scholarly journals Rate, Maternal and Fetal Outcome of Cesarean Delivery Performed by IESO at Shenen Gibe General Hospital, Jimma South West Ethiopia: A Descriptive Retrospective Data

2020 ◽  
Vol 2 (3) ◽  
pp. 1-10
Author(s):  
Worku Gebeyehu Gutema ◽  
Teshome Kassa Jire ◽  
Daniel Aboma
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
General Hospital ◽  
Cesarean Delivery ◽  
Fetal Outcome ◽  
Retrospective Data ◽  
Live Births ◽  
South West ◽  
Cesarean Delivery Rate ◽  
South West Ethiopia

Background Pregnancy and parturition are events of considerable significance in the life cycle of women. Though it is supposed that the quality of care during labor, birth, and postpartum period plays a great role for adverse outcomes of birth, various reports claimed that cesarean delivery carries a higher maternal and fetal morbidity and mortality compared to vaginal delivery. Therefore, this study assessed the Rate, Maternal and Fetal Outcome of Cesarean delivery performed by IESO at Shenen Gibe General Hospital, Jimma south west Ethiopia. Integrated Emergency surgical officer is a health professional qualified and authorized to perform emergency obstetrical-gynecological and emergency general surgical procedures. The training has started in 2010 in 3 universities and 10 affiliated sites with intake of 43 students. The MSc program in integrated emergency surgery is intended to achieve one of the millennium development goals (MDG): reducing the overwhelming maternal mortality ratio and perinatal mortality rate at the local and national level. (1) Methods Hospital based two-year retrospective descriptive cross-sectional study design was employed and data collected from November to December 2019 in shenen Gibe General Hospital ,Jimma south west Ethiopia. A total of 185 mothers who delivered by cesarean delivery from December 2017 to December 2018 and complete data were included in the study. Data were extracted using structured data collection format and cleaned, and entered into Epi data software version 3.1 and exported into SPSS version 26 for further descriptive analysis. Result Among 2115 deliveries in the two years of retrospective data, a total of 186 mothers were delivered by cesarean section, giving cesarean delivery rate 8.8 %. The leading indication for cesarean delivery was fetal distress (24.2%). Among the total cesarean delivery, 22 neonates were died, giving the proportion of neonate mortality rate 16.8%. One mothers were died following cesarean delivery, giving maternal mortality rate following cesarean delivery 12 per 1000 live births. The leading cause for maternal mortality was hemorrhagic shock Conclusion However, cesarean delivery rate in this study was within the WHO recommended range, the health outcome of mothers and neonates’ following cesarean delivery was not acceptable. The neonatal and maternal mortality following cesarean delivery was 16.8% and12 per 1000 live births respectively. The main cause of neonatal death was birth asphyxia.

scholarly journals Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

2018 ◽  
Vol 7 (6) ◽  
pp. 2283
Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Mortality Ratio

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

scholarly journals EFFECT OF GIVING CUCUMBER (Cucumis sativus) TO DECREASE HEMOGLOBIN TROMBOSITE AND IMPROVEMEN IN PRE-ECLAMMED PATIENTS AT DEWI SARTIKA HOSPITAL

2021 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Novia Sarmiati ◽  
Erwin Azizi Jaya Dipraja ◽  
La Banudi
Keyword(s):  
Maternal Mortality ◽  
General Hospital ◽  
World Health ◽  
Group Method ◽  
Control Group ◽  
Live Births ◽  
The World ◽  
Quasi Experimental ◽  
Health Organization ◽  
Number Of Births

