alexa Maternal deaths associated with hypertension in South Africa: lessons to learn from the Saving Mothers report, 2005-2007.


Journal of Hypertension: Open Access

Author(s): Moodley J National Commi, National Department ofHeal, South Africa

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Abstract From 2005-2007, there were 622 deaths associated with hypertensive disorders of pregnancy. Eclampsia was the major cause of death (n = 344; 55.3\%). There were 173 (28.3\%) deaths due to pre-eclampsia, and 38 (6.1\%) associated with chronic hypertension. Cerebral complications were the final cause of death in 283 (45.5\%), while cardiac failure and respiratory failure were the final causes in 142 (22.8\%) and 158 (25.4\%), respectively. Major problems were identified in all areas of assessment. Non-attendance for antenatal care (n = 106; 19.4\%) and delay in seeking help (n = 106; 19.4\%) were major patient-related factors. Communication problems (n = 63; 10.8\%) and lack of facilities (n = 50; 8.5\%) were health administration issues. Health worker-avoidable factors included problem recognition, delay in referral and management at an inappropriate level of healthcare. Compared to the previous report of 2002-2004, there was a reduction in deaths due to hypertension.
This article was published in Cardiovasc J Afr and referenced in Journal of Hypertension: Open Access

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