scholarly journals Profile and spatial distribution on maternal mortality

2020 ◽  
Vol 20 (2) ◽  
pp. 385-396
Author(s):  
Carla Alaíde Machado Ruas ◽  
Joice Fernanda Costa Quadros ◽  
Jucimere Fagundes Durães Rocha ◽  
Fernanda Cardoso Rocha ◽  
Gregório Ribeiro de Andrade Neto ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Maternal Mortality ◽  
Circulatory System ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
The North ◽  
System Disease ◽  
Strong Indicator ◽  
Post Abortion ◽  
Mortalidade Materna

Abstract Objectives: to describe profile and spatial distribution on maternal mortality in a city in the North of Minas Gerais-Brazil. Methods: a descriptive, cross-sectional, documentary and quantitative study was carried out in 31 (100%) Fichas de Investigação de Óbito Materno do Comitê de Mortalidade Materna (Maternal Mortality Investigation Data Forms from the Maternal Mortality Committee) from 2009 to 2013. Results: prevalence is observed in women between 20 and 34 years old, mixed race, single and with low schooling. Of the deaths classified, 48.2% are direct obstetric death and 74.2% would be likely avoidable. The most prevalent causes of death were pregnancy-specific hypertensive disease; circulatory system disease; neoplasms; coagulopathies and post-abortion infection. In relation to prenatal care, only 20 women performed it, and most performed less than six prenatal consultations and in relation to the end of gestation, 68.1% underwent cesarean childbirth. Regarding to the descriptive spatial analysis, we identified a higher occurrence of maternal deaths in the areas of medium and high social vulnerability. Conclusions: maternal mortality is a strong indicator of women's healthcare, there is a necessity to readjust women’s healthcare in the puerperal pregnancy cycle. New healthcare practices for women are needed, due to the referred bond and responsible care.

scholarly journals Perfil de pacientes internados em uso de sonda nasoenteral e fatores associados ao óbito

2020 ◽  
Vol 35 (3) ◽  
pp. 279-286
Author(s):  
Fernanda Raphael Escobar Gimenes de Sousa ◽  
Flávia Helena Pereira ◽  
Julia Maria Aguiar ◽  
Paulo Janazi ◽  
Patrícia Rezende do Prado ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Circulatory System ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
The North ◽  
System Disease ◽  
Comorbidity Index ◽  
Severity Of The Disease ◽  
Medical Wards

Objective: To analyze the profile of patients using nasoenteral tube (NET) and the factors associated with death. Methods: Cross-sectional and analytical study was performed in medical wards of seven Brazilian hospitals in the North, Northeast, Southeast and South. The sample consisted of 447 patients hospitalized with NET. The inclusion criteria were: patients older than 18 years; with NET positioned in the stomach or intestine; hospitalized for at least 24 hours. Data were collected from October 2017 to April 2019, using a mobile device (cell phone or tablet). Demographic, clinical and therapeutic data were obtained from medical records and recorded in an electronic form, using the Survey Monkey® platform. The complexity of care was verified through a patient classification system and the severity of the disease, by the Charlson Comorbidity Index adjusted by age. For data analysis, descriptive statistics, Chi-Square Cochran-Armitage and Fisher’s Exact tests were performed. Results: Most patients were male (52.2%), white (67.6%), married (45.1%), with incomplete elementary school (38.4%). Regarding the main medical diagnosis, most of them presented circulatory system disease (30%); more than 50% were in a state of alert, 44% were highly dependent on nursing care and had high risk for death (47.9%). There was statistical significance among death and the variables care complexity, level of awareness and age. Conclusions: Knowledge about the profile of patients using NET and the factors associated with death are important because it offers data that allow better planning of health care.

scholarly journals Perfil sociodemográfico e clínico de mortalidade materna

2018 ◽  
Vol 12 (12) ◽  
pp. 3165
Author(s):  
Michelle Christini Araújo Vieira ◽  
Janaina Oliveira Gomes ◽  
Claudelí Mistura ◽  
Gabriela Garcia de Andrade ◽  
Kalliny Mirella Araújo Vieira ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Hospital Setting ◽  
Public Health Problem ◽  
Secondary Data ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Unified Health System ◽  
On Line ◽  
Microsoft Office ◽  
Mortalidade Materna