Background:According to the World Health Organization (WHO) every day in 2015, around 830 women die from complications of pregnancy and child birth. Globally, maternal mortality in the world is 303,000. The maternal mortality rate (MMR) in Indonesia based on the Indonesian Health Demographic Survey (IDHS) in 2012 was around 359 / 100,000 live births, this figure increased compared to 2007, which was around 228 / 100,000 live births. Data from Dewi Sartika General Hospital with preeclampsia cases for the last three years. In 2017, the number of births in 1855 who experienced preeclampsia were 305 cases. In 2018 the number of births in 1822 who experienced preeclampsia was 334 cases. In 2019 the number of deliveries in 2007 who experienced preeclampsia was 377 cases. For 2020 January to June number of deliveries695 the incidence of preeclampsia was 164 cases. Methods:This study used a quasi-experimental type with a pre-test-post-test control group method design. The population in this study were all 164 preeclampsia patients from August to October 2020. Result:Test data analysis using testwilcoxon test (? = 0.05) in the cucumber group, it was found that p = 0.000 on decreased hemoglobin and increased platelets Conclusion:There is an effect of cucumber on decreasing hemoglobin and increasing platelets in preeclampsia patients at Dewi Sartika General Hospital.

scholarly journals PEREMPUAN DAN KESEHATAN REPRODUKSI

EGALITA ◽  
2012 ◽  
Author(s):  
Imamah Imamah
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Human Development ◽  
Access To Information ◽  
Live Births ◽  
Human Development Report ◽  
Mothers And Children ◽  
Mother And Child ◽  
The Government

In terms of Indonesian women’s health services are still treated unfairly and still are the number two. It can be seen from the report reporting Indonesia Human  Development Report 2005 on maternal mortality rate (MMR) delivery, which is currently listed at number 307 out of every 100,000 live births. This shows that the government has not seriously and equitable in the provision of health services particularly for women. Maternal mortality can be used as indicators of poor health services received by mothers and children and low access to information owned by mother and child.<br /><br />Keywords: Perempuan, Human Development Report, Angka Kematian Ibu, Indikator dan Kesehatan.<br /><br />

scholarly journals Mengenal Tanda-Tanda Bahaya Kehamilan di Puskesmas Pakuan Baru Kota Jambi

2021 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Ria Febrina
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Community Service ◽  
Health Workers ◽  
Obstetric Complications ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Danger Signs

Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. MMR in Indonesia according to the 2017 Indonesian Demographic and Health Survey (IDHS) is 305 per 100,000 live births. The global target of SDGs (Suitainable Development Goals) is to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births. While in Jambi Province in 2017 recorded maternal deaths were 29 cases. Maternal deaths that occur during 90% of pregnancy are caused by obstetric complications. Direct obstetric complications are bleeding, infection and eclampsia. Indirectly maternal mortality is also influenced by delays at the family level in recognizing danger signs of pregnancy and making decisions to immediately seek help. Delay in reaching health facilities and assistance in health service facilities. Pregnancy danger signs must be recognized and detected early so that they can be handled properly because any danger signs of pregnancy can lead to pregnancy complications. Therefore it is necessary to provide counseling to improve the knowledge of pregnant women about the danger signs of pregnancy. This community service activity was carried out by Pakuan Baru Kota Jambi Public Health Center. The time of implementation in April 2020. The target is pregnant women. Community service methods include a survey and lecture approach. The results obtained are pregnant women able to understand the danger signs of pregnancy. It is recommended for health workers to continue to provide education related to pregnancy to pregnant women

HUBUNGAN ANTARA PEKERJAAN IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN ABORTUS DI INSTALASI RAWAT INAP KEBIDANAN RUMAH SAKIT UMUM PUSAT DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Tirta Anggraini Tirta Anggraini
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
General Hospital ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
P Value ◽  
Chi Square ◽  
Maternal Deaths ◽  
Live Births ◽  
Pregnancy Spacing

