scholarly journals Maternal Mortality Rate at East Ogan Komering Ulu (East OKU) Regional Public Hospital Over a Four Year Period: Trends, Its Associated Factors and Neonatal Outcome

2019 ◽  
pp. 97-100
Author(s):  
Cindy Kesty ◽  
Hendra S Saputra
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Associated Factors ◽  
Public Hospital ◽  
Neonatal Outcome ◽  
Downward Trend ◽  
Hypertensive Disorder ◽  
Childbearing Age ◽  
Maternal Deaths ◽  
Maternal Mortality Rate

Objective: To determine the MMR trends, its associated factors, and neonatal outcome at East OKU Regional Public Hospital from 2013 until 2016. Methods: This descriptive study was performed from January 2013 until December 2016 in maternity ward and Intensive Care Unit (ICU) of East OKU Regional Public Hospital, South Sumatera. Data was collected from medical records. There were 17 maternal deaths, but 1 data was excluded due to lack of data. Results: We recorded 2,191 pregnancies and 17 maternal deaths. Over 4 years, the lowest MMR occurred in 2013 (229/100,000) and achieved its peak in 2014 (1,306/100,000). Then, MMR followed downward trend dropping from 1,087/100,000 in 2015 until 588/100,000 in 2016. Most of deceased were childbearing age women (50.0%), multigravida (62.5%), but nulliparous (50.0%), and aterm (87.5%). The major etiology of maternal deaths were hypertensive disorder (37.5%), followed by hypertensive disorder + hemorrhage and hypertensive disorder + infection in the same proportion. MMR were higher in inborn cases (87.5%), born via C-section (87.5%), and treated for less than 48 hours (93.75%). Alive neonatal were born in most cases (62.5%). Conclusion: MMR trends in our hospital were fluctuating with a downward trend, but still much higher than the MDGs target in 2015 (102/100,000). Hypertensive disorder plays significant role in maternal deaths. In addition, most of neonates were born alive. We hope that this study can be a feedback for hospital to do maternal and perinatal audit. Keywords: Factors, Maternal mortality rate, Neonatal outcome, Regional public hospital, Trends     Tujuan: Untuk menentukan pola, faktor yang berkaitan, dan luaran neonatus di RSUD OKU Timur dari 2013 hingga 2016. Metode: Studi deskriptif dilakukan dari Januari 2013 hingga Desember 2016 di bangsal kebidanan dan unit perawatan intensif RSUD OKU Timur, Sumatera Selatan. Data dikumpulkan dari rekam medik. Terdapat 17 kematian ibu, tetapi 1 data dieksklusi karena data yang kurang lengkap. Hasil: Terdapat 2.191 kehamilan, dan 17 kematian ibu. Selama 4 tahun, AKI terendah terjadi pada 2013 (229/100.000) dan mencapai puncaknya pada 2014 (1.306/100.000). Kemudian, AKI mengalami penurunan dari 1.087/100.000 pada 2015 hingga 588/100.000 pada 2016. Mayoritas sampel berusia reproduktif (50,0%), multigravida (62,5%) dan nulipara (50,0%), serta aterm (87,5%). Mayoritas kematian ibu disebabkan oleh hipertensi dalam kehamilan (HDK) (37,5%), diikuti oleh HDK + perdarahan dan HDK + infeksi dalam jumlah yang sama. AKI lebih tinggi pada ibu yang melahirkan di RS (87,5%), melahirkan melalui sectio caesaria (87,5%), dan dirawat selama kurang dari 48 jam (93,75%). Mayoritas neonatus dilahirkan hidup (62,5%). Kesimpulan: Pola AKI di RSUD berfluktuasi dengan pola menurun, tetapi masih jauh lebih tinggi dari target MDGs pada tahun 2015 (102/100,000). Hipertensi dalam kehamilan berperan signifikan terhadap kematian ibu. Mayoritas neonatus dilahirkan hidup. Studi ini diharapkan dapat menjadi masukan bagi rumah sakit untuk melakukan audit maternal dan perinatal. Kata kunci: Angka kematian ibu, Faktor, Luaran neonatus, Pola, Rumah sakit umum daerah

scholarly journals CAN WE REDUCE MATERNAL MORTALITY

2018 ◽  
Vol 21 (05) ◽  
pp. 901-904
Author(s):  
Shehla Raza Channa ◽  
Farhana Anjum ◽  
Sumaira Rauf
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
University Hospital ◽  
Hypertensive Disorder ◽  
Maternal Deaths ◽  
Socioeconomic Condition ◽  
Common Cause ◽  
Maternal Mortality Rate ◽  
Rate Design ◽  
Patient’S History