RESUMO Objetivo: conhecer o perfil sociodemográfico e clínico sobre a mortalidade materna. Método: trata-se de estudo quantitativo, transversal e descritivo, sendo o universo da pesquisa composto por todos os óbitos maternos ocorridos no período de 2004 a 2015 no Estado da Bahia/Brasil. Deu-se a coleta de dados por meio de dados secundários disponíveis on-line no Sistema de Informação de Mortalidade do Ministério da Saúde. Utilizaram-se para a tabulação e a análise dos dados, o programa Microsoft Office Excel, versão 2016, apresentando-se os resultados em forma de tabelas e figuras. Resultados: constatou-se que o número de mortes maternas no período analisado correspondeu a 1.907, com maior prevalência na faixa etária entre 20 e 29 anos (39,12%), em mulheres de cor parda (59,25%), solteiras (50,87%) e a ocorrência em ambiente hospitalar (88,99%). Viu-se que as causas obstétricas diretas (61,46%) ocorreram significativamente por eclâmpsia (12,89%). Conclusão: evidenciam-se nos resultados que a mortalidade materna é um grave problema de saúde pública e que o conhecimento sobre as circunstâncias e ocorrências das mortes maternas é fundamental para o planejamento de ações e estratégias de saúde. Descritores: Mortalidade Materna; Complicações na Gravidez; Monitoramento Epidemiológico; Sistema Único de Saúde; Taxa de Gravidez; Gravidez de Alto Risco.ABSTRACTObjective: to know the sociodemographic and clinical profile of maternal mortality. Method: this is a quantitative, cross-sectional and descriptive study, the research universe being composed of all maternal deaths occurring in the period from 2004 to 2015 in the State of Bahia / Brazil. Data collection was done through secondary data available online in the Mortality Information System of the Ministry of Health. The data was tabulated and analyzed by the Microsoft Office Excel program, version 2016, the results in the form of tables and figures. Results: it was found that the number of maternal deaths in the analyzed period corresponded to 1,907, with a higher prevalence in the age group between 20 and 29 years (39.12%), in women of brown color (59.25%), single 50.87%) and the occurrence in a hospital setting (88.99%). Direct obstetric causes (61.46%) were found to have occurred significantly due to eclampsia (12.89%). Conclusion: the results show that maternal mortality is a serious public health problem and that knowledge about the circumstances and occurrences of maternal deaths is fundamental for the planning of health actions and strategies. Descriptors: Maternal Mortality; Pregnancy Complications; Epidemiological Monitoring; Unified Health System; Pregnancy Rate; Pregnancy, High-Risk.RESUMENObjetivo: conocer el perfil sociodemográfico y clínico sobre la mortalidad materna. Método: se trata de un estudio cuantitativo, transversal y descriptivo, siendo el universo de la investigación compuesto por todas las muertes maternas ocurridas en el período de 2004 a 2015 en el Estado de Bahía / Brasil. Se dio la recolección de datos a través de datos secundarios disponibles on line en el Sistema de Información de Mortalidad del Ministerio de Salud. Se utilizaron para la tabulación y el análisis de los datos, el programa Microsoft Office Excel, versión 2016, presentando los resultados en forma de tablas y figuras. Resultados: se constató que el número de muertes maternas en el período analizado correspondió a 1.907, con mayor prevalencia en el grupo de edad entre 20 y 29 años (39,12%), en mujeres de color parda (59,25%), solteras (50, 87%) y la ocurrencia en ambiente hospitalario (88,99%). Se vio que las causas obstétricas directas (61,46%) ocurrieron significativamente por eclampsia (12,89%). Conclusión: se evidencian en los resultados que la mortalidad materna es un grave problema de salud pública y que el conocimiento sobre las circunstancias y ocurrencias de las muertes maternas es fundamental para la planificación de acciones y estrategias de salud. Descriptores: Mortalidad Materna; Complicaciones del Embarazo; Monitoreo Epidemiológico; Sistema Único de Salud; Índice de Embarazo; Embarazo de Alto Riesgo.

scholarly journals Maternal mortality by direct obstetric causes in an urban referral hospital: case of Boulmiougou District Hospital in Ouagadougou, Burkina Faso

2019 ◽  
Vol 8 (8) ◽  
pp. 3009
Author(s):  
Yobi Alexis Sawadogo ◽  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Sansan Rodrigue Sib ◽  
Dantola Paul Kain ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Analytical Study ◽  
District Hospital ◽  
Contributing Factors ◽  
Childbearing Age ◽  
Continuous Training ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Pregnancy And Childbirth ◽  
Technical Platform