ABSTRACT According to WHO abortion the percentage of births ranges between 750-1000 per 100,000 live births, whereas in developed countries maternal mortality ranges between 5-10 per 100,000 live births. Abortion in developing countries the majority (over 90%) do not secure, thus contributing to about 11-13% of maternal deaths in the world. In Indonesia, an estimated 2-2.5% miscarriage every year, so it can significantly reduce the birth rate to 1.7 per year. Maternal mortality in South Sumatra as much as 5% and 5 maternal deaths are caused by bleeding in the year 2010. At the on General Hospital Dr. Mohammad Hoesin Palembang in 2011 the incidence of abortion amounted to 318 people. The purpose of this study was to determine the employment relationship with the mother and the incidence of abortion of pregnancy spacing on General Hospital Dr. Mohammad Hoesin Palembang in 2011. This research uses descriptive analytical method by crosss sectional approach. The study population was all pregnant women who experience bleeding with gestational age less than 20 weeks as many as 482 people. The research was conducted in May-June 2012. The samples taken by simple random sampling method. Analysis of data using a statistical test Chi - Square. The results of this univariate analysis showed that 178 (81.3%) of respondents who experienced abortion, and 41 (18.7%) of respondents who had not had abortions. 133 (60.7%) of respondents with a mother who worked and 86 (39.3%) of respondents whose mothers did not work. 132 (60.3%) of respondents with a distance of pregnant women <2 years old and 87 (39.7%) of respondents with a distance of pregnant women ≥ 2 years, so the bivariate analysis showed no significant association between maternal employment with the incidence of abortion with a P value = 0.005 and there is a relationship a significant association between the incidence of abortion pregnancy spacing with P value = 0.017. Advice for health workers to seek and improve health education on the prevention and treatment of abortion.   ABSTRAK Menurut WHO persentase terjadinya abortus berkisar  antara 750-1000 per kelahiran 100.000 kelahiran hidup, sedangkan di Negara maju angka kematian maternal berkisar antara 5-10 per 100.000 kelahiran hidup. Abortus di Negara berkembang sebagian besar (lebih dari 90%) dilakukan tidak aman, sehingga berkontribusi sekitar 11- 13% terhadap kematian maternal di dunia. Di Indonesia, diperkirakan sekitar 2–2,5% mengalami keguguran setiap tahun, sehingga secara nyata dapat menurunkan angka kelahiran menjadi 1,7 pertahunnya. Kematian ibu di Sumatera Selatan sebanyak 5% dan 5 orang kematian ibu disebabkan oleh pendarahan pada tahun 2010. Di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2011 angka kejadian abortus berjumlah 318 orang. Tujuan Penelitian ini adalah untuk mengetahui hubungan pekerjaan ibu dan jarak kehamilan dengan kejadian Abortus di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang  Tahun 2011. Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu hamil yang mengalami perdarahan dengan usia kehamilan kurang dari 20 minggu sebanyak 482 orang. Penelitian ini dilakukan pada bulan Mei – Juni 2012. Sampel penelitian diambil dengan metode simple random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 178 (81,3%) responden yang mengalami abortus, dan 41 (18,7%) responden yang tidak mengalami abortus. 133 (60,7%) responden dengan ibu yang bekerja dan 86 (39,3%) responden dengan ibu tidak bekerja. 132 (60,3%)  responden dengan ibu yang jarak kehamilannya < 2 tahun dan 87 (39,7%) responden dengan ibu yang jarak kehamilannya ≥ 2 tahun, sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara pekerjaan ibu dengan kejadian abortus dengan P value = 0,005 dan ada hubungan yang bermakna antara jarak kehamilan dengan kejadian abortus dengan P value = 0,017. Saran bagi tenaga kesehatan untuk mengupayakan dan meningkatkan penyuluhan kesehatan tentang pencegahan dan penanganan abortus. 

