title: [Maternal mortality at the Tokoin Lome University Hospital Center from 1990 to 1992].
abstract: 190 deaths of mothers per 24,668 deliveries with 21,603 live births were recorded at the Gynaecology-Obstetrics clinic of the CHU Tokoin hospital, Lome, between 1st January 1990 and 31st December 1992. Maternal mortality was estimated to be 379.5 per 100,000 live births and this incidence is increasing. The main risk factors are a low level of education, mothers less than 20 years or more than 35 years in age, first births and high multiparity. Referred patients were most frequently involved (148 deaths out of the 190 reported). The most frequent aetiological factors were haemorrhage (53 deaths), infection (50 deaths), anaemia (39 deaths) and preeclampsia (10 deaths). These factors reflect the shortcomings of the pre-natal monitoring and care provided in our health centres and hospitals. Improvement in the living conditions of women and a change in the health policy of the country could help to reduce maternal mortality rates.
authors.affiliation: Clinique de Gynécologie-Obstétrique, CHU, Tokoin, Lome.
authors.forename: K
authors.initials: K
authors.lastname: Akpadza
authors.forename: K T
authors.initials: KT
authors.lastname: Kotor
authors.forename: S
authors.initials: S
authors.lastname: Baeta
authors.forename: A
authors.initials: A
authors.lastname: Adama
authors.forename: A K
authors.initials: AK
authors.lastname: Hodonou
mesh_terms: D000328:Adult; D001723:Birth Rate; D002423:Cause of Death; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008423:Maternal Age; D008428:Maternal Mortality; D010298:Parity; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards; D012189:Retrospective Studies; D012307:Risk Factors; D014037:Togo / Q000453:epidemiology
vernacular_title: La mortalité maternelle au CHU Tokoin Lomé de 1990 à 1992.