scholarly journals Determinants of Maternal Mortality Rate in The Kyrgyz Republic Regions

Author(s):  
Nurbek Madmarov ◽  
Metin Bayrak

Population is an important factor in development of a country. As a constraint, not only the size of the population is important but also its quality in the development process. Women’s health is considered all over the world and the data about this aspect is published by the World Health Organization annually. Among others maternal mortality rate is one of the major problems affecting women’s health and population. Everyday 830 women die due to the problems related to pregnancy and childbirth in the world. While this number is relatively lower in the developed countries, it is higher in the underdeveloped and developing countries. In addition, the maternal mortality rate in the Caucasus and Central Asia ranks in the worst third in the world. In the Kyrgyz Republic, this rate is 82.083333 per 10000 live births which is the worst in the region. Therefore, it is among one of the countries where the maternal mortality should be reduced in the framework of the Millennium Development Goals. In this study, the determinants of maternal mortality rate are analyzed in the Kyrgyz Republic regions during 2000-2015 by using static panel data methods fixed effects and random effects. The findings show that there are significant decreasing effects of GDP, number of assistant physicians, births by skilled staff, improved sanitation facilities, and gender wage equality, there are significant increasing effects of health expenditures, medical facilities, and poverty among women on the maternal mortality.

Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    


Author(s):  
Angela Mary George ◽  
Daniel Manoj ◽  
Sowmya Ramani ◽  
Lalropuii . ◽  
Murugan Timiri Palani ◽  
...  

The World Health Organization has declared the outbreak of COVID-19 as a global pandemic. The alarming levels of spread and severity of the viral disease has resulted in significant morbidity and mortality. Women often face the highest risk of suffering devastating losses from the pandemic. Historically, women’s health has always been inadequately represented in responses to global outbreaks. Resources are often funnelled away from women’s health services towards targets perceived to be more important. Pregnant women with suspected, probable or confirmed COVID-19, should have access to obstetric and foetal medicine, neonatal care as well as mental health and psychosocial support, at facilities ready to tackle maternal and neonatal complications. In this article, we attempt to look at the challenges faced by gynaecologists because of this pandemic, and provide an overview on the current protocols in antenatal care, foetal care, childbirth, and oncological care.


2020 ◽  
Vol 11 (1) ◽  
pp. 114-120
Author(s):  
Magdalena Magdalena Agu Yosali ◽  
Dr. Astry Dr. Astry

The Maternal Mortality Rate (MMR) is one indicator that can describe the welfare of the community in a country. According to the World Health Organization (WHO) in 2012 as many 99% of maternal death’s were caused by labor problems. The Maternal Mortality Rate (MMR) in developing countries is the highest compared to MMR in the depeloved countrieswith a total 450 deaths/ 100.000 live births. This is very important, considering the high MMR associated with pregnancy, childbirt, nipas, beside being coused due to complication also coused by several complicating factor of labor that effect the length of labor, including age, parity, distance of pregnancy, activity during pregnancy, antenatal care visit. This type of research is quantitative analytical methods. The study was conducted at the Sindang Barang health center Bogor City in 2018, totaling with 45 respondents. Using the total sampling technique. The instrument used were physical activity questionnaires and partograph sheets while data analysis techniques used univariate and bivariate analysis. In the statistical test of study of the relationship between maternal physical activity and the length of labor in Sindang Barang Health Center Bogor city 2018, it can be concluded that there are 20 (44,44%) mothers with long-term labor activity > 24 hours, there are 1 (22,2%) mothers with heavy activity that experience normal labor < 24 hours, there 9 (24,4%) mothers with strenuous activity who experience prolong labor > 18 hours, there are 2 (4,45%) mothers with heavy activity who experience < 18 hours. There are 1 (2,22%) mothers with mild activity who experience prolonged labor > 24 hours, there are 3 (6,67%) mothers with mild activity who experience normal labor < 24 hours, there are 2 (4,45%) mothers with mild activity who experience prolonged labor > 18 hours, there are 7 (15,55%) mothers with mild activity who experience normal delivery < 18 hours. Based on the results of the value of P value 0.000 is obtained so that the alternative hypothesis is accept and the null hypothesis is riject. So that there is Relationship between Mother’s physical Activity and the Length of Labor in the Sindang Barang Health Center in Area Bogor City 2018. 


Author(s):  
Suni Halder ◽  
Steve Yentis

The risk to women’s health is increased during pregnancy, and maternal mortality is used as an indicator of general healthcare provision as well as a target for improving women’s health worldwide. Morbidity is more difficult to define than mortality but may also be used to monitor and improve women’s care during and after pregnancy. Despite international efforts to reduce maternal mortality, there remains a wide disparity between the rate of deaths in developed (maternal mortality ratio less than 10–20 per 100,000 live births) and developing (maternal mortality ratio as high as 1000 or more per 100,000 live births in some countries) areas of the world. Similarly, treatable conditions that cause considerable morbidity in developed countries but uncommonly result in maternal death (e.g. pre-eclampsia (pre-eclamptic toxaemia), haemorrhage, and sepsis) continue to be major causes of mortality in developing countries, where appropriate care is hampered by a lack of resources, skilled staff, education, and infrastructure. Surveillance systems that identify and analyse maternal deaths aim to monitor and improve maternal healthcare through education of staff and politicians; the longest-running and most comprehensive of these, the Confidential Enquiries into Maternal Deaths in the United Kingdom, was halted temporarily after the 2006–2008 report but is now active again. Surveillance of maternal morbidity is more difficult but systems also exist for this. The lessons learnt from such programmes are thought to be important drivers for improved maternal outcomes across the world.


