scholarly journals Maternal Mortality in Two Reference Hospitals in the City of Yaounde (Cameroon): Epidemiological, Clinical and Prognostic Aspects

2021 ◽  
Vol 11 (05) ◽  
pp. 610-625
Author(s):  
Armand Kamga Talom ◽  
Florent Fouelifack Ymele ◽  
Edmond Mesumbe Nzene ◽  
Jeanne Fouedjio ◽  
Pascal Foumane
Keyword(s):  
Author(s):  
Aderson Tadeu Berezowski ◽  
Antonio Luiz Rodrigues Júnior

Abstract Objective To describe the evolution of maternal mortality right after the establishment of maternal death committees in the region of the city of Ribeirão Preto, state of São Paulo, Brazil. Methods The present study describes the spatial and temporal distribution of maternal mortality frequencies and rates, using data from the state of São Paulo, the municipality of Ribeirão Preto, and its Regional Health Department (DRS-XIII) from 1998 to 2017. The present ecological study considered the maternal mortality and live birth frequencies made available by the Computer Science Department of the Brazilian Unified Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS, in the Portuguese acronym)/Ministry of Health, which were grouped by year and political-administrative division (the state of São Paulo, the DRS-XIII, and the city of Ribeirão Preto). The maternal mortality rate (MMR) was calculated and presented through descriptive measures, graphs, and cartograms. Results The overall MMR observed for the city of Ribeirão Preto was of 39.1; for the DRS-XIII, it was of of 40.4; and for the state of São Paulo, it was of 43.8 for every 100 thousand live birhts. During this period, the MMR for the city of Ribeirão Preto ranged from 0% to 80% of the total maternal mortalities, and from 40.7% to 47.2% of live births in the DRS-XIII. The city of Ribeirao Preto had an MMR of 76.5 in 1998and 1999, which decreased progressively to 12.1 until the years of 2012 and 2013, and increased to 54.3 for every 100 thousand live births over the past 4 years. The state of São Paulo State had an MMR of 54.0 in 1998–1999, which varied throughout the study period, with values of 48.0 in 2008–2009, and 54.1 for every 100 thousand live births in 2016–2017. Several times before 2015, the city of Ribeirão Preto and the DRS-XIII reached the Millennium Goals. Recently, however, the MMR increased, which can be explained by the improvement in the surveillance of maternal mortality. Conclusion The present study describes a sharp decline in maternal death in the region of Ribeirão Preto by the end of 2012–2013, and a subsequent and distressing increase in recent years that needs to be fully faced.


2021 ◽  
Vol 2 (2) ◽  
pp. 40
Author(s):  
Dian Fitriyani

World Health Organization (WHO) in collaboration with UNICEF which aims to improve the health of mothers and newborns in 25 countries that contributed the highest maternal mortality rate, one of them is in Indonesia. Adolescent who become pregnant will increase the health risks for her and baby. The maternal mortality reach approximately 70,000 deaths each year and maternal mortality is closely related to pregnancy and childbirth by adolescents aged 15 – 19 years in the worldwide. Objective of the research is to analyze the factors that influence adolescent girls’ marriage in Indramayu regency. This study uses qualitative method, the paradigm fenomenology. The subjects taken by purposive sampling technique. The informants is adolescent women who married about aged <20 years, her husband, and her family as much as 21 people. The results shows that family economic factors affecting marriage adolescent girls in the Indramayu regency that is caused economic status, the attitude of materialistic. Limitations of the study, there are several girls who live outside the city because they took the husband or for work outside the city, so it's likely there are many factors that have not been revealed. Economic factors affecting marriage adolescent girls in Indramayu regency, is causes by economic status and the attitude of materialistic.  It is necessary to consider the policy of the Marriage Law with the age of >20 years and the prohibition of marriages <20 years so that young girls avoid negative impacts, both physical and psychological.


2021 ◽  
Vol 3 (4) ◽  
pp. 1-5
Author(s):  
Julian A. Pelaez Freire ◽  
Mauricio Hernández Carillo ◽  
Liliana Arias Castillo ◽  
Jorge A. Holguin Ruiz ◽  
Julian A. Herrera Murgueitio

Introduction: Maternal mortality in our region observed a significative reduction, however, it continues to be a a public health problem. In Cali-Colombia was traditionally concentrated in the eastern and hillside areas and with high prevalence of afroamerican patients. Materials and methods: To analyze the behavior of maternal mortality during the last twenty years in the city, an ecological analytical study of spatial correlation was carried out including in the analysis, economic, sociocultural and health care factors. Univariate, bivariate and multivariate analyzes were performed. Results: The spatial analysis showed clusters of maternal mortality in the northern and central areas of the city. As a risk factor for maternal mortality, it was observed that in pregnant women belonging to the mixed ethnic backgrounds and spanic white ethnicity from low socioeconomic income (IRR: 1.13, 95% CI 1.03-1.24). Access to basic education (OR: 0.66, 95% CI 0.53-0.83), attendance at prenatal care (OR: 0.95 95% CI 0.93-0.98) and access to health institutions (OR: 0.96, 95% CI: 0.95-0-97) identified as protective factors for maternal mortality. Conclusion: The clusters for maternal-perinatal mortality in the city during the last two decades had a significant spatial change with a new pattern of risk factors associated to maternal mortality.


2018 ◽  
Vol 12 (2) ◽  
pp. 83
Author(s):  
Yully Asmariana ◽  
Nursyam Perwitasari ◽  
Evi Andriani

Abstract: Anemia is a common health problem during pregnancy. Anemia can cause complications in pregnancy and increase maternal mortality (MMR). The maternal mortality Kota Singkawang reaches 306 / 100,000 live births. In the year 2014 the number of maternal deaths in the city of Singkawang about 80% among them due to bleeding and other causes. This study aims to determine the affect of the incidence of anemia in pregnancy in the city of Singkawang. The method used in this research is cross-sectional study. The data factors processed in univariate with frequency number table, bivariate with cross table 2 X 2 and tested with chi square. While the amount of risk is measured by Odds Ratio. The number of samples is 210 pregnant women taken by simple random sampling. The result of the research was 57.1% of respondents who had anemia. The result of bivariate analysis found that from 4 variables studied, there were 4 variables related to the incidence of anemia that is education (p = 0,0475, OR = 2,000), the number of ANC visits (p = 0.047, OR = 2,000), the parity (p = 0,341, OR = 1,336), the pregnancy distance (p = 0,556 , OR = 0.813). Therefore, to suppress the incidence of anemia in pregnancy and its various effects it is advisable to regulate pregnancy through family planning programs, as well as to note the increase of ANC visits.Keywords: Education, parity, number of ANC visits, pregnancy distance, and anemia.


1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.


ASHA Leader ◽  
2013 ◽  
Vol 18 (7) ◽  
pp. 46-48

This year's Annual Convention features some sweet new twists like ice cream and free wi-fi. But it also draws on a rich history as it returns to Chicago, the city where the association's seeds were planted way back in 1930. Read on through our special convention section for a full flavor of can't-miss events, helpful tips, and speakers who remind why you do what you do.


ASHA Leader ◽  
2017 ◽  
Vol 22 (7) ◽  
Author(s):  
Sean Sweeney
Keyword(s):  

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