Hospital deaths in a high risk obstetric population: Karawa, Zaire

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Abstract
Three thousand four hundred thirteen consecutive deliveries at a rural hospital in Zaire are examined. 85% of patients had goiters and 5% were cretins. Twenty maternal deaths occurred, or 5.9 per 1000 deliveries. Risk factors for maternal death included late presentation, advanced age (.gtoreq. 35 years), no education and presence of goiter or cretinism. Ninety percent of women who died were in critical condition at admission, 45% had labored .gtoreq. 48 h and 70% had uterine rupture.

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