TableĀ 4

Recommendations made by maternal death audit committees

Management of obstetric complicationsPopulation sensitisation on
  • Reinforce postoperative follow-up

  • Close monitoring after anaesthesia injection

  • Reinforce post-partum follow-up

  • Reinforce the use of partograph

  • Reinforce hygienic measures in the post-operative period

  • Reinforce follow-up for patient admitted for obstetrical pathology

  • Reinforce quality of ANC

  • Adhere to protocols

  • Close follow-up in case of blood transfusion

  • Reinforce HIV patient follow-up by including home visit

  • Reinforce preoperative preparation

  • Consulting health facility on time

  • Complying with medical advice and treatment

  • Use of mosquito net by pregnant women

  • Delivering at a health facility

  • Improving hygiene especially in the post-partum period

  • Not relying on traditional medicine

  • Preparing for delivery and buying their medical insurance

Availability of medicines and infrastructureHuman resources
  • Ensure the availability of blood, especially Rhesus negative

  • Avail emergency kits, laboratory test

  • Avail resuscitation materials and anaesthesia equipment

  • Avail intravenous antihypertensive treatment

  • Refer patient in a critical condition to the ICU

  • Training on emergency obstetric and neonatal care, especially on surgery

  • Increase number of health providers

  • Hire an anaesthesia technician

  • Training on resuscitation procedures

Referral systemCommunication
  • Refer patient with complications on time to a higher level

  • Provide adequate pretransfer treatment

  • Avail more ambulances

  • Reinforce communication among staff and between departments within the hospital

  • Reinforce communication between health facilities

  • Reinforce communication between health providers and patients

  • ANC, antenatal care; ICU, intensive care unit.