scholarly journals Study of Maternal Mortality Risk Factor 2016 in Aceh Province

2018 ◽  
Vol 5 (6) ◽  
pp. 4776-4780 ◽  
Author(s):  
Nurlaili Ramli ◽  
Eva Purwita Purwita
Keyword(s):  
Decision Making ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Health Facilities ◽  
Maternal Deaths ◽  
Access To Health ◽  
Key Word ◽  
Aceh Province ◽  
Late Referral ◽  
Main Factor

The studies goals was determine the cause of death from 3 factor of delaying that are the delaying in decision making, delaying in reaching health facility and delaying of getting  adequate service  in the health facilities. The study was conducted in 9 district /cities representing eastern, western and central in Aceh province and there was maternal mortality. Research start from April to Oktober 2016. The sample was all the mothers who experience death in 9 district/cities amounted to 45. Research instrument in the form of quistioner given to family, midwife, midwife coordinator and village head. Research design is deskriptif explorative. Maternal deaths 57.7% were used by bleeding during the pregnancy/childbirth. The mayority maternal death sare due to delays that occurring during pregnancy/childbirth, postpartum, either late in decision making (97.8 %), late referral (95.6%) and delayed access to health facilities (91.1%). Decision making by head of family is influenced by traditional beliefs so that it is the main factor of maternal mortality. Key word : Maternal death, late in decision making, late referral, delayed access ro health facilities.

scholarly journals Integration of the Maternal Death Prevention Program based on the Health Belief Model Framework

2020 ◽  
Vol 15 (3) ◽  
pp. 432-440
Author(s):  
Yuditha Nindya Kartika Rizqi ◽  
Windri Lesmana Rubai
Keyword(s):  
Health Belief Model ◽  
Maternal Death ◽  
Health Workers ◽  
Health Belief ◽  
Health Facilities ◽  
Maternal Deaths ◽  
Access To Health ◽  
Belief Model ◽  
The Health Belief Model ◽  
Antenatal Services

In 2015, the Health Office of Banyumas Regency records 7 cases of maternal deaths, 243 cases of infant deaths, and 41 cases of under-five deaths. Compared to 2015, maternal mortality increases in the first three months of 2016. This research aims to identify the causes of maternal deaths that occur in 2016 in Banyumas Regency using the Health Belief Model conceptual framework. The results show that the cause of maternal death in Banyumas Regency is the lack of antenatal services due to the lack of knowledge and awareness of mothers, social status of women in the community, availability of health facilities, vulnerabilities received, benefits of antenatal services, barriers to access to health services, and quality of health facilities and health workers. The problem solving plan is based on the HBM concept framework that can be prepared consisting of stakeholder advocacy, health promotion programs through counseling for pregnant women, programs to improve access to health facilities, and intervention programs for health workers.

scholarly journals Maternal mortality-a three-year retrospective study in a rural medical college of India

2021 ◽  
Vol 10 (8) ◽  
pp. 3019
Author(s):  
Jayasree Hansda ◽  
Debobroto Roy ◽  
Krishnapada Das ◽  
Manojit Sarkar ◽  
Rumpa Das ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Tertiary Care Centre ◽  
Maternal Deaths ◽  
Demographic Profiles ◽  
Medical College ◽  
Mortality Ratio ◽  
Tragic Event

Background: Maternal mortality is a tragic event as family revolves around a mother. The deadly obstetrical triad of hemorrhage, preeclampsia and infection has accounted for a third of all deaths. This study was conducted to assess maternal mortality ratio, demographic profile and causes of maternal death.Methods: This retrospective longitudinal study was conducted in the department of obstetrics and gynecology for a period of three years from 1st January 2018-31st December, 2020. Total no of death during this period was 134.Records of deaths and demographic profiles were retrieved from the medical record library of aforesaid hospital.Results: There were 134 maternal deaths amongst 56815 live births with MMR 235.85. The majority of deaths were in 20-29 year of age group and most of the deaths seen in multigravida. The 91.79% death was observed within the 24 hours and after 72 hours. Eclampsia, preeclampsia and hemorrhage were leading cause of maternal death seen in the study.Conclusions: Maternal mortality is higher than national MMR. Majority of maternal death were preventable by proper antenatal care, early detection of high-risk pregnancies and their timely referral to tertiary care centre.

