Analysis of Maternal Deaths Occurring in Tambacounda Region (Senegal) During 2023

<i>Introduction:</i> Maternal mortality remains a significant public health challenge in developing countries like Senegal, particularly in the Southeast regions. The objective of this study was to determine the epidemiological, clinical, and paraclinical profile of maternal deaths recorded in the Tambacounda region during the year 2023. <i>Methodology:</i> This was a retrospective and descriptive study. Data were collected using Excel 2007 and pertained to sociodemographic characteristics, obstetric histories, clinical parameters, paraclinical data, and outcomes. The analysis was performed using R software version 4.4.1. <i>Results:</i> In 2023, a total of 115 maternal deaths were recorded, equivalent to 284 deaths per 100,000 live births. Among these deaths, 113 were analyzed, with 61.1% occurring in the regional hospital. The age group most affected was 20-24 years, representing 31.1% of cases, and 30.1% of the women were primigravida. Approximately 27.4% of women did not receive prenatal care, 42.5% did not undergo biological assessments, and 43.4% did not have ultrasounds. While 43.4% did not have a partogram, 30.1% of the women had not given birth at the time of death, which occurred during the second trimester in 38.9% of cases, followed by the third trimester at 30.7%. Preeclampsia/eclampsia was the leading cause of death, accounting for 19.5%. Deaths were deemed avoidable in 28.3% of cases, but a large proportion (69.9%) was not assessed. <i>Conclusion:</i> This study reveals a high maternal mortality rate (284 deaths per 100,000 live births) in the Tambacounda region, especially among women aged 20 to 24 years (31.1%) and primigravida (30.1%), with deficiencies in prenatal care and examinations. The early detection and referral of pregnant women with gynecological-obstetric morbidity factors must be strengthened.