title: DETERMINANTS OF MATERNAL MORTALITY AMONG WOMEN OF REPRODUCTIVE AGE ATTENDING KISII GENERAL HOSPITAL, KISII CENTRAL DISTRICT, KENYA (JANUARY 2009-JUNE 2010).
abstract: OBJECTIVE
  To describe the causes and determinants of maternal mortality among women of reproductive age seeking healthcare services at Kisii General Hospital.
  
  
  METHODS
  Descriptive retrospective study.
  
  
  METHODS
  Kisii General Hospital which is a Level-5 Referral Hospital.
  
  
  METHODS
  Seventy-two women who had died as a result of pregnancy and childbirth related conditions who had sought obstetric services at Kisii General Hospital.
  
  
  RESULTS
  Majority 51(70.8%) of deceased did not go to hospital promptly, due to; lack of transport 22 (30.6%), lack of money 17 (23.6%), and hospital distance 8 (11.1%). About 43 (60%) of those who died were between 15-25 years of age. Hospital experiences included; delay in service provision by staff 14 (19.4%), unavailability of blood for transfusion 6 (8.3%), and lack of money for drugs 12 (16.7%). Complications which led to maternal mortality were mainly; postpartum sepsis, bleeding, hypertension and cardiovascular conditions.
  
  
  CONCLUSIONS
  Lack of lack of transport, inability to pay, delayed care seeking and lack of emergency obstetrics were the major challenges. Postpartum sepses, bleeding and pre-eclampsia were the leading complications that led to death.
authors: Jomo Kenyatta University of Agriculture & Technology, Institute of Tropical Medicine and Infectious Diseases, Nairobi, Kenya.
authors: A A
authors: AA
authors: Osoro
authors: Z
authors: Z
authors: Ng'ang'a
authors: M
authors: M
authors: Mutugi
authors: P
authors: P
authors: Wanzala
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006297:Health Services Accessibility; D006769:Hospitals, General; D006801:Humans; D007630:Kenya; D008428:Maternal Mortality; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality*; D012189:Retrospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D055815:Young Adult