Trends on Maternal Mortality in the Republic of Benin and Comparison with the Neighboring Countries

  • Romeo Konnon Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology
  • Said Semyatov Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology
  • Muhammednazar Soyunov Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology
  • Zalina Sokhova Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology
  • Tatevik Zulumyan Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology
Keywords: maternal mortality ratio, adolescent pregnancy, haemorrhage, pre-eclampsia/eclampsia, the Republic of Benin

Abstract

The maternal mortality ratio in the Republic of Benin in 2015 was still high – 405 per 100,000 live births. The delay in consultation and timely treatment, unavailability of medical facilities and lack of skilled care are the principal factors contributing to maternal deaths in Benin. Consequently, the rate of such preventable causes of maternal deaths like obstetric haemorrhage (38.40 percent and pre-eclampsia/eclampsia (14.30 percent) remains high in the country, and even HIV continued being one of the indirect causes of maternal deaths in 2017 – one percent. High rate of complications associated with pregnancy and birth in adolescent girls is another cause of maternal deaths in the Republic of Benin. Despite the efforts of the Government aimed at improving health care, it is unlikely that we will achieve the United Nations Sustainable Development Goals 3.1. – the reduction of maternal mortality ratio to less than 70 per 100,000 live births by 2030.

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Author Biographies

Romeo Konnon, Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology

Moscow, Russian Federation. E-mail: konnon_s@pfur.ru.

Said Semyatov, Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology

Moscow, Russian Federation. E-mail: semyatov_sm@pfur.ru.

Muhammednazar Soyunov, Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology

Moscow, Russian Federation. E-mail: soyunov_ma@pfur.ru.

Zalina Sokhova, Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology

Moscow, Russian Federation. E-mail: sokhova_zm@pfur.ru.

Tatevik Zulumyan, Peoples’ Friendship University of Russia (RUDN University), Medical Institute, Department of Obstetrics and Gynecology with the course of perinatology

Moscow, Russian Federation. E-mail: zulumyan_tn@pfur.ru.

References

Althabe, F., Moore, J. L., Gibbons, L., et al. (2015) Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network’s Maternal Newborn Health Registry study, Reproductive Health, 12 (Suppl. 2), S8, doi: 10.1186/1742-4755-12-S2-S8.

Aden, J. A., Ahmed, H. J. & Östergren, P. O. (2019) Causes and contributing factors of maternal mortality in Bosaso District of Somalia. A retrospective study of 30 cases using a Verbal Autopsy approach, Global Health Action, 12(1), 1672314, doi:10.1080/16549716.2019.1672314.

Ayosso, A (2019) Grossesses en milieu scolaire au Bénin: 1122 cas enregistrés au cours de l’année 2018-2019, retrieved from: https://www.24haubenin.info/?1-122-cas-enregistres-au-cours-de-l-annee2018-2019 (22 June 2020).

Batist, J. (2019) An intersectional analysis of maternal mortality in Sub-Saharan Africa: a human rights issue, Journal of global health, 9(1), 010320, doi: 10.7189/jogh.09.010320.

Cecatti, J.G., Correa-Silva, E.P., Milanez, H. et al. (2008) The associations between inter-pregnancy interval and maternal and neonatal outcomes in Brazil, Maternal and Child Health Journal, 12(2), pp. 275-281, doi:10.1007/s10995-007-0219-y.

Darroch, J. E., Woog, V., Bankole, A. et al. (2016) Adding it up: costs and benefits of meeting the contraceptive needs of adolescents (New York: Guttmacher Institute), pp. 6, 10, retrieved from: https://www.guttmacher.org/report/adding-it-meeting-contraceptive-needs-of-adolescents (2 October 2020).

EDSB-V (Cinquième Enquête Démographique et de Santé au Bénin) 2017-2018 (2018) Ministère du Plan et du Développement. Institut National de la Statistique et de l’Analyse Économique (INSAE) – Cotonou – Bénin. ICF, Rockville – Maryland – USA, pp. 7, 16-20.

Evaluation rapide des besoins en soins obstétricaux et néonataux d’urgence (SONU) au Bénin en 2016 (2016) République du Bénin. Ministère de la santé. Direction de la santé de la mère et de l’enfant, pp. 54, 55.

Ganchimeg, T., Ota, E., Morisaki, N. et al (2014) Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study, BJOG, 121(1), pp. 40-48, doi:10.1111/1471-0528.12630.

Neal, S., Matthews, Z., Frost, M., et al. (2012) Childbearing in adolescents aged 12-15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries, Acta Obstetricia et Gynecologica Scandinavica, 91(9), pp. 1114-1118, doi:10.1111/j.1600-0412.2012.01467.x.

Odette, K.M., Moise, K.K., Blood, B.N.D., et al. (2017) Etiologies of maternal mortality in the Provincial Hospital Janson Sendwe in Lubumbashi (DR. Congo). Open Access Library Journal, 4(3), e3502, retrieved from: https://doi.org/10.4236/oalib.1103502 (25 June 2020).