2020 ◽  
pp. 30-32
Author(s):  
Anamika Anamika ◽  
Amrita Sharan

BACKGROUND Maternal death or maternal mortality is defined by the World Health Organisation (WHO) as the “death of a women while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.” AIMS AND OBJECTIVES 1. To study the causes of maternal mortality, 2. To identify the deficits to decrease the current rate of maternal mortality. MATERIALS AND METHODS This was a retrospective study done by analyzing hospital records of maternal mortality occurring in the department of obstetrics and gynaecology of a tertiary care hospital of Bihar from January 2019 to December 2019. RESULTS A total of 126 deaths occurred in this period of 1 year. The total number of live births was 5568 in this year making the maternal mortality rate (MMR) to be 2262.93. This may be due to the fact that being a referral institute most of the cases were referred from the peripheries. 76.19% of the women were referred from outside. The most common age group to be affected was 20 to 29 years (79.36%). Multiparous women were more affected than primiparous women (61.9% V/s 38.10%). The most common cause of maternal mortality was eclampsia seen in 26.98% cases followed by PPH seen in 22.22% cases, anemia in 8.73%, medical complications in 7.94% cases , APH in 7.14% cases , rupture uterus in 7.14% cases. The most common type of delay was type 1 and 2. More number of women were from rural areas. More number of women were illiterates. Most of the women had no ANC. CONCLUSION Illiteracy, poverty, lack of knowledge, delayed referrals, lack of ANC are major contributing factors causing such high maternal mortality rate. Health education, strengthening of peripheral health care and availability of trained health workers and essential drugs should be enforced.


2011 ◽  
Vol 5 (6) ◽  
pp. 243
Author(s):  
Ulvi Mariati ◽  
Z Agus ◽  
D Sulin ◽  
Masrul Masrul ◽  
Z Amri ◽  
...  

Salah satu tujuan yang hendak dicapai oleh World Health Organization pada tahun 2000 adalah health for all by year 2000. Beberapa indikator digunakan untuk mengukur pencapaian tersebut, diantaranya angka kematian bayi (AKB) dan angka kematian ibu (AKI). Dinas Kesehatan Sumatera Barat telah berhasil menurunkan AKB dan AKI selama 5 tahun terakhir, akan tetapi angka-angka tersebut tidak menggambarkan angka yang sebenarnya karena hanya diperoleh berdasarkan prediksi perhitungan statistik kependudukan. Angka tersebut juga tidak dapat memperlihatkan disparitas antarwilayah dan kelompok sosial ekonomi di Sumatera Barat. Penelitian ini dilakukan untuk mendapatkan AKB dan AKI yang tepat serta mengetahuifaktor determinan dan permasalahannya di Sumatera Barat pada tahun 2007. Desain penelitian adalah Direct Household Survey Method dengan pendekatan prospektif. Penelitian dilakukan di 19 kabupaten/kota di Provinsi Sumatera Barat dari tanggal 1 Januari sampai 31 Desember 2007. Hasil penelitian menunjukkan AKB dan AKI Sumatera Barat tahun 2007 berkisar 28,4 per 1.000 kelahiran hidup dan 211,9 per 100.000 kelahiran hidup. Asfiksia dan perdarahan postpartum merupakan penyebab kematian utama ibu dan bayi. Dinas Kesehatan Sumatera Barat dan pemerintahannya harus mempunyai komitmen yang kuat untuk membangun jaringan kerja yang efektif untuk menurunkan AKB dan AKI di Sumatera Barat.Kata kunci: Angka kematian bayi, angka kematian ibu, asfiksia, postpartumAbstractOne of the main goals that WHO wants to reach in 2000 is Health for All Year 2000. Some of indicators have been using to measure the goals, such as infant mortality rate (IMR) and maternal mortality rate (MMR). West Sumatera Health Office had been successed reducing IMR and MMR for over 5 years, but the score was not mentioned the exact number becausethis measurement just using national statistic measurement. It also could not describe the disparity between the area and sosial group in West Sumatera. This research aim is to get the exact number of IMR and MMR, determinat factors and its problems in West Sumatera in 2007. The study desain was Direct Household Survey Method with prospective approach. The research was done in 19 different government district in West Sumatera from January 1st until December 31st 2007. Result of this research found IMR and MMR of West Sumatera in 2007 is 28,4 per 1.000 birth life and 211,9 per 100.000 birth life. Asphyxia and postpartum bleeding is the main cause of infant and maternal death. West Sumatera Health Office and its government should have a strong commitment to build effective networking to reduce IMR and MMR in West Sumatera.Key words: Infant mortality rate, maternal mortality rate, asphyxia, postpartum


Author(s):  
Efilona Setri ◽  
Mohd. Faisyal Reza

Background : According to the World Health Organization (WHO), maternal mortality is still quite high, every day around the world around 800 women die from complications during pregnancy, childbirth and the puerperium. In 2013, 289,000 women died during and after pregnancy, childbirth and the puerperium. Between 1990 and 2013, the global maternal mortality rate (i.e. the number of maternal deaths per 100,000 live births) decreased by only 2.6% per year. This figure is still far from the target of reducing the annual MMR (5.5%) needed to achieve the 5th MDG target (Andiani, and Retno, 2014). Method : The research objective was to determine the compliance of mothers in conducting postpartum visits. Result : Results of the Research on Maternal Compliance in Postpartum Visits Postpartum Visits in Pulau Buluh Village, Bulang District, Batam City It was found that maternal post-partum visits in Pulau Buluh Village consisted of 35 respondents, namely 19 respondents (54%) postnatal visits were obedient, and 16 respondents (46 %) postpartum visits are non-compliant Conclusion : It is known that 19 (54%) of the respondent's frequency distribution of Compliance Postpartum visits are complete and 16 (46%) respondents who are incomplete during postpartum visits


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