Maternal and Perinatal morbidity: Baseline Preliminary results

Jobiba ChinkhumbaBjarne Robberstad

Objectives

• To describe baseline maternal and perinatal morbidity/ complications in four study districts

• To estimate cost of care for common maternal/perinatalcomplications

How we obtained information

• Standard clinical definition of complications read to each woman

• Woman responded “Yes” if she experienced consistent symptoms/ signs during last pregnancy

• Complication cross-checked with medical diagnosis in health passports/ discharge slips where possible

Results

• N= 1887 : Complete data

• 36% (676): Ever experienced a

complication during past pregnancy

• 25% (414) : One or more complications

during Antenatal period

• 20% (374) : One or more complications

during delivery

Antenatal complications (%)

0

5

10

15

20

25

30

3534

23

17

8 7 73 1

ANC complications by district (%)

Balaka

N=140

Dedza

N=119

Mchinji

N=118

Ntcheu

N=96

Hypertension 35 29 41 32

Abortion 21 29 24 21

Anaemia 22 17 16 10

Hyperemesis

gravidarum 7 5 9 15

Premature draining 5 10 2 12

Antepartam

Haemorrhage 6 7 5 8

Intrauterine death 3 2 4 2

Eclampsia 1 3 0 0

ANC complications by place of birth (%)

05

10152025303540

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Facility

Delivery complications (%)

28

18

13 12 11 10

52 1

N=374

Delivery complications by District (%)Balaka Dedza Mchinji Ntcheu

N=113 N=105 N=89 N=67Post partum

haemorrhage 12 13 24 28

Prolonged Labour 40 24 21 21

Asphixia 1 0 3 4

Nenatal sepsis 8 11 17 4

Prematurity 11 14 15 6

Maternal sepsis 8 16 10 21

Stillbirth 13 13 7 9

Raptured Uterus 6 7 3 4

Deformity 2 1 0 1

Delivery complications by place of birth (%)

0

5

10

15

20

25

30

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Facility

Thank you