Avoidable factors associated with maternal death from postpartum haemorrhage: a national Malawian surveillance study
Our analysis represents the largest published review of maternal deaths from PPH. We demonstrate that key health system weaknesses are contributing to these preventable maternal deaths. Case reviews conducted by multidisciplinary facility-based teams identified common and recurrent avoidable factors associated with deaths from PPH. Global efforts must now be focused on strategies that address these weaknesses, strengthening health systems and empowering healthcare workers to reduce maternal deaths from PPH.
Authors
- Marthe Onrust (ORCID: https://orcid.org/0000-0001-7813-2917)
- Jennifer Riches (ORCID: https://orcid.org/0000-0003-4727-1767)
- Fannie Kachale (ORCID: https://orcid.org/0000-0003-4489-2613)
- James Jafali
- Annie Kuyere
- Abi Merriel (ORCID: https://orcid.org/0000-0003-0352-2106)
- Deborah Phiri (ORCID: https://orcid.org/0000-0001-7249-6031)
- Lumbani Makhaza
- Laura Munthali (ORCID: https://orcid.org/0000-0002-1871-6344)
- Maria Lisa Odland (ORCID: https://orcid.org/0000-0003-4340-7145)
- Rosemary Bilesi
- Chifundo Ndamala (ORCID: https://orcid.org/0000-0002-9710-226X)
- Hussein H. Twabi (ORCID: https://orcid.org/0000-0003-4473-296X)
- Luis Gadama
- Regina Makuluni (ORCID: https://orcid.org/0000-0001-9368-5456)
- Yamikani Chimwaza (ORCID: https://orcid.org/0000-0003-1563-341X)
- D. Lissauer (ORCID: https://orcid.org/0000-0002-7878-2327)
- Arri Coomarasamy (ORCID: https://orcid.org/0000-0002-3261-9807)
- Owen Musopole
- Catriona Waitt
Institutions
- University of Liverpool (GB)
- Norwegian University of Science and Technology (NO)
- Malawi-Liverpool-Wellcome Trust Clinical Research Programme (MW)
- Kamuzu Central Hospital (MW)
- Liverpool Women's Hospital (GB)
- Malawi Government (MW)
- Infectious Diseases Institute (UG)
- Ministry of Health (MW)
- Kamuzu University of Health Sciences (MW)
- Makerere University (UG)
- University of Birmingham (GB)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-015781
- Citations
- 5
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 13.98
Funders
- Bill and Melinda Gates Foundation
- Wellcome Trust
- National Institute for Health and Care Research
- Medical Research Council