Mortality after near-miss obstetric complications in Burkina Faso: medical, social and health-care factors
Katerini T Storeng, Seydou Drabo, Rasmané Ganaba, Johanne Sundby, Clara Calvert & Véronique Filippi
Volume 90, Number 6, June 2012, 418-425C
Table 1. Women who died within four years of the end of a pregnancy, Burkina Faso, 2004–2009
| Case | Date of end of pregnancy | Woman’s age and no. of pregnancies at study recruitment | Marital status at recruitment | Pregnancy outcome, known medical condition | Time woman reported as lost to follow- up | Time of woman’s death after the end of pregnancy | Medical cause of deatha | Status of index child at last interview | No. of pregnancies since index pregnancy |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 26 January 2005 | 23 years, first pregnancy | Single | Near-miss complication,b live birth, hypertension | Year 4 interview | 2 years and 5 months | Hypertension, possible hypertensive stroke unrelated to pregnancy | Alive | 0 |
| 2 | 27 January 2005 | 25 years, first pregnancy | Married | Near-miss complication, live birth, infections | Year 3 interview | Unknown, 1–3 years | Unknown | Unknown | Unknown |
| 3 | 13 March 2005 | 26 years, third pregnancy | Single | Near-miss complication, early pregnancy loss, haemorrhage, infections | Year 3 interview | 2 years and 5 months | Possible traffic accident | NA | 0 |
| 4 | Around 9 February 2005 | 25 years, third pregnancy | Single | Near-miss complication, early pregnancy loss, sepsis, HIV+ | Month 12 interview | 7 months | Septic abortion with general infection complicated by organ failure, HIV infection (late pregnancy-related death) | NA | 0 |
| 5 | 17 March 2005 | 30 years, fourth pregnancy | Married | Near-miss complication, live birth, dystocia | Year 3 interview | 1 year and 2 months | Unknown | Alive | 0 |
| 6 | 26 March 2005 | 34 years, eighth pregnancy | Single | Near-miss complication, live birth, infections, HIV+ | Month 3 interview | 35 days | Tuberculosis, HIV infection (late pregnancy-related death) | Dead at 28 days, possible intrauterine growth retardation | 0 |
| 7 | 30 December 2004 | 30 years, first pregnancy | Single | Near-miss complication, perinatal death, infections | Year 3 interview | 2 years and 12 months | Sepsis, organ failure, HIV/AIDS | NA | 0 |
| 8 | 26 January 2005 | 23 years, second pregnancy | Cohabiting (polygamy) | Near-miss complication, perinatal death, hypertension | Year 3 interview | Between 1 and 3 years (the date provided was unlikely) | Essential hypertension, possible HELLP syndrome, maternal death in new pregnancy (possibly pregnancy-related) | NA | 1 |
| 9 | 2 March 2005 | 40 years, sixth pregnancy | Married (polygamy) | Uncomplicated birth | Year 4 interview | Around 4 years | Tuberculosis, HIV/AIDS, organ failure | Alive at year 3 interview | 0 |
| 10 | 25 February 2005 | 32 years, sixth pregnancy | Married (polygamy) | Near-miss complication, early pregnancy loss, haemorrhage | Year 3 interview | 1 year and 6 months | Septic abortion, organ failure, maternal death in new pregnancy | NA | 1 |
| 11 | 15 March 2005 | 26 years, eighth pregnancy | Married (polygamy) | Near-miss complication, live birth, anaemia | Month 3 interview | 2 months | Anaemia, possible immune problems, possible sepsis, (late pregnancy-related death) | Dead at 5 months | 0 |
| 12 | 7 March 2005 | 30 years, fourth pregnancy | Married (polygamy) | Near-miss complication, early pregnancy loss, haemorrhage, infections, organ failure | Year 3 interview | 3 years | Caesarean complication involving haemorrhage, suture failure and subsequent infection, maternal death in new pregnancy | NA | 2 |
| 13 | 23 December 2004 | 29 years, fourth pregnancy | Married | Uncomplicated birth | Year 4 interview | Between 3 and 4 years | Malaria | Alive at verbal autopsy in 2010 | 0 |
| 14 | 25 December 2004 | 38 years, seventh pregnancy | Married (polygamy) | Near-miss complication, perinatal death, infections | Year 3 interview | 2 years and 1 month | Chronic infection possibly related to tuberculosis, sepsis, renal failure | NA | 0 |
| 15 | 10 January 2005 | 26 years, second pregnancy | Cohabiting (polygamy) | Uncomplicated birth | Year 3 interview | 2 years and 4 months | Sepsis with chronic infection or immune dysfunction, possibly related to HIV infection | Alive at verbal autopsy interview | 0 |
| 16 | 19 January 2005 | 17 years, first pregnancy | Single | Near-miss complication, perinatal death, anaemia | Month 6 interview | 4 months | Infections (late pregnancy-related death) | NA | 0 |
| 17 | 19 February 2005 | 25 years, second pregnancy | Married | Near-miss complication, live birth, sepsis, HIV+ | Month 3 interview | 40 days | Possible anaemia (late pregnancy-related death) | Dead at 15 months | 0 |
| 18 | 23 February 2005 | 29 years, fourth pregnancy | Married | Uncomplicated birth | Year 4 interview | Unknown, 1–3 years | Unknown | Alive at year 2 interview | 0 |
| 19 | 10 March 2005 | 27 years, third pregnancy | Married | Uncomplicated birth | Year 4 interview | 3 years and 11 months | Tuberculosis or possible HIV infection | Alive at verbal autopsy interview | 1 |
| 20 | 22 February 2005 | 18 years, first pregnancy | Cohabiting | Near-miss complication, live birth, pre-eclampsia | Month 6 interview | Unknown, within 6 months | Coma, possible eclampsia (late pregnancy-related death) | Alive at verbal autopsy interview | 0 |
AIDS, acquired immunodeficiency syndrome; HIV human immunodeficiency virus; NA, not applicable.
a The medical cause of death was determined from verbal autopsy data, medical records and reports of medical examinations.
b A near-miss complication is a severe obstetric complication that would probably have killed the woman had she not received timely medical care.