Plan international (2018) Causes et conséquences des grossesses précoces,Report du 15 juin 2018, retrieved from: https://www.plan-international.fr/info/actualites/news/2016-09-23-causeset-consequences-des-grossesses-precoces (24June 2020).

Romanenko, T. G. & Sulimenko, O. M. (2020) Prevention of preeclampsia in women with multiple pregnancy after assisted reproduction, Wiadomosci Lekarskie, 73(3), pp. 494-497.

Say, L., Chou, D., Gemmill, A. et al. (2014) Global Causes of Maternal Death: A WHO Systematic Analysis, Lancet Global Health, 2(6), p. e323-e333, doi: S2214-109X(14)70227-X.

Smith, R., Ashford, L., Gribble, J. et al. (2009) Family planning saves lives. Population Reference Bureau, In: Report. Fourth Edition(Washington), p. 5.

Umar, A.S.&Kabamba, L. (2016) Maternal Mortality in the Main Referral Hospital in Angola, 2010-2014: Understanding the Context for Maternal Deaths Amidst Poor Documentation, International Journal of Maternal and Child health and AIDS, 5(1), pp. 61-71.

UNESCO (United Nations Educational, Scientific and Cultural Organization) (2017) Early and unintended pregnancy & the education sector. Evidence review and recommendations (Paris), p. 13.

UNFPA (United Nations Population Fund) (2015) Girlhood, not motherhood: Preventing adolescent pregnancy. A guidance document (New York), p. 7-8.

UNFPA (United Nations Population Fund) (2017) Adolescents and youth dashboard – Benin, retrieved from: https://www.unfpa.org/data/adolescent-youth/BJ (22 June 2020).

Uzabakiriho, B.& Maswime, S. (2019) Causes of maternal death at Natalspruit Hospital. Johannesburg, South Africa, South African Medical Journal, 109(6), pp. 412-414, doi:10.7196/SAMJ.2019.v109i6.13215.

World Bank (2017) Economic impacts of child marriage: Global synthesis brief (Washington), pp. 1, 4.

World Bank (2018) Adolescent fertility rate (births per 1,000 women ages 15-19) 1960-2018 – Benin, World, retrieved from: https://data.worldbank.org/indicator/SP.ADO.TFRT?end=2018&locations=BJ1W&start=1993 (27 June 2020).

WHO (World Health Organization) Health statistics and information systems: Maternal mortality ratio (per 100 1000 live births), retrieved from: https://www.who.int/healthinfo/statistics/indmaternalmortality/en/ (18 June 2020).

WHO (World Health Organization) (2007) Report of a WHO technical consultation on birth spacing (Geneva), p. 2.

WHO (World Health Organization) (2011) Recommendations for prevention and treatment of pre-eclampsia and eclampsia (Geneva), p. 14.

WHO (World Health Organization) (2014) Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries: what the evidence says. A guidance document brief (Geneva), pp. 2-7.

WHO (World Health Organization) (2015) Trends in Maternal Mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division (Geneva), pp. 70, 71, 75.

WHOa (World Health Organization) (2019) Trends in maternal mortality: 2000 to 2017. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division (Geneva), pp. x, 83, 99-104.

WHOb (World Health Organization) (2019) Report on maternal mortality, retrieved from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality (28 June 2020).

WHO (World Health Organization) (2020) Adolescent pregnancy. Report, retrieved from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy (24 June2020).

Yaya, S., Uthman, O. A., Amouzou, A. et al. (2018) Inequalities in maternal health care utilization in Benin: a population based cross-sectional study, BMC Pregnancy Childbirth, 18(194), pp. 1-9, https://doi:10.1186/s12884-018-1846-6.

Zamané, H., Sow, H. E., Kain, D. P. et al. (2018) Maternal Mortality at the Dori Regional Hospital in Northern Burkina Faso, 2014-2016, International Journal of Maternal and Child health and AIDS, 7(2), pp. 235-241.

Legislation

Law № 2002-07 of August 24, 2004 “On the persons and family Code”. Articles 119, 120, 123. The Republic of Benin. Presidency of the Republic, pp. 18, 19.

Decree № 2008-730 of December 22, 2008 “On the institution of free cesarean section in Benin”.

Law № 2015-08 of December 08, 2015 “On the children's Code in the Republic of Benin”. Articles 158, 180, 181, 331. The Republic of Benin. Presidency of the Republic, pp. 38, 43, 74.

Published
2020-10-29
How to Cite
Konnon R., Semyatov S., Soyunov M., Sokhova Z., & Zulumyan T. (2020). Trends on Maternal Mortality in the Republic of Benin and Comparison with the Neighboring Countries. Medicine, Law & Society, 13(2), 197-216. https://doi.org/10.18690/mls.13.2.197-216.2020
Section
Articles