Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Maternal death investigation, Greenville District, Sinoe County, Liberia, January 2017

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 12. doi:10.11604/pamj.cp.2017.3.12.104

Submitted: 04 Oct 17   Accepted: 04 Oct 17   Published: 16 Oct 17

Key words: Maternal mortality, Greenville, Sinoe county, maternal services, pregnancy complications

© Vivian Doedeh et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/12/abstract

Corresponding author: Joseph Asamoah Frimpong, Liberia Field Epidemiology Training Program, Monrovia, Liberia (asamoah.frimpong@gmail.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Maternal death investigation, Greenville District, Sinoe County, Liberia, January 2017

Vivian Doedeh1, Maame Amo-Addae1, Joseph Asamoah Frimpong1,&, Lily Sanvee Blebo1, Faith Kamara1

 

1Liberia Field Epidemiology Training Program, Monrovia, Liberia

 

 

&Corresponding author
Joseph Asamoah Frimpong, Liberia Field Epidemiology Training Program, Monrovia, Liberia

 

 

Abstract

Introduction: in 2015, the World Health Organization estimated 1072 maternal mortalities per 100,000 live births in Liberia. Approximately 830 women die of pregnancy or complications of pregnancy and child birth daily worldwide. Maternal death in Liberia is a priority event, requiring reporting and investigation within 48 hours. We investigated a maternal death of a woman which occurred on 26th January, 2017 at the FJ Grant Hospital in Greenville, to describe the event and establish the cause of death for appropriate public health action. Maternal services in Liberia are free.

 

Methods: Greenville, capital City of Sinoe County has a population of 24,800. The investigation started on January 27, 2017. We reviewed medical records of the deceased, conducted interviews with community leaders, friends, parents and medical staff. Public Health actions were taken based on findings.

 

Results: the deceased was 41-year old, gravida 13 para 10 at 14 weeks. Two weeks prior to her death (January 11), she started experiencing mild bleeding per vaginam with lower abdominal pain. She received first aid at the Kilo Community Clinic and was referred to FJ Grant Hospital but her husband declined to honor the referral, choosing home treatment with herbs until January 25 when bleeding became profuse and she collapsed. Evacuation of uterus was done at the hospital to stop the bleeding. She was transfused with the only a pint of blood available, donated by the doctor on duty, after all family members had declined to donate blood. She died the following day, January 26.

 

Conclusion: the likely cause of death was hemorrhagic shock from incomplete abortion. Contributing factors were: delay in seeking health care, poor family support, and non-availability of a blood bank at the referral hospital. We educated the community members on family support for the pregnant woman and recommended to the County Health Team to set up a functional blood.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)