scholarly journals MATERNAL MORTALITY

2009 ◽  
Vol 16 (01) ◽  
pp. 135-138
Author(s):  
TASNIM TAHIRA REHMAN ◽  
MAHNAZ ROOHI
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Care Level ◽  
Maternal Deaths ◽  
Mortality Ratio ◽  
Study Setting ◽  
Very High

Objective: To find out maternal mortality ratio (MMR) and to determine major causes of maternal death. S t u d y d e s i g n:A descriptive study. Setting: Department of Obstetric and Gynaecology, Allied Hospital, Faisalabad. S t u d y period: From 01.01.2008 to31.12.2008. Materials a n d m e t h o d s : All cases of maternal death during this study periods were included except accidental deaths. Results:There were 58 maternal deaths during this period. Total No. of live births were 5975. MMR was 58/5975 x 100,000 = 970/100,000 live births.The most common cause of maternal death was hemorrhage (34.5%) followed by hypertensive disorders/eclampsia (31%). Most of thepatients (75.86%) were referred from primary & secondary care level. C o n c l u s i o n : Maternal mortality is still very high in underdevelopedcountries including Pakistan. We must enhance emergency obstetric care (EOC) to achieve the goal of reduction in MMR.

scholarly journals Near miss maternal morbidity and maternal mortality at Kathmandu Medical College Teaching Hospital

1970 ◽  
Vol 8 (2) ◽  
pp. 222-226 ◽  
Author(s):  
NS Shrestha ◽  
R Saha ◽  
C Karki
Keyword(s):  
Maternal Mortality ◽  
Teaching Hospital ◽  
Maternal Death ◽  
Scoring System ◽  
College Teaching ◽  
Near Miss ◽  
Hypertensive Disorder ◽  
Maternal Deaths ◽  
Medical College ◽  
Obstetric Morbidity

Background: Maternal mortality traditionally has been the indicator of maternal health all over the world. More recently review of the cases with near miss obstetric events has been found to be useful to investigate maternal mortality. Cases of near- miss are those in which women present with potentially fatal complication during pregnancy, delivery or the puerperium, and survives merely by chance or by good hospital care. Objectives: The objective of this study is to determine the prevalence and nature of near miss obstetric cases and maternal deaths at Kathmandu Medical College Teaching Hospital. Material and methods: This was a descriptive study done for the period of 24 months (1 January 2008 to 31 December 2009). Cases of severe obstetric morbidity were identified during daily morning meetings. All the cases were followed during their hospital stay till their discharge or death. Five factor scoring system was used to identify the near miss cases from all the severe obstetric morbidity. For each case of maternal death, data were collected from records of maternal death audit. Results: During the study period, 1562 women delivered at the institution and 36 women were identified as near-miss obstetrical cases. The prevalence of near miss case in this study was 2.3%. Five maternal deaths occurred during this period, resulting in a ratio of maternal death of 324 maternal deaths per 100,000 live births. Of the five maternal deaths three were due to pregnancy complicated with hepatitis E infection, one each due to Eclampsia and amniotic fluid embolism. Fifteen cases of near miss were due to haemorrhage (41.66%) and hypertensive disorder of the pregnancy was the cause in 10 (27.77%). Dystocia was the cause in 1(2.77%) case and infections in 7(19.4%) cases. Rare causes like anaesthetic complications were the cause in one case and dilated cardiomyopathy was the cause in two cases. Conclusion: The major causes of near-miss cases were similar to the causes of maternal mortality of Nepal. Need for the development of an effective audit system for maternal care which includes both near-miss obstetric morbidity and mortality is felt. Key words: Near-miss obstetric morbidity; Maternal mortality; Five factor scoring system DOI: 10.3126/kumj.v8i2.3563 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 222-226

scholarly journals Obstetric near miss events and maternal deaths in a tertiary care hospital