Background: Complications during pregnancy and childbirth are the leading causes of death and disability for women of childbearing age. Objective of this study was to study maternal mortality of direct obstetric origin at the Boulmiougou district hospital from 2010 to 2014.Methods: This was a retrospective cross-sectional descriptive and analytical study of maternal deaths by direct obstetric cause at the maternity ward of Boulmiougou District Hospital during the period from January 1st 2010 to December 31st, 2014, i.e. 5 years.Results: The maternal mortality rate by direct obstetric cause of 147.68 maternal deaths per 100,000 live births. The average age of the patients was 27.09 years old. The direct causes of maternal death were hemorrhage (47.06%), hypertensive disorders (20.59%), infections (14.71%) and unsafe abortion (11.76%). Contributing factors to maternal deaths were delay in evacuation (47.06%) and delay in care (38.23%).Conclusions: Maternal mortality remains high in the Boulmiougou District Hospital. To effectively combat maternal mortality, it is important to focus on the continuous training of staff and the strengthening of the technical platform.

scholarly journals Maternal Mortality in Paraguay tendencies and risk factors: 2004-2015

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Villalba ◽  
M Sánchez
Keyword(s):  
Maternal Mortality ◽  
Health Care Access ◽  
Cross Sectional Study ◽  
Vital Statistics ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Significance Level ◽  
The Sustainable Development ◽  
The Difference

Abstract Background Maternal mortality remains a serious challenge worldwide, it being part of the Sustainable Development Goals. Progress is tracked through maternal mortality ratios (MMR), which demonstrate the current development of a health system. Our study describes tendencies and factors involved in the MMR in Paraguay, South America. Methods A retrospective cross-sectional study was undertaken. Data were extracted from the national system of vital statistics published by the Ministry of Public Health and Social Welfare. MMR was expressed as the number of maternal deaths per 100,000 live births. The causes of maternal deaths were classified according to the CIE-10. The tendency and fluctuations of the variables were analyzed through Pearson and Spearman correlations. A significance level of 5% was established. Results During the period of 2004-2015 in Paraguay there was a significant reduction in the tendency of the number of maternal deaths (r= -0.895; p < 0.001) with a decrease of 37.1%; Accordingly, there is a decreased tendency of the MMR (r= -0.929; p < 0.001) with a reduction of 45.4% and an annual mean decrease of 3.95%. It was observed that women aged 40 years and older and women characterized as single possessed a higher MMR, with each group showing 317.7/100 000 and 377.5/100 000, respectively. The 75% of death causes were Postpartum Hemorrhage, Eclampsia, Concurrent maternal deaths, Abortion and Puerperal Sepsis. Conclusions Our study showed significant decreased tendency of MMR, although remaining high compared to high income countries. More studies to support this result are recommended due to the difference with international estimates. The main causes of death showed the need to strengthen prenatal follow-up in primary care far from high-complexity hospitals. Key messages Our study describes the situation on Maternal Mortality in a developing country, showing the importance of health care access and prenatal follow up for preventable complications. Our work showed the urgent need for more studies about abortion prevalence and also to determine the cause of higher MMR on single women in our country.

scholarly journals Maternal Mortality and Associated Factors in a Tertiary Care Center of Western Nepal

2017 ◽  
Vol 5 (2) ◽  
pp. 58-63
Author(s):  
Junu Shrestha ◽  
Sangeeta Gurung ◽  
Ashika Shrestha ◽  
Anjali Subedi
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Care Center ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Medical Personnel ◽  
Educational Status ◽  
Cross Sectional ◽  
Maternal Deaths

