scholarly journals IMPACT OF ANTENATAL CARE ON MATERNAL MORBIDITY IN THREE MILITARY HOSPITALS OF PUNJAB, PAKISTAN

2021 ◽  
Vol 71 (5) ◽  
pp. 1682-86
Author(s):  
Rizwana Akbar ◽  
Naila Azam ◽  
Fatima Ali Raza Mughal ◽  
Ahmed Tariq ◽  
Maira Wajahat
Keyword(s):  
Antenatal Care ◽  
Maternal Morbidity ◽  
Maternal Mortality Ratio ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Military Hospitals ◽  
Live Births ◽  
Co Morbidity ◽  
Mortality Ratio ◽  
The Impact

Objective: To determine the impact of antenatal care on maternal morbidity. Study Design: Comparative cross-sectional study. Place and Duration of Study: Obstetric Departments of three military hospitals in Northern Punjab cities of Rawalpindi, Jehlum and Mangla, from Jan to Mar 2019. Methodology: Data of all mothers who gave live births in the selected military hospitals were collected. These mothers were classified as booked and unbooked on the basis of number of antenatal care visits. Maternal morbidities and complications of pregnancy were recorded. The data were analyzed using Statistical Packages for Social Science (SPSS) version 20. Results: In our study, 254 (8.8%) of mothers were unbooked, 2273 (78.8%) were partially booked and 358 (12.4%) were booked. 894 (31%) mothers did not have any co-morbidity while 1991 (69%) mother had co-morbidity. Out of 749 (27.5%) mothers had anaemia, 869 (30.1%) had hypertension, 141 (30.1%) had diabetes mellitus, 24 (0.8%) cardiac disease, 39 (1.4%) had tuberculosis, 9 (0.3%) had liver disease 13 (0.5%) had kidney disease, 69 (2.4%) had allergies while 33 (1.1%) had other diseases. These complications were significantly greater in unbooked patients as compared to booked patients (p<0.001) Out of total 2885 mothers who gave live births in three military hospitals, only one (0.034%) mother died (who was unbooked) in Jhelum Hospital. Its Maternal Mortality Ratio (MMR) was 34.66 per 100,000 live births. Conclusion: In our study population anemia, hypertension and diabetes were the most common comorbidities in expecting mothers. Unbooked mothers had more morbidities and complications of pregnancy than.........

Do Hospitals with a Higher Level of Maternal Care Designation Have Better Maternal Outcomes?

2018 ◽  
Vol 36 (06) ◽  
pp. 653-658 ◽  
Author(s):  
Sindhu Srinivas ◽  
Katy Kozhimannil ◽  
Peiyin Hung ◽  
Laura Attanasio ◽  
Judy Jou ◽  
...  
Keyword(s):  
High Risk ◽  
Maternal Care ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Severe Maternal Morbidity ◽  
Maternal Outcomes ◽  
Cross Sectional ◽  
Discharge Data ◽  
Logistic Regression Models ◽  
The Impact

Background A recent document by the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine introduced the concept of uniform levels of maternal care (LMCs). Objective We assessed LMC across hospitals and measured their association with maternal morbidity, focusing on women with high-risk conditions. Study Design We collected data from hospitals from May to November 2015 and linked survey responses to Statewide Inpatient Databases (SID) hospital discharge data in a retrospective cross-sectional study of 247,383 births admitted to 236 hospitals. Generalized logistic regression models were used to examine the associations between hospitals' LMC and the risk of severe maternal morbidity. Stratified analyses were conducted among women with high-risk conditions. Results High-risk pregnancies were more likely to be managed in hospitals with higher LMC (p < 0.001). Women with cardiac conditions had lower odds of maternal morbidity when delivered in level I compared with level IV units (adjusted odds ratio: 0.29; 95% confidence interval: 0.08–0.99; p = 0.049). There were no other significant associations between the LMC and severe maternal morbidity. Conclusion A higher proportion of high-risk pregnancies were managed within level IV units, although there was no overall evidence that these births had superior outcomes. Further prospective evaluation of LMC designation with patient outcomes is necessary to determine the impact of regionalization on maternal outcomes.

