Publications by authors named "Deborah A Phiri"

Background: Despite strong evidence-based strategies for prevention and management, global efforts to reduce deaths from postpartum haemorrhage (PPH) have failed, and it remains the leading cause of maternal mortality. We conducted a detailed review of all maternal deaths from 33 facilities in Malawi to identify health system weaknesses leading to deaths from PPH.

Methods: Data were collected regarding every maternal death occurring across all district and central hospitals in Malawi.

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Article Synopsis
  • Caesarean sections (CS) are the most common major surgery worldwide, but they pose significant risks for maternal mortality, especially in low-resource settings like Malawi, where a study reviewed maternal deaths from 2020 to 2022.
  • The study found that over half of maternal deaths (51.8%) occurred after CS, with women undergoing CS being five times more likely to die compared to those who delivered vaginally, due to causes like postpartum hemorrhage, eclampsia, and infection.
  • Health system issues contributed to these deaths, including delayed treatment and inadequate monitoring, indicating a pressing need to enhance the safety and management of CS in healthcare practices.
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