2018 ◽  
Vol 7 (2) ◽  
pp. 519
Author(s):  
Vrinda Patil ◽  
Vidya Kamath ◽  
Rathnamala M. Desai
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Mortality Index ◽  
Mortality Ratio ◽  
Life Threatening

Background: Maternal mortality is one of the important indicators of maternal health. Objectives of present study were to determine the frequency of maternal near miss, maternal near miss incidence ratio, maternal near miss to mortality ratio and mortality index and to study the risk factors associated with near miss events.Methods: A retrospective analysis of severe maternal morbidity from January 2015 to December 2015 was studied. Data was collected from women with pregnancy related life-threatening complications, near miss cases and maternal deaths.Results: The total number of deliveries were 5247. The numbers of maternal deaths were 12. Maternal mortality ratio was 228 per one lakh deliveries. There were 5.3 near miss events for every 1 maternal death. The nature and course of near miss cases were analysed. Severe maternal odds ratio was 14.48. Mortality index was 15.78%. Maternal near miss incidence ratio was 12.19.Conclusions: Near Miss Mortality indicator is helpful in identifying the life-threatening conditions and thus aiming to prevent maternal mortality. Hypertensive disorders and its complications are the leading causes of near miss events. Sepsis is the main cause of maternal death.

scholarly journals Trends in maternal deaths from epilepsy in the United Kingdom: a 30-year retrospective review

2014 ◽  
Vol 7 (4) ◽  
pp. 160-164 ◽  
Author(s):  
Dipanwita Kapoor ◽  
Suzanne Wallace
Keyword(s):  
United Kingdom ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Retrospective Review ◽  
Neurological Diseases ◽  
Clinical Care ◽  
Confidential Enquiry ◽  
Unexpected Death ◽  
Maternal Deaths ◽  
The Uk

Objective Neurological diseases remain the second most common cause of maternal mortality from indirect causes, according to the last United Kingdom confidential enquiry into maternal death. The maternal mortality rate from epilepsy is reported as 0.61 per 100,000 maternities. The aim of this study was to analyse the trends and causes of maternal death from epilepsy in the UK over the last 30 years. Information on sub-standard care associated with fatalities was also consolidated to inform guidance and clinical care by obstetricians and physicians caring for pregnant women with epilepsy. Study design A retrospective review of 10 triennial confidential enquiry into maternal death reports (1979–2008) was performed, encompassing 21,514,457 maternities. Late and coincidental deaths were not included in the analyses. Results Between 1979 and 2008, there were 92 maternal deaths from epilepsy. The proportion of total maternal deaths from epilepsy over 30 years is 3.7% (95% CI 3.0–4.5), which showed an increasing trend. Sudden unexpected death in epilepsy remains the single greatest cause of maternal death from epilepsy followed by aspiration of gastric contents during seizures and drowning during bathing. Conclusion All women with epilepsy should be looked after by specialist combined obstetric and medical or neurological teams in pregnancy to improve maternal and fetal outcomes.

scholarly journals Gambaran kematian maternal di RSUP Prof. Dr. R. D. Kandou Manado 1 Januari 2013 – 31 Desember 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Mustika S. Lumbanraja ◽  
Hermie M.M. Tendean ◽  
Maria Loho
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Age Group ◽  
Health Issues ◽  
Maternal Deaths ◽  
Working Mother ◽  
The Status ◽  
Using Data ◽  
And Child Health

