Analysis of Maternal Death Occurred in the Immediate Postpartum Period

Background: Immediate postpartum period is defined as the first 24 hours following delivery, this is the most critical period for maternal survival. Objective: To analyze key sociodemographic and clinical factors of maternal deaths occurring in the immediate postpartum. Patients and Method: This retrospective, cross-sectional study analyzes the causes and characteristics of maternal deaths occurring in the immediate postpartum period at a university hospital in N’Djamena, Chad (NMCUH). The study included all patients died in the 24 hours following the delivery. Studied variables were socio-demographic, clinical, therapeutic and prognose. To compare data, we have used statistical tests, in particular p-value (p significant when ≤5%). Results: We have recorded 60 cases of maternal death in the postpartum period among 14,479 deliveries, giving a frequency of 0.4%. Of these, only 31 patients met our inclusion criteria. The study examined 31 cases from 2023-2023. The key findings indicate that hemorrhage (41.9%) and hypertensive disorders (25.8%) were the leading causes of death, with lack of antenatal care (54.8% of cases) and referral from other facilities (74.2%) being significant contributing factors. Conclusion: Maternal mortality remains a public health problem in Chad. Sensitivity aimed at improving antenatal visits seems necessary.