Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America and the Caribbean

1992 ◽  
Vol 99 (7) ◽  
pp. 547-553 ◽  
Author(s):  
LELIA DULEY
Keyword(s):  
Latin America ◽  
Maternal Mortality ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
The Caribbean

Maternal mortality in Latin America and the Caribbean

The Lancet ◽  
2000 ◽  
Vol 356 ◽  
pp. S11 ◽  
Author(s):  
Ricardo Schwarcz ◽  
Ricardo Fescina
Keyword(s):  
Latin America ◽  
Maternal Mortality ◽  
The Caribbean

scholarly journals Análisis de la mortalidad materna de los años 2013 a 2015 en el estado de Yucatán

2018 ◽  
Vol 30 (1) ◽  
Author(s):  
Rodrigo Gaspar Díaz Novelo ◽  
Luis Orlando Bobadilla Rosado ◽  
Lizbeth Sabrina Fajardo Ruiz ◽  
Nina Méndez Domínguez ◽  
Salvador Gómez Carro
Keyword(s):  
Maternal Mortality ◽  
Preventive Measures ◽  
Maternal Mortality Ratio ◽  
National Average ◽  
The State ◽  
Hypertensive Disorders ◽  
Mortality Ratio ◽  
The Caribbean ◽  
America Latina

ResumenIntroducción: La mortalidad materna se considera un indicador significativo de la calidad de los servicios de salud, así, se conoce que aproximadamente un 95% de estas muertes en América Latina y el Caribe son prevenibles.Objetivos: Determinar si la Razón de Muerte Materna (RMM) en Yucatán es mayor a la media nacional durante los años 2013 a 2015.Material y Métodos: Estudio transversal observacional en mujeres embarazadas que fallecieron por causas directas relacionadas con el embarazo durante los años 2013 a 2015 en el estado de Yucatán. Se utilizaron datos del Instituto Nacional de Estadística y Geografía (INEGI).Resultados: En el 2013 se encontró que la RMM en Yucatán fue 38,11% mayor en comparación con la nacional, en el 2014 la RMM en este mismo estado fue 34,68% mayor en comparación con la del país y en el 2015 la RMM fue 21,14% mayor que la mexicana. Las principales causas de muerte en el estado concuerdan con lo expuesto en la bibliografía, siendo éstas los desórdenes hipertensivos y las hemorragias.Conclusiones: La RMM durante los años 2013 a 2015 en el estado de Yucatán fue mayor a la media nacional. Es importante implementar medidas preventivas que permitan reducir esta disparidad en términos de mortalidad materna en el estado de Yucatán.Palabras clave: Muerte Materna, Salud Pública, Prevención Secundaria, Salud MaternaTítulo corto: Análisis de la mortalidad materna en Yucatán. ABSTRACT.Introduction. Maternal Mortality is considered a significant indicator of the quality of the health services in any country. It is known that approximately 95% of these deaths in Latin America and the Caribbean are preventable.Objectives. Our objective is to determine whether or not the Maternal Mortality Ratio (MMR) in Yucatan is higher than the national mean during the years 2013 to 2015.Materials and methods. Transversal-observational study in pregnant women who died from direct causes related to pregnancy during the years 2013 to 2015 in Yucatan. Data from the National Institute of Statistics and Geography (INEGI) were used.Results. In 2013 the MMR in Yucatan was 38,11% higher than the national mean, in 2014 the MMR of this state was 34,68% higher in comparison to the national mean and in 2015 the MMR was 21,14% higher than the national mean. The main causes of dead in the state of Yucatan are in agreement with the national causes which are hypertensive disorders and  hemorrhagic disorders.Conclusions. The MMR during the years 2013 to 2015 in the state of Yucatan was higher than the national average. It is important to implement preventive measures to reduce this disparity in terms of maternal mortality in the state of Yucatán.Keywords: Maternal Mortality, Public Health, Secondary Prevention, Maternal Health. 

scholarly journals Obstetric Admissions to the Intensive Care Unit: A 18-Year Review in a Portuguese Tertiary Care Centre

2019 ◽  
Vol 32 (11) ◽  
pp. 693
Author(s):  
Sara Oliveira ◽  
Catarina Filipe ◽  
Natacha Husson ◽  
Isabel Rute Vilhena ◽  
Margarida Anastácio ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Health Care Services ◽  
Hypertensive Disorders Of Pregnancy ◽  
Care Services ◽  
Hypertensive Disorders

