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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Puerperal sepsis, the leading cause of maternal deaths at a Tertiary University Teaching Hospital in Uganda
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, August 2016
|
| DOI | 10.1186/s12884-016-0986-9 |
| Pubmed ID | |
| Authors |
Joseph Ngonzi, Yarine Fajardo Tornes, Peter Kivunike Mukasa, Wasswa Salongo, Jerome Kabakyenga, Masembe Sezalio, Kristien Wouters, Yves Jacqueym, Jean-Pierre Van Geertruyden |
| Abstract |
Maternal mortality is highest in sub-Saharan Africa. In Uganda, the WHO- MDG 5 (aimed at reducing maternal mortality by 75 % between 1990 and 2015) has not been attained. The current maternal mortality ratio (MMR) in Uganda is 438 per 100,000 live births coming from 550 per 100,000 in 1990. This study sets out to find causes and predictors of maternal deaths in a tertiary University teaching Hospital in Uganda. The study was a retrospective unmatched case control study which was carried out at the maternity unit of Mbarara Regional Referral Hospital (MRRH). The sample included pregnant women aged 15-49 years admitted to the Maternity unit between January 2011 and November 2014. Data from patient charts of 139 maternal deaths (cases) and 417 controls was collected using a standard audit/data extraction form. Multivariable logistic regression analysis was used to assess for the factors associated with maternal mortality. Direct causes of mortality accounted for 77.7 % while indirect causes contributed 22.3 %. The most frequent cause of maternal mortality was puerperal sepsis (30.9 %), followed by obstetric hemorrhage (21.6 %), hypertensive disorders in pregnancy (14.4 %), abortion complications (10.8 %). Malaria was the commonest indirect cause of mortality accounting for 8.92 %. On multivariable logistic regression analysis, the factors associated with maternal mortality were: primary or no education (OR 1.9; 95 % CI, 1.0-3.3); HIV positive sero-status (OR, 3.6; 95 % CI, 1.9-7.0); no antenatal care attendance (OR 3.6; 95 % CI, 1.8-7.0); rural dwellers (OR, 4.5; 95 % CI, 2.5-8.3); having been referred from another health facility (OR 5.0; 95 % CI, 2.9-10.0); delay to seek health care (delay-1) (OR 36.9; 95 % CI, 16.2-84.4). Most maternal deaths occur among mothers from rural areas, uneducated, HIV positive, unbooked mothers (lack of antenatal care), referred mothers in critical conditions and mothers delaying to seek health care. Puerperal sepsis is the leading cause of maternal deaths at Mbarara Regional Referral Hospital. Therefore more research into puerperal sepsis to describe the microbiology and epidemiology of sepsis is recommended. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 2 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 412 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 412 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 83 | 20% |
| Student > Bachelor | 50 | 12% |
| Student > Postgraduate | 34 | 8% |
| Researcher | 24 | 6% |
| Student > Ph. D. Student | 19 | 5% |
| Other | 63 | 15% |
| Unknown | 139 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 119 | 29% |
| Nursing and Health Professions | 66 | 16% |
| Social Sciences | 16 | 4% |
| Agricultural and Biological Sciences | 9 | 2% |
| Business, Management and Accounting | 7 | 2% |
| Other | 55 | 13% |
| Unknown | 140 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 May 2018.
All research outputs
#13,986,187
of 22,882,389 outputs
Outputs from BMC Pregnancy and Childbirth
#2,632
of 4,210 outputs
Outputs of similar age
#210,250
of 366,897 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#62
of 96 outputs
Altmetric has tracked 22,882,389 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,210 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 35th percentile – i.e., 35% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 366,897 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 96 others from the same source and published within six weeks on either side of this one. This one is in the 34th percentile – i.e., 34% of its contemporaries scored the same or lower than it.