Objective: The objective of this study is to find out the maternal mortality ratein our setup and found the preventable causes of maternal mortality rate. Design: Descriptivestudy. Place and duration of study: In obstetric ward of Liaquat university hospital Hyderabadfrom 10th Feb 2011 to 10th Jan 2014. Patients and Methods: All the women who were died dueto pregnancy complications were included in the study while women who were not died due topregnancy complications and maternal deaths due to accidental or incidental causes duringpregnancy were excluded from the study. Details of patient’s history especially age, parity,socioeconomic condition, reason of death, antenatal status, and distance from hospital wererecorded on predesigned proforma. Results: Total 48563 deliveries were conducted during thestudy period. Out of these, 103 women died, so the maternal mortality rate was 212.09/ 100,000live birth. Majority of women i.e. 43(41.74%) died; belong from age group of 31-40 years.Majority of women i.e. 78(75.72%) belonged to poor socioeconomic group and 83(80.58%)women had not received antenatal care. Most common cause of maternal mortality in thisstudy was hypertensive disorder which was seen in 43(41.74%) followed by APH in 39(37.86%)and PPH seen in 6(5.82%) patients .The most common cause of delay in seeking health carefacility was lack of transport reported by 43(41.74%) patients and familial taboos reported by36(34.95%) patients. Conclusions: Most important cause of maternal mortality in our studywas hypertensive disorders, APH and PPH. Maternal mortality was highest in advancing age,increased parity and in unbooked patients.

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 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

scholarly journals Mapping maternal mortality rate via spatial zero-inflated models for count data: A case study of facility-based maternal deaths from Mozambique

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0202186 ◽  
Author(s):  
Osvaldo Loquiha ◽  
Niel Hens ◽  
Leonardo Chavane ◽  
Marleen Temmerman ◽  
Nafissa Osman ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Count Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate

scholarly journals A study of maternal mortality and midwifery on the Isle of Man, 1882 to 1961

1996 ◽  
Vol 40 (2) ◽  
pp. 141-172 ◽  
Author(s):  
C G Pantin
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Maternal Deaths ◽  
Family Doctors ◽  
Maternal Mortality Rate ◽  
Isle Of Man ◽  
The Family ◽  
Labour Room ◽  
Maternity Home ◽  
Skilled Staff

The living conditions and the health of Manx mothers continued to improve from 1881 to 1961. Against this background they were at first delivered conservatively and mostly by midwives. During this conservative phase the proportion of mothers surviving childbirth increased as their health improved: by the quinquennium 1907–1911 the maternal mortality rate on the Island was half what it had been twenty years earlier. Between 1912 and 1927 maternal mortality rose and during the quinquennium 1922–1926 the MD/BR was again at the level it had been thirty years before. Some of the maternal deaths during the quinquennium were among women who were subjected to intervention during childbirth by doctors in the unfavourable surroundings of their homes; conditions more suited to delivery by the conservative methods of kindly and patient handywomen. Following the opening of a small maternity home on 6 May 1927 the family doctors began to send their difficult deliveries into the Home where they were looked after by skilled staff and delivered in a well–equipped labour room. Throughout the subsequent decade the MD/BR remained at a level below that in 1907–1911.

scholarly journals ZERO-INFLATED POISSON REGRESSION TO DETERMINE THE FACTORS THAT INFLUENCE THE MATERNAL MORTALITY RATE IN BANDUNG 2016

2018 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Sri Rahayu ◽  
Nurul Gusriani ◽  
Iin Irianingsih
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Expectation Maximization Algorithm ◽  
Postpartum Care ◽  
Mortality Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Excess Zeros ◽  
Raphson Iteration ◽  
Tetanus Toxoid Immunization

In Indonesia, especially Bandung, there are still many cases of maternal deaths during pregnancy, birth, and postpartum which can increase the Maternal Mortality Rate (MMR). Cases of maternal deaths are mostly due to exsanguination, infection, anemia, and the other causes that related to pregnancy. To reduce the MMR of Bandung, we can analyze to determine the factors that influence the MMR in order to maximize the maternal health care programs so as to prevent the possibility of death. The analysis is using Zero-Inflated Poisson (ZIP) regression because maternal mortality data is the result of counting that allows overdispersion due to excess zeros. Regression parameter estimation use expectation maximization algorithm followed by the Newton-Raphson iteration method. The analysis result showed that of the five suspected factors to affect the MMR -such as the first tetanus toxoid immunization (TT1), the provision of 90 Fe tablets (Fe3), postpartum care, pregnancy complications, and the first antenatal care (K1)- only TT1 and postpartum care are significantly affect the MMR.

