The safe motherhood referral system to reduce cesarean sections and perinatal mortality - a cross-sectional study [1995-2006]

Table 1 Total number of deliveries, Cesarean sections, hospital maternal mortality ratio (HMMR) and perinatal mortality rate (PMR) at the Level II and Level III hospitals between 1995 and 2006

	Level II	Level III	Total	p
Deliveries^a	12283 (44.8)	15104 (55.2)	27387 (100)	<0.0001
1995 - 1998	3451	5235	8686
1999 - 2002	4176	4886	9062
2003 - 2006	4656	4983	9639
C-section^a	3577 (29.1)	6629 (43.9)	10206 (37.3)	<0.001
1995 - 1998	1203	2419	3622
1999 - 2002	1173	1917	3090
2003 - 2006	1201	2293	3494
H-MMR^b	2/12262 (16.3)	28/15158 (184.7)	30/27420 (109.4)	<0.001
1995 - 1998	0/3443	3/5207	3/8650
1999 - 2002	2/4168	10/4896	12/9064
2003 - 2006	0/4651	15/5055	15/9706
PMR^c	66/12311 (5.4)	594/15516 (38.3)	660/27827 (23.7)	<0.001
1995 - 1998	27/3462	255/5357	282/8819
1999 - 2002	26/4187	166/4996	192/9183
2003 - 2006	13/4662	173/5163	186/9825

^a Number and percentage (%)
^b HMMR = Hospital Maternal Mortality Ratio [maternal deaths/total live birth; expressed in/100,000 LB]
^c PNMR = Perinatal Mortality Rate [perinatal deaths/total birth; expressed in/1000 births]

ISSN: 1742-4755