Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study

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@article{3199b3c29fee4e29b4b9a22768af89d1,
title = "Distribution of causes of maternal mortality among different socio-demographic groups in Ghana; a descriptive study",
abstract = "BACKGROUND: Ghana's maternal mortality ratio remains high despite efforts made to meet Millennium Development Goal 5. A number of studies have been conducted on maternal mortality in Ghana; however, little is known about how the causes of maternal mortality are distributed in different socio-demographic subgroups. Therefore the aim of this study was to assess and analyse the causes of maternal mortality according to socio-demographic factors in Ghana.METHODS: The causes of maternal deaths were assessed with respect to age, educational level, rural/urban residence status and marital status. Data from a five year retrospective survey was used. The data was obtained from Ghana Maternal Health Survey 2007 acquired from the database of Ghana Statistical Service. A total of 605 maternal deaths within the age group 12-49 years were analysed using frequency tables, cross-tabulations and logistic regression.RESULTS: Haemorrhage was the highest cause of maternal mortality (22.8{\%}). Married women had a significantly higher risk of dying from haemorrhage, compared with single women (adjusted OR = 2.7, 95{\%}CI = 1.2-5.7). On the contrary, married women showed a significantly reduced risk of dying from abortion compared to single women (adjusted OR = 0.2, 95{\%}CI = 0.1-0.4). Women aged 35-39 years had a significantly higher risk of dying from haemorrhage (aOR 2.6, 95{\%}CI = 1.4-4.9), whereas they were at a lower risk of dying from abortion (aOR 0.3, 95{\%} CI = 0.1-0.7) compared to their younger counterparts. The risk of maternal death from infectious diseases decreased with increasing maternal age, whereas the risk of dying from miscellaneous causes increased with increasing age.CONCLUSIONS: The study shows evidence of variations in the causes of maternal mortality among different socio-demographic subgroups in Ghana that should not be overlooked. It is therefore recommended that interventions aimed at combating the high maternal mortality in Ghana should be both cause-specific as well as target-specific.",
keywords = "Adolescent, Adult, Cause of Death/trends, Child, Confidence Intervals, Databases, Factual, Demography, Female, Ghana/epidemiology, Health Surveys, Humans, Maternal Mortality, Middle Aged, Odds Ratio, Postpartum Hemorrhage/mortality, Retrospective Studies, Social Class, Young Adult",
author = "Asamoah, {Benedict O} and Moussa, {Kontie M} and Martin Stafstr{\"o}m and Geofrey Musinguzi",
year = "2011",
doi = "10.1186/1471-2458-11-159",
language = "English",
volume = "11",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}