Trends of in-hospital maternal mortality during the COVID-19 pandemic in southern Morocco – analysis of a time series from 2016–2022

• Authors: Keltouma Oumbarek , Rachid Razine , Abdelmajid Lkoul , Safiya Mahlaq , Samia El Hilali , Laila Lahlou , Mohamed Amine Baba , Ahmed Kharbach , Majdouline Obtel

Abstracts

EN

Introduction and aim. The aim of this study was to compare trends of in-hospital maternal mortality in southern Morocco before and after the COVID-19 pandemic emerged in the Kingdom in March 2020. Material and methods. We conducted a retrospective study of a time series of hospital maternal deaths from January 2016 to December 2022. Data were collected from maternal death registers and monthly reports from maternity departments of six public hospitals in Souss Massa region (one regional and five provincial hospitals). Results. 216 maternal deaths occurred during the study period, 112 before and 104 during the pandemic. The highest annual maternal mortality ratio (MMR) was observed in 2021 (207.41 deaths/100,000 live births). Trends of monthly MMR showed a significant increase during the pandemic compared with the pre-pandemic period (p=0.002). Furthermore, an extremely high MMR value (977.57/100,000 live births) was noted in August 2021 (the Delta wave). There was a significant difference in the distribution of causes of maternal death. Proportion of indirect causes were tripled during the pandemic (from 8% to 24%), with 17/104 (16.3%) deaths related to SARS-CoV-2 pneumonia. Conclusion. In-hospital MMR increased in public hospitals of the Souss Massa region during the COVID-19 pandemic, particularly in the third quarter of 2021.

Keywords

EN

COVID-19 pandemic; maternal mortality; southern Morocco; time series

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2024
• Issue: 4
• Pages: 739-747

Dates

published

2024

Contributors

author

Keltouma Oumbarek

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco

• https://orcid.org/0009000804136059

author

Rachid Razine

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco

• https://orcid.org/0000000215765204

author

Abdelmajid Lkoul

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• High Institute of Nursing Professions and Technical Health, Agadir, Morocco

• https://orcid.org/0000000283350721

author

Safiya Mahlaq

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• High Institute of Nursing Professions and Technical Health, Agadir, Morocco

• https://orcid.org/000900092320873X

author

Samia El Hilali

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco

• https://orcid.org/000900092320873X

author

Laila Lahlou

• Laboratory of Health and Science, Therapeutic Innovation, Translational Research, and Epidemiology. Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco

• https://orcid.org/000000019659826X

author

Mohamed Amine Baba

• Laboratory REGNE “Rein Endocrinology Gastroenterology Neurosciences Ethics”, Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, Morocco
• High Institute of Nursing Professions and Technical Health, Agadir, Morocco
• Laboratory of Cell Biology and Molecular Genetics, Department of Biology, Faculty of Sciences, Ibn Zohr University, Agadir, Morocco

• https://orcid.org/0000000266609527

author

Ahmed Kharbach

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• High Institute of Nursing Professions and Technical Health, Agadir, Morocco
• Laboratory of Cell Biology and Molecular Genetics, Department of Biology, Faculty of Sciences, Ibn Zohr University, Agadir, Morocco

• https://orcid.org/0000000165365607

author

Majdouline Obtel

• Laboratory of Biostatistics, Clinical Research and Epidemiology, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
• Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco

• https://orcid.org/0000000233570603

Identifiers

DOI

10.15584/ejcem.2024.4.8

Biblioteka Nauki

62645177