scholarly journals Antenatal Care Quality by Midwives as A Stunting Prevention Effort in Malang, East Java: A Comparative Study

2020 ◽  
Author(s):  
Diadjeng Setya W ◽  
◽  
Miftahul Jannah ◽  
Rismaina Putri ◽  
◽  
...  
Keyword(s):  
Antenatal Care ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Questionnaire Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact ◽  
Child's Brain ◽  
Dominant Influence

ABSTRACT Background: Fulfilment of nutrition in the first 1000 days of life greatly affects the development of a child’s brain and body. If the nutritional intake is not fulfilled, the impact on children’s development will be permanent, one of which is stunting. This study aimed to compare the quality of antenatal care (ANC) by midwives in the stunting locus and not the stunting locus village. Subjects and Method: This was a comparative analytic with cross-sectional study conducted in stunting locus and not stunting locus village in Malang Regency from August-December 2019. A total of 84 midwives were enrolled in this study by purposive sampling. The data were collected by questionnaire. Data were analyzed using a multiple linear regression. Results: Quality of ANC in stunting locus and not stunting locus village were not showing good results. The most dominant influence on the quality of ANC midwives in the stunting locus was the length of work of the midwives. Meanwhile, the most dominant influence on the quality of ANC midwives in non-stunting locus was the latest education. Conclusion: Quality of ANC in stunting locus and not stunting locus village are not yet showing good results. Keywords: stunting, quality, antenatal care, midwives Correspondence: Diadjeng Setya Wardani. Faculty of Medicine, Universitas Brawijaya. Jl. Veteran Malang, East Java, Indonesia. [email protected] DOI: https://doi.org/10.26911/the7thicph.03.06

scholarly journals Active management of the third stage of labour: knowledge and challenges of obstetric caregivers in selected health facilities in Fako Division, Cameroon

2021 ◽  
Author(s):  
William Ntchompbopughu Tih ◽  
Egbe Obinchemti Thomas ◽  
Tendongfor Nicholas
Keyword(s):  
Maternal Mortality Ratio ◽  
Logistic Models ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Active Management ◽  
Good Knowledge ◽  
Cross Sectional ◽  
The Third ◽  
Third Stage ◽  
Mortality Ratio

Abstract Background: In Cameroon, the decrease in MMR (Maternal Mortality Ratio) from PPH (Postpartum Haemorrhage) despite reported use of the Active Management of the Third Stage of Labour (AMTSL) is slower than required to achieve the Third Sustainable Development Goal (SDG3) hence the need to question obstetric caregivers’ competence in AMTSL, as well as the factors hindering its proper useWe therefore aimed to assess obstetric caregivers’ knowledge about AMTSL, as well as the determinants and barriers of AMTSL in selected hospitals in Fako Division, Cameroon.Methods: This was a hospital-based cross-sectional study of 150 participants recruited in 27 health facilities in Buea, Limbe and Tiko health districts from January 15, 2020, to March 31, 2020. Participants’ socio-demographic and qualification characteristics, knowledge and challenges, and the references guiding their practice of AMTSL were collected using a structured questionnaire. AMTSL knowledge was categorized as poor or good and the determinants of good AMTSL knowledge were evaluated. The data was analyzed in SPSS version 25.0. Results: Of the 150 caregivers interviewed, only 48.7% had good knowledge of AMTSL. In logistic models, participants’ use of AMTSL increased Good knowledge of AMTSL (AOR: 12.96, CI: 1.12 -150.3, p=0.04). Unavailability of drugs and/or equipment, insufficient staff coverage and lack of knowledge and training of the staff were the major challenges reported. Conclusion: Obstetric caregivers in Fako division have knowledge gaps and face numerous challenges in AMTSL use, which could account for the consistently high MMR from PPH. Filling this knowledge gap and mitigating the challenges of these caregivers would certainly accelerate progress towards the achievement of SDG3.