Abstract: Maternal death is the death of a pregnant woman or death within 42 days after the termination of pregnancy, irrespective of the length and location of the pregnancy, caused by anything related to pregnancy, or aggravated by the pregnancy or its handling, but not the death caused by accident or accidentally. Maternal mortality is one of the indicators to evaluate the progress of the health of a country, especially those related to maternal and child health issues. This study was aimed to determine the characteristics of maternal death. This was a descriptive retrospective study using data of the Medical Record Department of Prof. Dr. R. D. Kandou Manado from 1 January 2013 to 31 December 2015. In this study, there were 41 cases of maternal deaths. In 2013 and 2014, the highest death rate was in the age group >35 years, while in 2015 in the age group 20-25 years. Based on the number of parity, the highest mortality rates in the number of parity 2-3 in 2013 and 2014, while in 2015 the number of parity ≤1. The highest mortality rate by level of education was high school educated. Based on employment status, the highest mortality rate was in the group of working mother. The highest death toll was based on marital status in the group who are married. Based on the status of the referral highest mortality rate was in status is not a referral. This study found that the highest cause of maternal mortality is three consecutive years eclampsia, sepsis, eclampsia. Conclusion: Of 41 cases of maternal deaths in the Department of Prof. Dr. R. D. Kandou Manado for 3 years, the most cause of death was due to eclampsia/pre-eclampsia which was 4-7 cases each year. Maternal mortality rate per 100000 live births yearly in sequence were 373, 427, 789.Keywords: maternal death Abstrak: Kematian maternal adalah kematian wanita yang terjadi saat hamil atau dalam 42 hari setelah berakhirnya kehamilan, tidak tergantung dari lama dan lokasi kehamilan, disebabkan oleh apapun yang berhubungan dengan kehamilan, atau yang diperberat oleh kehamilan tersebut atau penanganannya, tetapi bukan kematian yang disebabkan oleh kecelakaan atau kebetulan. Kematian maternal merupakan salah satu indikator untuk melihat kemajuan kesehatan suatu negara, khususnya yang berkaitan dengan masalah kesehatan ibu dan anak. Penelitian ini bertujuan untuk mengetahui gambaran kematian maternal. Jenis penelitian ini ialah deskriptif retrospektif menggunakan rekam medik di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013-31 Desember 2015. Pada penelitian ini, ditemukan 42 kasus kematian maternal. Pada tahun 2013 dan 2014 angka kematian tertinggi di kelompok usia >35 tahun, sedangkan tahun 2015 ditemukan di kelompok usia 20-25 tahun. Berdasarkan jumlah paritas, angka kematian tertinggi pada jumlah paritas 2-3 di tahun 2013 dan 2014, sedangkan untuk tahun 2015 pada jumlah paritas ≤1. Angka kematian tertinggi berdasarkan tingkat pendidikan ialah SMA. Berdasarkan status pekerjaan, angka kematian tertinggi berada pada kelompok ibu yang bekerja. Angka kematian tertinggi berdasarkan status pernikahan berada pada kelompok yang sudah menikah. Berdasarkan status rujukan angka kematian yang tertinggi ialah pada status bukan rujukan. Pada penelitian ini ditemukan penyebab kematian ibu yang tertinggi 3 tahun berurutan ialah pre-eklampsia/eklampsia, infeksi, pre-eklampsia/eklampsia. Simpulan: Jumlah kematian maternal di RSUP Prof. Dr. R. D. Kandou Manado selama 3 tahun yaitu sebanyak 41 kasus. Penyebab kematian terbanyak disebabkan oleh eklampsia/pre-eklampsia yaitu 4-7 kasus per tahun. Angka kematian ibu per 100000 kelahiran hidup per tahun berurutan ialah 373, 427, 789. Kata kunci: kematian maternal

scholarly journals Maternal Death Surveillance and Response in Tanzania: Comprehensiveness of narrative summaries and action points from maternal death reviews

2020 ◽  
Author(s):  
Ali Said ◽  
Andrea B. Pembe ◽  
Siriel Massawe ◽  
Claudia Hanson ◽  
Mats Malqvist
Keyword(s):  
Maternal Death ◽  
Demographic Characteristics ◽  
Health Facilities ◽  
World Health ◽  
Action Plans ◽  
Maternal Deaths ◽  
Middle Income ◽  
Middle Income Countries ◽  
Sequence Of Events ◽  
Surveillance And Response

