caa a22 4500 445307323 CHVBK 20180317142617.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1780-y doi (NATIONALLICENCE)springer-10.1007/s00404-010-1780-y A comprehensive and integrated project to improve reproductive health at Oyam district, northern Uganda: insights from maternal death review at the district hospital [Elektronische Daten] [Edgardo Somigliana, Alice Sabino, Christa Schrettenbrunner, Richard Nkurunziza, Emmy Okello, Fabio Manenti] Purpose: To perform a district hospital-based maternal death review aimed at assessing the benefits and limits of an integrated and comprehensive project for reproductive health in Oyam district, northern Uganda. Methods: From April 01, 2009 to March 31, 2010, all cases of maternal death occurring in the hospital were prospectively recorded using a specific questionnaire. A clinical review of these maternal deaths was systematically done. The hospital is located in a rural area and it offers the possibility to perform cesarean sections, obstetrics ultrasounds, and blood transfusions. No emergency room and pathological services are available. Results: Seventeen cases were recorded. Thirteen (76%) were classified as direct obstetrics deaths (post-partum hemorrhagia in five cases, unsafe abortion in five cases, eclampsia in two cases and ante-partum hemorrhagia for placenta previa in one case). The remaining cases (n=4, 24%) were indirect obstetrics deaths (meningitis HIV-related in two cases, cardiopathy in one case and cerebral malaria in one case). An important negligence of the health staff of the health centers was evident in three cases. The availability of an emergency room service was estimated to potentially prevent death in six cases. Conclusions: Three main targets for future interventions were identified: improving the quality of assistance in the health centers, implementing an emergency room service in the hospital and counteract unsafe abortion. Springer-Verlag, 2010 Maternal death nationallicence Reproductive health nationallicence Low-income country nationallicence Somigliana Edgardo Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy aut Sabino Alice Doctors with Africa CUAMM, Padova, Italy aut Schrettenbrunner Christa Doctors with Africa CUAMM, Padova, Italy aut Nkurunziza Richard Doctors with Africa CUAMM, Padova, Italy aut Okello Emmy John's Pope Hospital, Aber, Oyam District, Uganda aut Manenti Fabio Doctors with Africa CUAMM, Padova, Italy aut Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 645-649 0932-0067 283:3<645 2011 283 404 https://doi.org/10.1007/s00404-010-1780-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1780-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Somigliana Edgardo Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy aut NATIONALLICENCE 700 1- Sabino Alice Doctors with Africa CUAMM, Padova, Italy aut NATIONALLICENCE 700 1- Schrettenbrunner Christa Doctors with Africa CUAMM, Padova, Italy aut NATIONALLICENCE 700 1- Nkurunziza Richard Doctors with Africa CUAMM, Padova, Italy aut NATIONALLICENCE 700 1- Okello Emmy John's Pope Hospital, Aber, Oyam District, Uganda aut NATIONALLICENCE 700 1- Manenti Fabio Doctors with Africa CUAMM, Padova, Italy aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 645-649 0932-0067 283:3<645 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer