Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 3

Impact of the High Risk Pregnancy Approach (HRPA) on Maternal Mortality in Low Income Countries

Atemkeng TF1*, Fouogue J1, Donfack JH1, Fondop J1, Banga NDD1, Djam A1, Fouedjio J2, Mbu RE3 and Leke JI3

1Teacher, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon
2Professor, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon
3Professor, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon

*Corresponding Author: Atemkeng TF, Teacher, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Received: January 18, 2023; Published: February 08, 2023

Abstract

A high-risk pregnancy (G.A.R.E.) is one where one or more factors expose the mother and/or fetus to a very high probability of morbidity or mortality before, during or after delivery. The best management of this type of pregnancy requires scrupulous compliance with the so-called G.A.R.E. approach, which is an essentially preventive method. To assess the impact of the G.A.R.E. approach on maternal mortality in order to determine whether this approach can significantly reduce current maternal death rates, a prospective and analytical study was conducted at the Central Hospital of Yaoundé over a period of 10 months, from February to November 1998. During the study, 96 parturient were received and followed up until postpartum, in the G.A.R.E. service and 2647 deliveries were also registered at the Main Maternity Hospital, for a total of 2743 deliveries. Greater multiparity was the most encountered risk, at 29.17%. Complications from abortion were the most common causes of death at 28.57%. The successful application of the GARE approach could reduce the maternal mortality ratio by up to 53.57 per cent.

 Keywords: Pregnancy; Risk; Maternal Mortality; Yaoundé; Childbirth

References

  1. Alkena L., et al. “Global, regional and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-agency Group”. Lancet10017 (2016): 462-474.
  2. Patton GC., et al. “Global patterns of mortality in young people: a systematic analysis of population health data”. Lancet 374 (2009): 881-892.
  3. Saucedo M., et al. “Epidemiology of maternal mortality in France, 2007-2009”. Journal of Obstetrics Gynecology and Reproductive Biology7 (2013): 613-627.
  4. Say L., et al. “Global causes of maternal death: A WHO systematic Analysis”. Lancet Global Health6 (2014): 323-333.
  5. Fomulu FJN., et al. “Maternal mortality at the Maternity Unit of the Center Hospitalier et Universitaire de Yaoundé, Cameroon: 5-year retrospective study (2002-2006)”. Health Sciences and Diseases1 (2009).
  6. Kamga DVT., et al. “Contribution of abortions and ectopic pregnancies in maternal mortality in university hospitals in Yaoundé”. The Pan African Medical Journal 27 (2017).
  7. Angue R. “Discontinuity between prenatal care and childbirth care: Comparative study between Gabon and Cameroon, DESS dissertation, Yaoundé”. (2005): 73.
  8. Tekam F. “Maternal mortality: Cameroon slips away from the Millennium Development Goal” (2013).

Citation

Citation: Atemkeng TF., et al. “Impact of the High Risk Pregnancy Approach (HRPA) on Maternal Mortality in Low Income Countries”.Acta Scientific Medical Sciences 7.3 (2023): 59a-64.

Copyright

Copyright: © 2022 Atemkeng TF., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


Contact US