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12.MaternalMortalityin Th Reference Three R f Hospitals H it l i in Yaound Cameroon Yaound, Cameroon.

MortalitmaternellealaMaternit p deYaound:EtudeRtrospective p de Principal 5ans(2001 2006) MortalitMaternelleal l HpitalGeneral deYaound:EtudeRtrospectivede5ans ( (2001 2006) ) MortalitMaternellealHpital l Hpital UniversitairedeYaound:Etude Rtrospectivede5ans(2001 2006)

Objective:
Theabovethreearticlesonmaternal y,ap powerfulindicatorofthe mortality, socioeconomicdevelopmentandstandardof healthofanation nation,intendedtodetermine maternalmortalityratioover5yearsinthree R f Referral lH Hospitals, it l C Cameroon:

Method:
Aworkingquestionnaireconsistingof g p characteristicsofp patients, sociodemographic qualityofANC,totalnumberofbirthsand deaths cause(s)ofdeathandtimeofdeath deaths, afteradmissionwasfilledfrommedicalfiles obtainedfromlabourwardregisters registers,hospital andrecorddepartmentbetweenJanuary2001 toDecember2006.DataanalysisbyEPIinfo 2000.

H.C.Y MMR DirectCauses Haemorrhage Infection HDP Anaesthetic accidents id t Indirectcauses HIV/AIDS Malaria Si kl cell Sickle llanaemia i Anaemia Pulmonary embolism unknown 1106 5(355.8) 1106.5 (355 8) (66.8%) 40.1% 13.9% 11.7% 1.1% (27.2%) 14.9% 12.3%

H.G.Y 224 3(196 9) 224.3(196.9) (77.8%) 22.2% 11.1% 33.4% 11.1% (22.2%) 11.1% 11.1%

C.H.U 365(328.7) (328 7) (89.7%) (56.4%) 17.9% 15.4% (10.3%) 5.15% 5.15%

OtherCharacteristics;
26%deathsinfirsttrimester( p pregnancy) p g y) abortions/ectopic 26%deathsintrapartum 48%d deaths h postpartum Mostreferredcasesdiedbasically yon admission

Conclusion:
IncreasingMMRinReferenceHospitalsin Yaound Samecausesofdeathsbuthigherin proportion HIV/AIDSbecomingmostprominent infectiouscauseofdeath.

Recommendation:NewHolisticInterventionApproach Approach.

Activecommunityparticipationinreproductive healthcarematters Improvedlivingconditionofpopulation A Accessibility ibili and dutilization ili i of freproductive d i healthservicesincludingfamilyplanningservice Medicalaudit N ti wide Nation id application li ti of femergencyobstetric bt ti carephilosophy

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