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.    

scholarly journals Maternal mortality assessment in a tertiary care hospital in Uttar Pradesh, India

2020 ◽  
Vol 9 (9) ◽  
pp. 3814
Author(s):  
Urvashi Barman Singh ◽  
Shakti Jain ◽  
Yashi Srivastava ◽  
Manisha Gupta ◽  
Meena Dayal
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Post Partum ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Medical College ◽  
Time Period

Background: Objective of this study was to calculate the maternal mortality rate in our hospital and to assess the epidemiological aspects and causes of maternal mortality to further analyse ways to reduce the maternal mortality rate (MMR).Methods: This was a retrospective analytical study done in the department of obstetrics and gynecology, MLN Medical College and District Women Hospital, Prayagraj over a time period of 10 years i.e., October 2009 to October 2019. Retrospective analysis and evaluation of the medical records and statistics was done to find out and collect specific causes of maternal deaths in the give time period.Results: There were 357 maternal deaths from October 2009 to October 2019. Maternal mortality rate in the study was calculated to be 498.42 per 1 lakh live births. Maximum deaths were in 21-30 years age group with multipara, unbooked and illiterate cases. Majority of the deaths reported were from direct causes of maternal mortality i.e., hemorrhage, hypertensive disorders and sepsis.Conclusions: In the selected hospitals, the mean maternal mortality rate in the study period was 498.42/100000 births. 71.4% had direct cause and 21.56% had indirect cause of maternal mortality several factors like regular antenatal visits, early identification of high-risk cases, timely referral, institutional deliveries, adequate post-partum care and follow-up can contribute to decrease the maternal mortality rate effectively.

scholarly journals Gambaran Determinan Kematian Ibu di Kota Surabaya Tahun 2015-2017

2019 ◽  
Vol 7 (2) ◽  
pp. 178
Author(s):  
Hazar Rochmatin
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Workers ◽  
Early Recognition ◽  
Secondary Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Second Child ◽  
History Of ◽  
High Level

Maternal mortality rate is one of indicator in assessing the welfare of the community in a region. The high level of Maternal Mortality Rate is a low level signals of public health. Data on maternal mortality in the city of Surabaya shows a decrease in the last 6 years from 144.66 in 2012 to 79.40 in 2017. Although it has shown a decline in progress, this figure still puts Surabaya as the second largest contributor to maternal deaths in East Java in 2017. The study aims to describe the determinants of maternal mortality in Surabaya based on contextual, intermediate and proxy determinants for 2015-2017. This research is descriptive by using secondary data in the form of recapitulation of Maternal Verbal Autopsy (OVM) data on maternal deaths at Surabaya City Health Office The results showed that based on education, the majority of mothers who died had secondary education of 52.29% (57 people). Based on work, the majority of mothers have jobs as housewives of 68.81% (75 people). Based on the age of the mother, the majority of deaths occurred in women aged 20-34 years with a percentage of 66.97% (73 people). According to parity, the majority of mothers who died occurred during pregnancy of the second child by 31.19% (34 people). Based on the period of death, the majority occurred in the puerperium with a percentage of 66.97% (70 people). According to the cause of single death, the majority of maternal deaths were caused by pre-eclampsia/eclampsia with a percentage of 26.61% (29 people). This study recommends the need for early recognition of mothers about antenatal care and danger during pregnancy, childbirth and the puerperium period and increased alertness of health workers to complications of pregnancy, especially in mothers with a history of disease.

scholarly journals Maternal mortality rate in Bao'an district, Shenzhen, China, 1999-2018

2020 ◽  
Author(s):  
yuanfang zhu ◽  
Yali Luo ◽  
Wei Wang ◽  
Liling Wang ◽  
Yuli Cheng ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Management ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Targeted Interventions ◽  
Live Births ◽  
Fast Decline ◽  
Rate Of Decline ◽  
Substantial Heterogeneity

Abstract Background China had achieved impressive success in reducing maternal mortality rate (MMR), while substantial heterogeneity still existed, and reports from Shenzhen region remained a blank. This study aiming to use all available data sources to evaluate the MMR from 1999 to 2018 in Bao’an district, Shenzhen, China. Methods Data on maternal deaths and key health-service-related indicators were obtained from registration forms and Shenzhen Maternal and Child Health Management System. The levels and trends of MMR, profiles and leading causes of death, as well as results from the maternal mortality review committee were analyzed. Results The MMR in Bao’an district declined from 95.31 per 100,000 live births in 1999 to zero in 2018, with an annualized rate of decline of 12.03% per year. A significant declining trend of MMR was observed over 5-year intervals (from 82.61 to 5.22 per 100,000 live births). MMR was higher among migrant population, women aged ≥ 35 years or those who given birth outside the hospital. The first three causes of maternal death included hemorrhage (27.69%), amniotic fluid embolism (22.31%) and internal medical disease complications (15.38%). Nearly ninety percent (86.78%) of maternal deaths were determined to be preventable. Conclusions Bao’an district had experienced a fast decline in MMR for a two-decade period, its experience in lowering MMR could provide a guideline for other regions to focus on those who needed particular attention and take targeted interventions to reduce maternal deaths.

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