Historical and Recent Changes in Maternal Mortality Due to Hypertensive Disorders in the United States, 1979 to 2018

Hypertension ◽  
2021 ◽  
Vol 78 (5) ◽  
pp. 1414-1422
Author(s):  
Cande V. Ananth ◽  
Justin S. Brandt ◽  
Jennifer Hill ◽  
Hillary L. Graham ◽  
Sonal Grover ◽  
...  
Keyword(s):  
United States ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Birth Cohort ◽  
White Women ◽  
Gestational Hypertension ◽  
The United States ◽  
Chronic Hypertension ◽  
Maternal Deaths ◽  
Live Births

We evaluated the contributions of maternal age, year of death (period), and year of birth (cohort) on trends in hypertension-related maternal deaths in the United States. We undertook a sequential time series analysis of 155 710 441 live births and 3287 hypertension-related maternal deaths in the United States, 1979 to 2018. Trends in pregnancy-related mortality rate (maternal mortality rate [MMR]) due to chronic hypertension, gestational hypertension, and preeclampsia/eclampsia, were examined. MMR was defined as death during pregnancy or within 42 days postpartum due to hypertension. Trends in overall and race-specific hypertension-related MMR based on age, period, and birth cohort were evaluated based on weighted Poisson models. Trends were also adjusted for secular changes in obesity rates and corrected for potential death misclassification. During the 40-year period, the overall hypertension-related MMR was 2.1 per 100 000 live births, with MMR being almost 4-fold higher among Black compared with White women (5.4 [n=1396] versus 1.4 [n=1747] per 100 000 live births). Advancing age was associated with a sharp increase in MMR at ≥15 years among Black women and at ≥25 years among White women. Birth cohort was also associated with increasing MMR. Preeclampsia/eclampsia-related MMR declined annually by 2.6% (95% CI, 2.2–2.9), but chronic hypertension–related MMR increased annually by 9.2% (95% CI, 7.9–10.6). The decline in MMR was attenuated when adjusted for increasing obesity rates. The temporal burden of hypertension-related MMR in the United States has increased substantially for chronic hypertension–associated MMR and decreased for preeclampsia/eclampsia-associated MMR. Nevertheless, deaths from hypertension continue to contribute substantially to maternal deaths.

scholarly journals Peningkatan Pengetahuan Ibu Tentang Keluarga Berencana Dalam Perspektif Keperawatan Islami Sebagai Upaya Menekan Risiko Kehamilan

2020 ◽  
Vol 2 (2) ◽  
pp. 174-181
Author(s):  
Suko Pranowo
Keyword(s):  
Family Planning ◽  
Mortality Rate ◽  
Health Education ◽  
Maternal Mortality ◽  
Community Service ◽  
Education Intervention ◽  
Childbearing Age ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Health Education Intervention

The maternal mortality rate (MMR) is an important indicator of the degree of public health. In 2019, Indonesia's MMR was still high, namely 305 per 100,000 live births, while Indonesia's MMR target in 2015 was 102 per 100,000 live births. Problems related to pregnancy and childbirth, including the maternal mortality rate (MMR) and infant mortality rate (IMR) cannot be separated from the various factors that influence it, including maternal health status and readiness for pregnancy, antenatal examinations (pregnancy), delivery assistance. and immediate care after delivery, as well as socio-cultural factors. Pregnancy with a distance that is too close will increase the risk of bleeding, miscarriage, and postpartum death. One of the efforts to prevent it is by joining the family planning program to restore conditions after being pregnant before. This community service is carried out in RW 14, Sidanegara Village, Cilacap Tengah District. The purpose of this community service is to provide an understanding to couples of childbearing age about family planning in the view of Islamic nursing. It is hoped that couples of childbearing age can understand and finally decide to participate in family planning in order to improve the health of mothers and children. After the health education was carried out, data showed that there was a significant increase in knowledge, namely the good category before the health education intervention as many as 0 people (0%) and the good category after the health education intervention as many as 17 people (94.44%). There was an increase in the number of participants who had knowledge in good categories, namely 17 people. Has a difference in the average pre and post test knowledge value of 3.33. It is hoped that couples of childbearing age become family planning acceptors to prevent the risk of pregnancy and be able to plan their families well.    

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