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Table 3 Number of deliveries, maternal deaths, obstetric complications and referrals by complication type and facility type

From: Referral patterns through the lens of health facility readiness to manage obstetric complications: national facility-based results from Ghana

 

National total n = 977

Teaching & Regional hospitals n = 12

District hospitals n = 248

Health centers n = 439

Health clinics n = 113

Maternity homes n = 129

CHPS compounds n = 36

Deliveries n (%)

428,129

59,838

223,376

96,950

18,614

25,850

3501

(100%)

(14%)

(52%)

(23%)

(4%)

(6%)

(1%)

Total deliveries with direct obstetric complicationsa

 Admitted

38,142

9418

24,518

2932

537

644

93

 Deathsb

486

164

307

13

2

0

0

 Referred n (%)

8009 (21%)

66 (1%)

2097 (9%)

4292 (146%)

601 (112%)

858 (133%)

95 (102%)

Antepartum hemorrhage

 Admitted

3921

1191

2147

360

134

81

8

 Deaths

33

6

26

1

0

0

0

 Referred

1110 (28%)

0

277 (13%)

597 (166%)

115 (86%)

112 (138%)

9 (112%)

Postpartum hemorrhage

 Admitted

3800

625

2226

629

163

127

30

 Deaths

111

45

61

4

1

0

0

 Referred

852 (22%)

9 (1%)

159 (7%)

454 (72%)

99 (61%)

117 (92%)

14 (47%)

Retained placenta

 Admitted

2312

404

1527

279

33

66

3

 Deaths

10

0

8

1

1

0

0

 Referred

512 (22%)

0

139 (10%)

272 (97%)

39 (118%)

58 (88%)

4 (133%)

Pre-eclampsia/eclampsia

 Admitted

3496

1638

1718

95

15

25

5

 Deaths

137

52

84

1

0

0

0

 Referred

422 (12%)

1 (< 1%)

186 (11%)

172 (181%)

21 (140%)

38 (152%)

4 (80%)

Sepsis

 Admitted

489

120

302

37

12

18

0

 Deaths

60

25

35

0

0

0

0

 Referred

66 (13%)

0

24 (8%)

27 (73%)

5 (42%)

10 (55%)

0

Obstructed/ prolonged labor

 Admitted

15,489

2912

10,898

1208

132

297

42

 Deaths

14

2

11

1

0

0

0

 Referred

4220 (27%)

53 (2%)

1066 (10%)

2298 (190%)

256 (194%)

491 (165%)

56 (133%)

Uterine rupture

 Admitted

440

134

304

2

0

0

0

 Deaths

36

11

25

0

0

0

0

 Referred

28 (6%)

0

25 (8%)

3 (150%)

0

0

0

Ectopic pregnancy

 Admitted

2176

983

1170

11

8

4

0

 Deaths

15

6

9

0

0

0

0

 Referred

117 (5%)

3 (< 1%)

79 (7%)

22 (200%)

6 (75%)

7 (175%)

0

Abortion complications

 Admitted

6019

1411

4226

311

40

26

5

 Deaths

70

17

48

5

0

0

0

 Referred

682 (11%)

0

142 (3%)

447 (144%)

60 (150%)

25 (96%)

8 (160%)

  1. aTotal deliveries with direct obstetric complications do not include 14,208 women who fell into the category of “other direct obstetric complications”
  2. bInstitutional direct maternal deaths do not include 107 due to “other direct causes”