Postpartum maternal morbidity requiring hospital admission in Lusaka, Zambia – a descriptive study

Vallely, L., Ahmed, Y. and Murray, S. (2005) Postpartum maternal morbidity requiring hospital admission in Lusaka, Zambia – a descriptive study. BMC Pregnancy and Childbirth, 5 1. doi:10.1186/1471-2393-5-1


Author Vallely, L.
Ahmed, Y.
Murray, S.
Title Postpartum maternal morbidity requiring hospital admission in Lusaka, Zambia – a descriptive study
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2005-02-01
Sub-type Article (original research)
DOI 10.1186/1471-2393-5-1
Open Access Status DOI
Volume 5
Start page 1
Total pages 8
Place of publication London
Publisher BioMed Central
Language eng
Subject 1117 Public Health and Health Services
Abstract Information on the extent of postpartum maternal morbidity in developing countries is extremely limited. In many settings, data from hospital-based studies is hard to interpret because of the small proportion of women that have access to medical care. However, in those areas with good uptake of health care, the measurement of the type and incidence of complications severe enough to require hospitalisation may provide useful baseline information on the acute and severe morbidity that women experience in the early weeks following childbirth. An analysis of health services data from Lusaka, Zambia, is presented. Methods Six-month retrospective review of hospital registers and 4-week cross-sectional study with prospective identification of postpartum admissions. Results Both parts of the study identified puerperal sepsis and malaria as, respectively, the leading direct and indirect causes of postpartum morbidity requiring hospital admission. Puerperal sepsis accounted for 34.8% of 365 postpartum admissions in the 6-month period. Malaria and pneumonia together accounted for one-fifth of all postpartum admissions (14.5% & 6% respectively). At least 1.7% of the postpartum population in Lusaka will require hospital-level care for a maternal morbidity. Conclusions In developing country urban settings with high public health care usage, meticulous review of hospital registers can provide baseline information on the burden of moderate-to-severe postpartum morbidity.
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
 
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