Bisrat Tesfay

A facility based retrospective study design was conducted at Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia, to assess pregnancy-related AKI causes, outcomes and determine factors associated with severe maternal outcomes. The medical charts of all women who were diagnosed with pregnancy-related AKI between January 1, 2017, and December 31, 2021, were reviewed. The study was carried out at ACSH, a tertiary care and teaching hospital located in the Tigray region of northern Ethiopia.

The current study revealed the Tigray siege significantly affected the life and work conditions of care providers in ACSH. The immediate consequences of the siege in Tigray were evident to affect four main components of ACSH; it affected service delivery; it posed a survival threat for the care providers; it impacted the care providers’ well-being; and the morale and motivation of the healthcare workers to provide care also declined.

This hospital-based cross-sectional study demonstrated that maternal sepsis was associated with grave maternal outcomes. In the present study, the prevalence of maternal sepsis was 109 per 100,000 live births. The case fatality rate was 7.4% while maternal mortality associated with maternal sepsis was 75 per 100,000 live births.