Maternal Mortality Audits at the Yaoundé University Teatching Hospital in Cameroon between 2017 and 2023: Findings and Quality Improvement Perspectives

Abstract

Introduction: Maternal mortality remains a major public health challenge in Cameroon. This study aimed to analyze maternal death audits conducted at the Yaoundé University Hospital to identify causes, preventable factors, and avenues for improving obstetric care.

Method: This was a retrospective and descriptive study of 16 cases of maternal deaths audited between 2017 and 2023. Data were extracted from institutional audit reports and analyzed using a standardized grid. Causes of death, occurrence of the three delays, and recommendations were examined.

Results: The average age of the deceased women was 28.9 years. The majority of deaths occurred at the postpartum period (75%), with a predominance of obstetric hemorrhage (43.8%). Delays in hospital care (3rd delay) were present in 87.5% of cases. Three-quarters of the deaths were considered preventable.

Conclusion: The audit study revealed significant failures in the care chain, particularly in the postpartum period. Improved postpartum monitoring, rapid access to blood, and structured care are top priorities for reducing maternal mortality in Cameroon.