The Consequences of Maternal Morbidity and Maternal Mortality

2000

The Consequences of Maternal Morbidity and Maternal Mortality ■ ■ REPORT OF A WORKSHOP ^mt ■ H ■ ■ ■ I ■ • ■ ■ II COMMITTEE ON POPULATION NATIONAL RESEARCH COUNCM ... The Consequences of Maternal Morbidity and Maternal Mortality REPORT OF A ...

2014

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Midwifery, 1991

Half a million women die during childbirth in the world every year. This paper describes the magnitude and the causes and suggests ways in which this tragic loss might be reduced. This paper was the introductory presentation at the ICM Pre-Congress Workshop on Midwifery Education -Action for Safe Motherhood.

Journal of Biosocial Science, 1989

Ibrahim Medical College Journal, 2013

Maternal mortality is an important indicator which reflects the health status of a community. It can be calculated by maternal mortality ratio (MMR), maternal mortality rate (MMRate), and adult life time risk of maternal death. MMR estimates are based on varieties of methods that include household surveys, sisterhood methods, reproductive-age mortality studies (RAMOS), verbal autopsies and censuses. Main causes of maternal mortality are hemorrhage, infection, unsafe abortion, hypertensive disorder of pregnancy and obstructed labour. Factors of maternal mortality have been conceptualized by three delays model. Estimates of maternal mortality ratio (MMR) trend between 1990 and 2010 (over 20 years period) suggest a global reduction (47%), with a greater reduction in developing countries (47%) including Bangladesh than in developed countries (39%). However, to meet the challenge of Fifth Millennium Development Goal (MDG5 i.e. to ensure 75% reduction of MMR by the year 2015), the annual ...

BJOG: An International Journal of Obstetrics & Gynaecology, 2005

The purpose of this article is to review current strategies for the reduction of maternal mortality and the evidence pertinent to these strategies. Historical, contextual and current literature were examined to identify the evidence base upon which recommendations on current strategies to reduce maternal mortality are made. Current safe motherhood strategies are designed based mostly on low grade evidence which is historical and observational, as well as on experience and a process of deductive reasoning. Safe motherhood strategies are complex public health approaches which are different from single clinical interventions. The approach to evidence used for clinical decision making needs to be reconsidered to fit with the practicalities of research on the effectiveness of strategies at the population level. It is unlikely that any single strategy will be optimal for different situations. Strengthening of the knowledge base on the effectiveness of public health strategies to reduce maternal mortality is urgently required but will need concerted action and international commitment.

Journal of Biosocial Science, 2002

Lancet, 2006

Indonesian Journal of Obstetrics and Gynecology, 2016

Objectives: Maternal mortality is one indicator to assess a nation's health care quality. This research was conducted to determine the determinant risk factors for maternal mortality. A retrospective case control study at Dr. Mohammad Hoesin General Hospital for 5 years, with 200 samples consists of 50 cases of maternal mortality and 150 physiological labor cases as control group. Results: For 5 years, there was 109 cases of maternal mortaliy. Of the 50 samples of maternal mortality cases, the most common cause were preeclampsia/eclampsia (50%), followed by hemorrhage (28%). The risk factors were categorized as distant, intermediate, and outcome factors, as stated by McCarthy et al. On bivariate analysis, we found the significance on maternal education and husband's occupation (distant factors), residence, referral status, numbers of ANC visits, first attendant, labor facility and history of prior medical history (intermediate factors), and also modes of delivery and complications (outcome factors). On the multivariate analysis to determine the most contributing risks factors for maternal mortality, it was found that maternal education and residence were the most influencing factors for maternal mortality (OR 5.74 and 4.65 respectively; p=0.001). The most contributing risks factors for maternal mortality were maternal education and residence.