scholarly journals Prevalence and Determinants of Maternal Mortality in Southeastern Iran (2013 - 2017): A Retrospective Cross-Sectional Study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Marzieh Ghasemi ◽  
Narjes Noori ◽  
Ghazaleh Parnian ◽  
Erfan Ayubi ◽  
Farangis Narouei
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Maternal Mortality Ratio ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Cause ◽  
Elevated Liver Enzymes ◽  
Mortality Ratio ◽  
Pregnant Mothers

Background: Recognizing the factors affecting maternal death can lead to the adoption of strategies to prevent similar deaths. Objectives: This study was performed to investigate the prevalence and causes of pregnant mothers' death in the population covered by Zahedan University of Medical Sciences. Methods: In this retrospective, descriptive, cross-sectional study, the files of 126 pregnant mothers who died during 2013 - 2017 were evaluated. Demographic and obstetrics information and variables related to maternal mortality, such as maternal mortality ratio (MMR), the cause of mother’s death, the time of mother’s death, and place of death, were evaluated in general and separately in each city (i.e., Zahedan, Khash, Saravan, and Chabahar) based on descriptive statistics and according to the nature of the variables. Results: Maternal mortality ratio in Zahedan was 174.96 per 100,000 case, in Khash 190.56 per 100,000 cases, in Saravan 371.87 per 100,000 cases, and in Chabahar 384.03 per 100,000 cases. Bleeding was the most common cause of death (42.53%), 61.9% of pregnant women were living in rural areas, 80.2% died in the third trimester of pregnancy, and 42.9% died in first 24 hours after delivery. The most common underlying disease was hypertension, 70.6% of mothers died in hospitals, and 47.6% were illiterate. The most common cause of maternal death in Zahedan was cardiac disease, in Khash it was hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, eclampsia, and preeclampsia, and in Saravan and Chabahar the leading cause was bleeding. Conclusions: Maternal mortality ratio was high in Sistan and Baluchestan. The investigation of the causes of maternal deaths showed that some of these deaths are avoidable. It is also necessary to improve midwifery emergencies management with intensive monthly courses to increase team capabilities for making the best use of golden time measures.

Preference of place of delivery and its determinants: a cross-sectional study in Chukha district, Bhutan

2015 ◽  
Vol 1 (1) ◽  
pp. 23-29
Author(s):  
Kencho Wangdi ◽  
Mongal S. Gurung ◽  
Dorji Pelzom ◽  
Tashi Dema ◽  
Sonam Wangdi
Keyword(s):  
Maternal Mortality ◽  
Health Facility ◽  
Rural Areas ◽  
Maternal Mortality Ratio ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mortality Ratio ◽  
At Home

Introduction: The estimated global maternal deaths in 2013 was 289000. In Bhutan, Maternal Mortality Ratio has remarkably declined from 770 deaths per 100,000 live births in 1984 to 86 in 2012. However, the maternal mortality ratio still remains high and a high proportion of delivery still take place at homes (26%) despite of adopting 100%institutional delivery policy ever since 2005. This study was carried out to determine the important factors that prevent women from coming to the health facilities for safe delivery. Methods: A cross-sectional study among the women who delivered in Chukha District in 2013 was carried out after seeking ethical approval from Research Ethics Board of Health and World Health Organization. Chukha is a district with the second highest number of population in Bhutan where 55.7% of the people live in rural villages. Results: Out of 899 eligible listed women, 78.1% participated in the study and among the participants 11.5% had delivered at home. The number of home deliveries was higher in rural areas, 17.3%, as compared to urban places, 6.4%. Women who were delivering for third or more times are 2.42 times more likely to give birth at home compared to women who were delivering for the first time. Women residing at places more than three hours away from the health facility were 2.58 times more likely to give birth at home compared to women residing less than three hours away. During their last pregnancy, 99.4% of the participants have sought at least one ANC. Conclusions: This study suggests that the two most important factors associated with home delivery are the distance to health facility from their residences and the parity.