Abstract Background Maternal deaths in Tanzania and other low and middle income countries occur both in and outside health facilities. Review of maternal deaths relies on comprehensive documentation of medical records that can reveal sequence of events leading to death. The World Health Organization’s and the Tanzanian Maternal Death and Surveillance (MDSR) system propose the use of narrative summaries during maternal death reviews for discussing the case to categorize causes of death, identify gaps in care and recommend action plans to prevent deaths. Suggested action plans are recommended to be Specific, Measurable, Attainable, Relevant and Time bound (SMART). To identify gaps in documenting information and developing recommendations, comprehensiveness of written narrative summaries and action plans were assessed. Methods A total of 76 facility maternal deaths that occurred in two regions in Southern Tanzania in 2018 were included for analysis. We assessed the comprehensiveness of summaries and action plans using a prepared checklist from Tanzania MDSR guideline of 2015. Presence or absence of items in four domains each with several attributes was recorded. These were socio-demographic characteristics, antenatal care, referral information and events that occurred after admission. Less than 75% completeness of attributes in all domains was considered poor while 95% and above was good/comprehensive. Action plans were assessed by application of SMART criteria and according to place of planned implementation (community, facility or higher level of health system).Results Almost half of narrative summaries (49%) scored poor, and only 1% scored good/comprehensive. Summaries missed key information such as demographic characteristics, time between diagnosis of complication and commencing treatment (65%), investigation results (47%), summary of case evolution (51%) and referral information (47%). A total of 285 action points were analysed. Most action points 242(85%) recommended strategies to be implemented at health facilities and they were mostly 42(42%) on service delivery. Only 42% (32/76) of the action points were deemed to be SMART.Conclusions Abstraction of information to prepare narrative summaries used in MDSR system is inadequately done. Action plans in MDSR system are mostly recommended to sub standard care in health facilities but are not specific on the issues to be addressed.

Factors Cause of Maternal Death in Timor-Leste

2017 ◽  
Vol 3 (2) ◽  
pp. 30
Author(s):  
Feliciano Pinto ◽  
I Ketut Suwiyoga ◽  
I Gde Raka Widiana ◽  
I Wayan Putu Sutirta Yasa
Keyword(s):  
Health Status ◽  
Maternal Health ◽  
Health Behaviors ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Good Health ◽  
Birth Spacing ◽  
Maternal Deaths ◽  
Live Births ◽  
Timor Leste

Maternal mortality was an indicator of basic health services for mothers or women of reproductive age of a country and was one of the eight Millennium Development Goals (MDGs). Factors that affect maternal mortality, among others: medical factors, non-medical factors, and health care system factors. Meanwhile, WHO (2010) reported that the cause of maternal mortality in the world is 25% of bleeding, 15% of infection/sepsis, 12% eclampsia, 13% of abortions are unsafe, 8% obstructed and ectopic pregnancy, 8% embolisms and other related issues with anesthetic problems. WHO (2010) has determined that the maternal mortality rate (MMR) in 40 countries ≥ 300 / 100,000 live births including República Democrática de Timor-Leste at 557 / 100,000 live births. Objective: This study aimed to determine the relationship between the variables of age, parity, spacing pregnancies, health behavior, and health status of mothers with maternal deaths. Methods: The study design was a cross-sectional study with a sample of 298 pregnant women in 13 districts throughout Timor-Leste. Results: Maternal deaths are caused by independent variables simultaneously and the remaining 28.0% were prescribed other factors. Low maternal health behaviors that lead to maternal death by 40.348 times higher compared with mothers who have good health behaviors. The health status of low maternal causes of maternal mortality by 23.340 times higher than mothers who have a good health status. Birth spacing ˂ two years caused the death of the mother of 16.715 times higher than women with birth spacing ˃ 2 years. Maternal age and parity variables showed no significant effect. Conclusion: There was a significant relationship between behavioral maternal health, maternal health, birth spacing with maternal mortality while age and parity are not related.

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