8727

1%

719

8%

8.2%

122

0.2%

3

1%

2.5%

7786

1%

695

9%

8.9%

819

1%

21

3%

2.6%

 Other

185,241

26%

929

11%

0.5%

22,639

46%

30

14%

0.1%

136,907

25%

786

10%

0.6%

25,695

23%

113

18%

0.4%

 Total

699,195

100%

8691

100%

1.2%

48,974

100%

217

100%

0.4%

537,176

100%

7852

100%

1.5%

113,045

100%

622

100%

0.6%

 Direct causes

  

8691

63%

   

217

82%

   

7852

61%

   

622

89%

 

 Indirect causes

  

4660

34%

   

33

13%

   

4556

35%

   

71

10%

 

 Unspecified causes

  

539

4%

   

12

5%

   

518

4%

   

9

1%

 

 TOTAL

  

13,890

100%

   

262

100%

   

12,926

100%

   

702

100%

 
  1. Note: CFR Case fatality rate; “other” direct complications included premature rupture of membranes, malpresentation, preterm labor, post-term labor, previous cesarean delivery, cord prolapse, multiple gestations and others. “Other” direct deaths include embolism, anesthesia complications, and others
  2. aIncludes Ecuador, Guyana, Haiti, Nicaragua and Panama
  3. bIncludes Benin, Gambia, Ghana, Guinea, Liberia, Mauritania, Niger, Senegal, Togo, Burundi, Djibouti, Eritrea, Ethiopia, Malawi, Mozambique, South Sudan, Zambia, Angola, Cameroon, Chad, Congo, São Tomé & Príncipe, Lesotho and Namibia
  4. cIncludes Afghanistan, Bangladesh, Cambodia and Mongolia