Bulletin of the World Health Organization

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.