Objective: To identify causes of maternal death in MizanAman and Gebretsadikshawogeneral hospitalsMethodology: A case control study on 595 charts, 119 cases and 476 controls was conducted in MizanAman&Gebretsadikshawogeneral hospitals. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes of maternal death. Results:Hemorrhage were the main direct causes of maternal death which accounts 47.9% (β =0.58 (95% CI (0.28,0.87)) in hospital but when projected to population based the sample (β =0.26 (95% CI (0.22,0.31)). Followed by infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92)). when projected to population based the sample PIH 7.6%) is significant cause (β = 0.16 (95% CI (0.13, 0.19). Most death (74.8%) occurred during post-partum period.Recommendation:The health professionals must work on awareness creation on early arrival at health institution for delivery before development of different complications

Objective: To identify causes of maternal death in MizanAman and Gebretsadikshawogeneral hospitalsMethodology: A case control study on 595 charts, 119 cases and 476 controls was conducted in MizanAman&Gebretsadikshawogeneral hospitals. Data was analyzed by STATA 13.1. Propensity score matching analysis was used to see causes of maternal death. Results:Hemorrhage were the main direct causes of maternal death which accounts 47.9% (β =0.58 (95% CI (0.28,0.87)) in hospital but when projected to population based the sample (β =0.26 (95% CI (0.22,0.31)). Followed by infection 36 (25.21%) (β = 0.50 (95% CI (0.08, 0.92)). when projected to population based the sample PIH 7.6%) is significant cause (β = 0.16 (95% CI (0.13, 0.19). Most death (74.8%) occurred during post-partum period.Recommendation:The health professionals must work on awareness creation on early arrival at health institution for delivery before development of different complications

Causes --- maternal death --- Ethiopia --- Causes --- maternal death --- Ethiopia

Background: Ectopic pregnancy is the implantation of embryo outside the endometrial cavity. Ectopic pregnancy remains an important cause of morbidity and mortality in early pregnancy. Objective: to determine causes, signs and symptoms and treatment options offer for these patients. Patients and methods: The study was carried out in kerbala maternity hospital from January 2014- June 2016. Female with ectopic pregnancy after taking history from them, examination, result of investigation, mode of treatment and any complication were recorded. The total admission to the hospital in this period was also recorded. Results: The incidence of ectopic pregnancy during this period was 0.132%. the peak age of incidence was between 20-25 years. Majority of patients had lower educational level 57.14%. History of abortion and previous surgery were the major risk factors and their contribution was 41.07% and 35.71% respectively. 73.21% of patients did not using any contraception. 12.5% using oral contraception pills, 8.93% using intrauterine contraception device. Abdominal pain (92.86%) and vaginal bleeding (82.14%) were the most frequent presenting complains. Syncopal attacks occur in (28.57%). 87.5% had a period of amenorrhea and 12.5% of female had no period of amenorrhea. 60.72% of these females the right tube was affected. 51.79% of these cases the tube was ruptured at the time of operation. Laparotomy was done for 92.86% and salpingectomy done for 94.64% of these females. Conclusion the majority of patients attending Karbala maternity hospital for EP were between 20-25 years and had history of abortion and previous abdominal surgery. Laparotomy with salpingectomy was the main modality of treatment.

ectopic pregnancy --- maternal death in early pregnancy --- maternal shock --- laparoscopic salpingectomy --- laparotomy