International Journal of Advanced Research and Publications (2456-9992)

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Impact Of The High Risk Pregnancy Approach (HRPA) On Maternal Mortality In Low Income Countries

Volume 6 - Issue 4, April 2023 Edition
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Atemkeng TF1&, Fondop J2, Fouogue J2, Donfack JH2, , Banga NDD2, Djam CA2, Fouedjio J3, Mbu RE4, Leke JI4
Pregnancy, Risk, Delivery, Maternal mortality, Yaounde
A High Risk Pregnancy (HRPA) is one in which one or more factors expose the mother and/or the foetus to a very high probability of morbidity or mortality before, during or after childbirth. The best management of this type of pregnancy requires scrupulous compliance with the so-called HRPA which is essentially a preventive method. To assess the impact of the HRPA on maternal mortality in order to know if this approach can significantly reduce the current maternal death rates, a prospective and analytical study was conducted at the Central Hospital of Yaounde over a period of 10 months, from February to November 1998. During the study, 96 parturients were received and followed up until postpartum, at the HRPA Program and 2,647 deliveries were also recorded at the Main Maternity, making a total of 2,743 deliveries. Grand multiparity was the most encountered risk, with 29.17%. Complications from abortions were the most common cause of death at 28.57%. Proper application of the HRPA approach could, in fact, reduce the maternal mortality rate by up to 53.57%.
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