Introduction: Identifying the cause of maternal death is important. The aim of this study was to determine the causes of maternal deaths and the factors associated with it. Methods: This was an observational, cross-sectional, analytical study conducted at Department of Obstetrics and Gynecology, Manipal Teaching Hospital from July 2013 to June 2017. Women who died during pregnancy, delivery, or puerperium were included in the study. Demographic factors, clinical profile, cause and type of maternal deaths were noted by taking history and by inquiring with the medical personnel involved in managing patients.  Data analysis was done using SPSS version 16. Results: There were 15 maternal deaths and 9923 livebirths. The maternal mortality ratio was 151 per 100,000 live births. Mean age of mothers was 28 years (SD = 7.5). Most of them were from rural areas, had low educational status. The mean gestational age at time of death was 33 weeks (SD = 7.5). Most of deaths (73%, n = 11) occurred in the postnatal period and 60% (n = 9) were critical at presentation. Direct obstetric causes like eclampsia was the most common (26.7%, n = 4) direct obstetric cause and cardiac disease was one of the important indirect cause (13.3%, n = 2). Delay in seeking health care and delay in reaching health center was the major reason for maternal deaths. Conclusion: Maternal mortality were mostly associated with direct obstetric causes, eclampsia being the most common. Most of the deaths were associated with delay in seeking health care and reaching health care centers.

scholarly journals Levels and determinants of maternal mortality in northern and southern Nigeria

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Catherine Meh ◽  
Amardeep Thind ◽  
Bridget Ryan ◽  
Amanda Terry
Keyword(s):  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Demographic And Health Surveys ◽  
Women Of Childbearing Age ◽  
The South ◽  
Childbearing Age ◽  
Maternal Deaths ◽  
The North ◽  
Determinants Of Maternal Mortality ◽  
North And South

Abstract Background Maternal mortality is still a major risk for women of childbearing age in Nigeria. In 2008, Nigeria bore 14% of the global burden of maternal mortality. The national maternal mortality ratio has remained elevated despite efforts to reduce maternal deaths. Though health disparities exist between the North and South of Nigeria, there is a dearth of evidence on the estimates and determinants of maternal mortality for these regions. Methods This study aimed to assess differences in the levels and determinants of maternal mortality in women of childbearing age (15–49 years) in the North and South of Nigeria. The Nigeria Demographic and Health Surveys (2008 and 2013) were used. The association between maternal mortality (outcome) and relevant sociocultural, economic and health factors was tested using multivariable logistic regression in a sample of 51,492 living or deceased women who had given birth. Results There were variations in the levels of maternal mortality between the two regions. Maternal mortality was more pronounced in the North and increased in 2013 compared to 2008. For the South, the levels slightly decreased. Media exposure and education were associated with maternal mortality in the North while contraceptive method, residence type and wealth index were associated with maternal death in the South. In both regions, age and community wealth were significantly associated with maternal mortality. Conclusions Differences in the levels and determinants of maternal mortality between the North and South of Nigeria stress the need for efforts to cut maternal deaths through new strategies that are relevant for each region. These should improve education of girls in the North and access to health information and services in the South. Overall, new policies to improve women’s socioeconomic status should be adopted.

scholarly journals A Cross-sectional Study to Evaluate Causes of Maternal Mortality in Rural Areas of Punjab, India

2021 ◽  
Author(s):  
Sarbhjit Kaur ◽  
Navneet Kaur ◽  
Manjit Kaur Mohi ◽  
Manjeet Kaur ◽  
Neeraj Singh ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Rural Areas ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Common Cause ◽  
Socio Economic Status

Introduction: Maternal mortality is an index of reproductive health of the society. In India illiteracy, late referrals, low socio-economic status of the community and direct causes are responsible for high incidence of maternal deaths which contributes to one-fifth of the global burden. Aim: To evaluate the causes of maternal death in rural areas of Punjab. Materials and Methods: The present retrospective cross-sectional study was conducted in 10 districts of Punjab, India chosen from five different zones i.e., east, west, north, south and central zone for a period of one year from 2016 to 2017. Information of all the deaths was taken from the civil surgeon office of the chosen district and then data of maternal deaths occurring within 42 days of delivery was collected by visiting patient’s residence and verbal autopsy was conducted. The data was collected and entered in predesigned proforma and percentages were calculated in Microsoft Excel version 2016. Results: A total of 67 maternal deaths were noted from above five zones, out of total rural population of 94,59,553. Maximum (n=51) maternal deaths were between age range of 20-30 years. Of these 67, majority 29 (43.28%) were illiterate, 66 (98.5%) women belonged to middle and low socio-economic status, 55 (82.1%) deaths occurred in the postnatal period, 33 (49.25%) occurred at more than 37 weeks period of gestation and 51 (76.12%) were due to direct causes. Out of 67 deaths, haemorrhage (n=29) was the most common cause. Anaemia contributed to 16.7% (11) as an indirect cause of maternal death. Conclusion: The maximum maternal deaths were contributed by illiterate women from middle and low socio-economic status. The most common cause was postpartum haemorrhage followed by pre-eclampsia/eclampsia.