scholarly journals Evaluation of severe acute maternal morbidity and mortality at a tertiary referral center of Uttarakhand, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1601
Author(s):  
Lipi Verma ◽  
Ruchira Nautiyal ◽  
Pradeep Aggarwal
Keyword(s):  
Maternal Mortality ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Tertiary Referral Center ◽  
Live Births ◽  
Life Threatening

Background: Maternal mortality is an area of concern for the Governments across the globe. India is signatory to millennium declaration and is committed to achieving the target of millennium development goals by reducing MMR to 100. Known obstacles to reducing the MMR in developing countries, include lack of material and human resources, as well as difficulties in accessing services due to financial, geographical, and cultural limitations.Methods: It was a descriptive cross-sectional study conducted at a tertiary care centre in Uttarakhand for a period of one year. WHO’s near-miss approach was implemented for evaluation of severe maternal outcomes and to assess the quality of maternal health care.Results: During the period of this study there were 2243 total antenatal admissions, 1675 deliveries, 1591 live births and 59 near miss cases. Prevalence of SAMM in the present study is 3.52%. Out of every 9-10 women who survived a life-threatening condition 1 died. Mortality Index is 10.17%. Maternal mortality ratio is 377.12 per 1 lakh live births. A total of 43 patients with potentially life-threatening conditions were admitted in ICU out of which 26 were near miss cases. The leading cause of near miss in this tertiary health facility is obstetric haemorrhage (45.8%).Conclusions: Prompt identification of complications and timed intervention remains the key determinant in making mothers survive a life-threatening complication.

scholarly journals KNOWLEDGE ABOUT PREGNANCY DANGER SIGNS AMONG MOTHERS ATTENDING ANTENATAL CARE IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019

2019 ◽  
Vol 5 (3) ◽  
pp. 73-79
Author(s):  
Arif Hussen
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality Ratio ◽  
Sampling Technique ◽  
Study Finding ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Pregnancy And Childbirth ◽  
Regional State

Background: Every pregnant woman faces the risk of sudden, unpredictable complication that could end in death or injury to mother or infant. Each year, approximately 287,000 women die from complications related to pregnancy and childbirth in developing countries. Maternal mortality ratio (MMR) in developing regions is 15 times (240/100,000 live births) higher than in developed regions (16/100,000live births)  Objective: The aim of this study was to determine the knowledge about pregnancy danger signs among mothers attending antenatal care in Jugal Hospital, Harari Regional State, Ethiopia.Methods: Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants from pregnant mothers attending antenatal care during the time of data collection. Data were collected using a structured questionnaire and it was entered in to EPI Data version 3.1 software program and exported to SPSS version 20 software for analysis.Results: A total of 316 pregnant women were included in the study with a response rate of 86%. The study indicated that 44.67% of the respondents had knowledge on danger signs of pregnancy, and there was a significant association with the knowledge on danger signs of pregnancy and the age of the respondent and educational status of the respondent (P 0.05).Conclusion: The study finding shows that poor awareness about danger signs of pregnancy among antenatal care attendants in Jugal hospital, Harari Regional State. There was a significant association between educational status, the age of the mother and knowledge about pregnancy danger signs among mothers attending antenatal care.

scholarly journals Maternal Mortality in an Iraqi Tertiary Hospital: Lessons From the Years of the Crisis

2020 ◽  
Vol 8 (4) ◽  
pp. 362-367
Author(s):  
Reshed Zeki Obeid ◽  
Dina Akeel Salman ◽  
Zainab Abdul Ameer Jaafar
Keyword(s):  
Maternal Mortality ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Maternal Mortality Ratio ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Islamic State ◽  
Care Provision ◽  
Cross Sectional ◽  
Mortality Ratio