Introduction: Maternal mortality and morbidity are important indicators of the quality of health-care services. Obstetric admissions to an intensive care unit may be considered a marker of maternal morbidity. The aim of this study was to determine the incidence, maternal morbidity and mortality of pregnant and postpartum women who required admission to the intensive care unit.Material and Methods: Retrospective analysis of all the obstetric patients admitted to the intensive care unit between 2000 and 2017. Results: Ninety-three women required admission to intensive care (0.7 per 1000 deliveries, 0.8% of all adult admissions). Mean age was 30.3 years, mean gestational age was 33.6 weeks, 51 (54.8%) were primiparous, nine (9.7%) were pregnant of twins and five (5.4%) had not been followed during pregnancy. Eighty-four (90.3%) were admitted after immediate delivery. The most common reasons for admission were hypertensive disorders of pregnancy (35.5%) and obstetric haemorrhage (24.7%). Median length of stay was five days. Transfusion of blood products was needed in 23 (57.0%), artificial ventilation in 50 (53.8%) and use of vasopressors in 21 (22.6%). We observed four maternal deaths (4.3%). Most patients (95.7%) successfully recovered and were transferred to other departments. Sequential Organ Failure Assessment score was significantly associated with maternal mortality.Discussion: Our results are comparable to those obtained in other studies. Maternal mortality was comparable to maternal mortality in developed countries.Conclusion: The incidence of obstetric admissions to the intensive care unit was 0.8% and 0.7 per 1000 deliveries. Hypertensive disorders of pregnancy were the main causes of admission. Maternal mortality was 4.3%. Studies of maternal morbidity are important and can help to improve the quality of health care services.

Errors in the treatment of hypertensive disorders of pregnancy and their impact on maternal mortality

2013 ◽  
Vol 121 (1) ◽  
pp. 78-81 ◽  
Author(s):  
John J. Zuleta-Tobón ◽  
Heleodora Pandales-Pérez ◽  
Sandra Sánchez ◽  
Gladis A. Vélez-Álvarez ◽  
Jesús A. Velásquez-Penagos
Keyword(s):  
Maternal Mortality ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders

scholarly journals Maternal Death Review at a Tertiary Hospital in Ethiopia

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Matiyas Asrat Shiferaw ◽  
Delayehu Bekele ◽  
Feiruz Surur ◽  
Bethel Dereje ◽  
Lemi Belay Tolu
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
Hypertensive Disorders Of Pregnancy ◽  
Contributing Factors ◽  
Double Burden ◽  
Maternal Deaths ◽  
Hypertensive Disorders ◽  
Mortality Ratio

BACKGROUND፡ There is conflicting data on the rate and trends of maternal mortality in Ethiopia. There is no previous study done on the magnitude and trends of maternal death at Saint Paul's Hospital, an institution providing the largest labor and delivery services in Ethiopia. The objective of this study is to determine the magnitude, causes and contributing factors for maternal deaths in the institution.METHODS: We conducted a retrospective review of maternal deaths from January 2016 to December 2017. Data were analyzed using SPSS version 20.RESULTS: The maternal mortality ratio of the institution was 228.3 per 100,000 live births. Direct maternal death accounted for 90% (n=36) of the deceased. The leading causes of the direct maternal deaths were hypertensive disorders of pregnancy (n=13,32.5%), postpartum hemorrhage (n=10, 25%), sepsis (n=4, 10%), pulmonary thromboembolism (n=3, 7.5%) and amniotic fluid embolism (n=3, 7.5%).CONCLUSION: The maternal mortality ratio was lower than the ratios reported from other institutions in Ethiopia. Hypertensive disorders of pregnancy and malaria were the leading cause of direct and indirect causes of maternal deaths respectively. Embolism has become one of the top causes of maternal death in a rate like the developed nations. This might show the double burden of embolism and other causes of maternal mortality that developing countries might be facing.

scholarly journals Maternal mortality reduction: a need to focus actions on the prevention of hypertensive disorders of pregnancy

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
José M. Belizán ◽  
Luz Gibbons ◽  
Gabriela Cormick
Keyword(s):  
Maternal Mortality ◽  
Calcium Intake ◽  
Calcium Supplementation ◽  
Hypertensive Disorders Of Pregnancy ◽  
Complex Situation ◽  
Hypertensive Disorders ◽  
Dose Aspirin ◽  
Preventive Actions ◽  
Low Dose Aspirin ◽  
Regular Contact

AbstractMaternal mortality (MM) reflects one of the most striking global health inequalities. Global figures of MM fell significantly from 1990 to 2017. The reduction was largely due to a 70% fall in haemorrhages, and a limited (18.2%) improvement in hypertensive disorders of pregnancy (HDP). If this trend continues, by 2021 HDP will be the main cause of global MM.MM reductions due to haemorrhage is reassuring, however MM due to HDP show a more complex situation as early detection of HDP requires regular contact of pregnant women with the health system. In order to reduce MM due to HDP, population wide preventive actions such as low dose aspirin and adequate calcium intake are required, especially in areas where women have little contact with the health systems.Calcium supplementation for women with low calcium intake has reduced the risk of pre-eclampsia, with further reductions starting daily supplementation with 500 mg of calcium preconceptionally, however adherence to supplementation is limited.To reduce global inequities in calcium intake and consequently in the HDP, food fortification seem to be an attractive strategy to achieve an increase of calcium intake.

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