scholarly journals Audit of maternal deaths at the Saint Louis regional hospital from 2017 to 2019

2021 ◽  
Vol 12 (5) ◽  
pp. 331-335
Author(s):  
Ousmane Thiam ◽  
Khadim Niang ◽  
Djibryl Bahaid Sow ◽  
Cherif Cheikh Tourade Sarr ◽  
Aliou Diouf ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Causes Of Death ◽  
Regional Hospital ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Saint Louis ◽  
Software Analysis ◽  
Nulliparous Women ◽  
Hospital Center

Objective: To audit maternal deaths at the regional hospital center of Saint-Louis. Materials and methods: This was a retrospective cross-sectional study of all maternal deaths that occurred between January 1, 2017 and December 31, 2019 at the Saint-Louis regional hospital center. Data were entered on EXCEL 2013 software. Analysis was performed on Epi Info version 3 software. Results: During our study, 73 cases of maternal death were collected. Maternal mortality was 520 per 100 000 live births. The mean age of the patients was 28.1 years±6.8. Multiparous women accounted for 43.8% and nulliparous women for 1.3%. The causes of maternal death were obstetric hemorrhage (28.77%), hypertension and its complications (20.55%), labour dystocia (15.07%) and anemia (6.85%). Direct obstetric causes of death were responsible for 64.38% of cases and indirect obstetric causes were seen in 35.62%. Death occurred postpartum in 68% of cases, during pregnancy in 25% and during labor in 7%. Death was preventable in 77.5% of cases. Conclusion: Maternal mortality is a real health problem in our practice. It affects young women. Indirect causes of death are becoming more significant causes of death in our practice. Maternal mortality is avoidable in the majority of cases.

scholarly journals Factors associated with maternal mortality from sepsis in a low-resource setting: a five-year review at Mpilo Central Hospital, Bulawayo, Zimbabwe

2019 ◽  
Vol 50 (1) ◽  
pp. 12-15
Author(s):  
Solwayo Ngwenya
Keyword(s):  
Maternal Mortality ◽  
Reproductive Age ◽  
Central Hospital ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Factors Associated ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Mpilo Central Hospital

Sepsis remains a major cause of maternal deaths globally. It is one of the major causes of maternal morbidity and mortality in women of reproductive age. It is important that such a major contributor is studied in low-resource settings. The aims of this study were to document the percentage of maternal deaths from sepsis among the total number of maternal deaths in a low-resource setting and to determine factors associated with maternal mortality from sepsis at Mpilo Central Hospital. This was a retrospective, descriptive, cross-sectional study carried out at Mpilo Central Hospital. Nearly one-third (29.3%) of maternal deaths were due to sepsis. The major factor associated with maternal mortality was post-abortal sepsis (41.7%).

scholarly journals Maternal mortality due to hemorrhage in Brazil

2013 ◽  
Vol 21 (3) ◽  
pp. 711-718 ◽  
Author(s):  
Maria de Lourdes de Souza ◽  
Ruy Laurenti ◽  
Roxana Knobel ◽  
Marisa Monticelli ◽  
Odaléa Maria Brüggemann ◽  
...  
Keyword(s):  
Time Series ◽  
Information System ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Population Data ◽  
Health Ministry ◽  
Maternal Deaths ◽  
Regional Inequalities ◽  
The North ◽  
Research Period

OBJECTIVE: to analyze the rates of maternal mortality due to hemorrhage identified in Brazil from 1997 to 2009. Methods: the time series and population data from the Brazilian Health Ministry, Mortality Information System and Live Birth Information System were examined. From the Mortality Information System, we initially selected all reported deaths of women between 10 and 49 years old, which occurred from January 1, 1997 to December 31, 2009 in Brazil, recorded as a "maternal death". RESULTS: during the research period, 22,281 maternal deaths were identified, among which 3,179 were due to hemorrhage, accounting for 14.26% of the total deaths. The highest rates of maternal mortality were found in the North and Northeast areas of Brazil. CONCLUSIONS: the Brazilian scenario shows regional inequalities regarding maternal mortality. It presents hemorrhaging as a symptom and not as a cause of death.

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