Objectives: Maternal mortality is a crucial indicator of health care provision within a nation, particularly during the periods of instability. This study aimed to assess the maternal mortality ratio in one of the largest hospitals in Baghdad over eight years including the time of the threat of the so-called Islamic State of Syria and Iraq. Materials and Methods: A cross-sectional study was undertaken by reviewing the records of mothers who passed away in the hospital from February 2011 to February 2018. The gathered data included the patients’ demographic features as well as obstetrical and medical conditions and causes of death each year. Results: During the eight years, the total live births numbered 95 800 while 52 mothers died for a maternal mortality ratio of 58.12 per 105 . Most of the deceased mothers aged between 30 and 39 years (P = 0.0015), were multiparous and from rural residence (P = 0.000), booked no antenatal care (P = 0.0014), and completed delivery via a cesarean section (P = 0.0184). The majority died in the postpartum period (P = 0.000) within the first 12 hours of admission (P = 0.000). Finally, the major presentation and cause of death were often obstetrical hemorrhage. Conclusions: The maternal mortality was high and obstetrical hemorrhage was the main cause of death. In addition, the majority of patients died within the first 12 hours of admission, which is attributed to delays in access to the hospital and the lack of needed facilities during that critical period of time.

PENGARUH MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST OPERASI SECTIO CAESARIA DI RS SYAFIRA PEKANBARU TAHUN 2015

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
WIWIEK DELVIRA ◽  
FATMI AGUS
Keyword(s):  
Wound Healing ◽  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Early Mobilization ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Sectio Caesarea ◽  
P Value ◽  
Cross Sectional ◽  
Mortality Ratio

Maternal mortality used as a measure of success towards achieving the MDG's targets, namely the 75% reduction in maternal mortality ratio. In developing countries the frequency of maternal deaths reported to range between 0.3-0.7%, while in developed countries the figure is smaller, which 0.05-0.1% (Widjanarko, 2008). In accordance with the health paradigm without abandoning efforts to restore the health of patients, the need for early mobilization gradually for sectio caesarea postoperative patients while in hospital. The purpose of this study was to determine the effect of early mobilization on wound healing post sectio caesarea in RS Syafira Pekanbaru. The benefits of this research are as fulfilling the Minimum Service Standards (MSS) for the hospital that can be used as eviden based practice in the provision of nursing services independently. This study was conducted in inpatient obstetric in RS Syafira Pekanbaru on October-November 2015 with a sample of 20 respondents. The research methodology used is the cross-sectional study design. Analysis of the data used in the analysis of univariate and bivariate (t test dependent), the data were processed using a computerized program. The results obtained from this research that the influence of early mobilization with postoperative wound healing secsio Caesaria with P value (0.007).

scholarly journals Determinants for Postpartum Care of Women in Rakhine State, Myanmar: A Descriptive Cross- sectional Study

2021 ◽  
Author(s):  
Thiri Thazin Khine ◽  
Yothin Sawangdee
Keyword(s):  
Health Knowledge ◽  
Maternal Mortality Ratio ◽  
Healthcare Providers ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Postpartum Care ◽  
Cross Sectional ◽  
Mortality Ratio ◽  
Status Of Women

Abstract Background – The maternal mortality ratio of Rakhine State is cited as being the highest level among the states of Myanmar. In contrast, the usage of healthcare providers for the delivery process is at the lowest rate in the Union. Therefore, this study sought to discover the factors influencing women from Rakhine State in receiving postpartum care from healthcare providers.Methodology – All in all, 278 women from the 15- to 49-year-old age group collected from the Myanmar Demographic Health Survey (2015-2016) were used for this study. Binary logistic regression was likewise employed. Results –Among the 104 cases receiving postpartum care, only 42 cases were home deliveries. Maternal health knowledge status, the role of healthcare providers, and places of delivery, rather than socioeconomic status and social structure, were the most essential factors in promoting postpartum care status. The occupation status of women also influenced their postpartum care receiving status.Conclusion – By strengthening the health care system setting and promoting the job efficacy of women, the postdelivery care status of Rakhine state can be increased and the maternal death after child birth can be reduced to reach the SDGs.

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