Retrospective maternal mortality case ascertainment in West Virgina, 1985 to 1989

Introduction: Delayed or avoided medical care due to coronavirus disease 2019 (COVID-19) related concerns may increase morbidity and mortality associated with both acute and chronic health conditions. Thymoma is uncommon in pregnancy, although it could be accompanied with unfavorable outcomes. We report a puerperal woman presented with dyspnea and cardiac arrest with a recent diagnosis of thymoma that led to maternal mortality. Case Presentation: A 38-year-old woman with occasional dyspnea during pregnancy without medical referral was admitted to the hospital with severe dyspnea and orthopnea three days after cesarean section. Spiral computed tomography (CT) angiography showed a 64 × 84-centimeter mass with soft tissue density in the left perivascular that was originated from the anterior mediastinum; in biopsy, thymoma was suggested. She died shortly after due to severe dyspnea and cardiac arrest. Conclusions: Prenatal care during COVID-19 pandemic should not be postponed. Indeed, any symptom similar to the physiologic changes in pregnancy needs to be evaluated for optimal clinical management.

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Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v2i12014.105-117 ◽

2014 ◽

Vol 2 (1) ◽

pp. 105

Author(s):

Puspita Rahmawati ◽

Santi Martini ◽

Chatarina Umbul Wahjuni

Keyword(s):

Multivariate Analysis ◽

Maternal Mortality ◽

Univariate Analysis ◽

Maternal Mortality Ratio ◽

Observational Research ◽

Bivariate Analysis ◽

Chi Square ◽

Mortality Case ◽

Mortality Ratio ◽

Chi Square Test

ABSTRACTThe maternal mortality ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of maternal mortality (MMR) is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia/eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning. Keywords : postpartum maternal mortality, determinants, pre- eclampsia/eclampsia, delivery complication.

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Maternal Mortality: Case Reviews and Lessons Learned from the Global Partnerships and the Maternal Fetal Medicine Scientific Forum on Global Health

Global Journal of Reproductive Medicine ◽

10.19080/gjorm.2019.06.555701 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Dotun Ogunyemi

Keyword(s):

Global Health ◽

Maternal Mortality ◽

Lessons Learned ◽

Maternal Fetal Medicine ◽

Fetal Medicine ◽

Global Partnerships ◽

Mortality Case

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Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v2i1.2014.105-117 ◽

2014 ◽

Vol 2 (1) ◽

pp. 105

Author(s):

Puspita Rahmawati ◽

Santi Martini ◽

Chatarina Umbul Wahjuni

Keyword(s):

Multivariate Analysis ◽

Maternal Mortality ◽

Univariate Analysis ◽

Maternal Mortality Ratio ◽

Observational Research ◽

Bivariate Analysis ◽

Chi Square ◽

Mortality Case ◽

Mortality Ratio ◽

Chi Square Test

ABSTRACTThe maternal mortality ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of maternal mortality (MMR) is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia/eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning. Keywords : postpartum maternal mortality, determinants, pre- eclampsia/eclampsia, delivery complication.

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