Profile Of Maternal Deaths Research Articles

Perfil da mortalidade materna no Estado do Ceará

Abstract Objectives: evaluate maternal mortality from January 2019 to January 2020 in the state of Ceará. Methods: this is a descriptive and retrospective ecological study. Data collection was carried out from October to November 2020, considering the time interval from January 2019 to January 2020, through information registered in a public domain database in the State of Ceará, Brazil. The variables considered to outline the profile of maternal deaths were: age group, causes, marital status, color/race and education. Data analysis was performed using descriptive statistics by frequency distribution and presented through tables. Results: 135 maternal deaths were registered, considering external, direct (most prevalent), indirect and late causes. The maternal mortality ratio in Ceará was 60.43%, whose profile of deaths was characterized by women with incomplete higher education (41.5%), brown (80%), in their 20-29 years (43%) and single (66.7%). Conclusion: the information in this study is extremely importance, as it allows the understanding of a key population, women, in addition to assisting in the design of strategies for coping with maternal mortality.

Perfil das mortes maternas numa cidade ao sul do Brasil: perspectiva ecossistêmica

Analisar o perfil das mortes maternas ocorridas em Rio Grande/RS entre os anos de 2013 a 2017 na perspectiva ecossistêmica. Estudo descritivo, exploratório com abordagem quantitativa. Dados coletados no 1ª semestre de 2018, em fichas de investigação dos óbitos maternos ocorridos no período de 2013 a 2017 presentes na Secretaria de Saúde e em prontuários de duas instituições hospitalares do município do Rio Grande. Para análise, utilizou-se análise estatística simples. A totalidade dos óbitos maternos (n=9) caracterizou-se pela idade entre 30 a 39 anos (n=4), cor branca (n=5), residentes na área urbana (n=9), solteiras (n=4), usuárias do Sistema único de Saúde (n=6). Os óbitos ocorreram em hospitais (n=4), no período puerperal (n=4), classificados como morte materna obstétrica por causas diretas (n=6). O perfil singular das mortes maternas ocorridas no ecossistema em estudo possibilita o direcionamento de ações voltadas para as especificidades deste espaço, como o aprimoramento das relações e influencias mútuas entre os elementos do ecossistema.

Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends

Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different countries to meet the fifth Millennium Development Goal (MDG 5). As the member states committed to achieving the MDGs, a considerable decline in maternal mortality was noted across the Region. The aim of the present work was to investigate maternal mortality rates in the city of Cordoba between 2008 and 2017. In addition, the study aimed analyzing the causes associated with maternal mortality and determining the sociodemographic profile of maternal deaths from direct and indirect causes in the 2015-2017. Methods: A descriptive, retrospective study was performed. Secondary data sources obtained from official publications were searched, especially those produced by the Mother-Child Bureau, the Department of Provincial Statistics, and the Municipal Epidemiology Center. Results: During the period from 2008 to 2017, a declining MMR trend was observed in the city of Cordoba, with a 26.8% decline from 31.2‰ in 2008 to 22.9‰ in 2017. Analysis of the causes of maternal death showed that in 2015-2017 most corresponded to direct causes (56%), followed by indirect causes (38%) and abortion (6%). These data agree with the latest report by the Ministry of Health in Argentina (57% of direct causes). Cordoba city has experienced a substantial decline in MMR, and that maternal deaths account for only a small percentage of overall deaths in the city. Conclusions: Nevertheless, maternal deaths occurred in a population that is usually healthy and are mostly avoidable with well-known interventions. Therefore, it is essential to adequately characterize this public health problem, to strengthen public policies targeting the reduction of maternal mortality and severe maternal morbidity, as well as the optimal care of women during pregnancy and childbirth.

Gestational risk classification based on maternal death profile 2008-2013: an experience report from the municipality of Porto Seguro, Bahia, Brazil.

to portray the creation of a gestational risk classification based on the profile of maternal deaths in a municipality where the rate of these deaths is high, and its use in prenatal care. the profile was prepared using records of maternal deaths that occurred between 2008 and 2013, considering age, schooling, race/skin color, place of residence, pre-existing disease, reproductive history. maternal death was most frequent in women of brown/black skin color, aged 30-39, with low schooling, living in socially vulnerable districts and with heart disease as the main pre-existing disease; gestational risk was classified based on this profile, whereby points (1-3) were assigned to each lowest/highest frequency and care priorities (P) were defined - PI=regular risk (4-9pt: routine consultation/examination), PII=high risk (10-16pt: reduce waiting time for consultation/examination by 50%), and PIII=very high Risk (≥17pt: access to consultation/examination within 7 days). the new classification improved healthcare professionals' awareness of determinants surrounding maternal death and the need to prioritize access to prenatal care according to risk.

Profile of Maternal Deaths: Descriptive Clinical Study

Profile of Maternal Deaths: Descriptive Clinical Study

Profile of Maternal Deaths: A Three Year Autopsy Based Retrospective Study in Western Maharashtra Region

Profile of Maternal Deaths: A Three Year Autopsy Based Retrospective Study in Western Maharashtra Region

Epidemiologic Profile of Maternal Deaths in Two Referral Hospitals in Cameroon

Introduction: Our objective was to compare the epidemiologic profile of maternal mortality in two structures serving as referral levels of care in Cameroon. Methodology: This cross-sectional, comparative study took place at the maternities of the Yaounde Central Hospital (YCH) and the Bamenda Regional Hospital (BRH) from December 1st 2014 to May 31st 2015, a 6 months’ period. The medical records of deceased women over 5 years, from January 2010 to December 2014, were collected. We calculated the MMR (Maternal mortality rate) and studied the causes and risk factors associated with maternal death. The Epi info software 3.5.4 was used to analyze data with a significance level of P < 0.05. Results: The maternal mortality ratio (MMR) was 964 and 247 per 100,000 live births for YCH and BRH, respectively. More deaths occurred within the aged group range 20 to 34 years, 76.8% at YCH and 64.7% at BRH. At YCH, 70.7% of these patients were referrals versus 32.4% at BRH. Complication from abortion was often implicated at BRH (P = 0.007; OR = 0.31; CI = 0.13 - 0.74). Others causes were hemorrhage (YCH = 43.4%; BRH = 35.5%), hypertensive diseases (YCH = 17.2%; BRH = 14.7%) and infections (YCH = 8.1%; BRH = 17.6%). At YCH time elapsed from admission to death was <3 h (P = 0.005; OR = 6.63; CI = 1.49 - 29.5). Conclusion: Both hospitals have similar causes of maternal deaths, differing only in the context within which the deaths occurred. Improving access to good quality health care, satisfying unmet needs for family planning, availability of blood products and the establishment of health insurance could decrease the maternal mortality rate.

Epidemiological profile of maternal deaths in a referral hospital for high-risk pregnancy

Objetivo: caracterizar o perfil epidemiologico dos obitos maternos de um hospital publico de referencia. Metodos: estudoretrospectivo e descritivo do tipo corte transversal. Foram analisadas variaveis contidas nas declaracoes de obito e fichasde investigacao de obito materno. Resultados: registraram-se 93 casos, correspondendo a razao de 228,4 obitos maternospor 100 mil nascidos vivos. Prevaleceram mulheres entre 20 a 29 anos (47,3%), submetidas a cesariana (39,8%). A maioriados obitos ocorreu no puerperio (66,7%), por causas obstetricas diretas (55,9%), predominando: infeccao (28%), doencascardiovasculares (20,4%) e doencas pulmonares (10,8%). Conclusao: a morte materna ocorreu em um contexto de condicaosocioeconomica desfavoravel, atingindo especialmente mulheres jovens, negras, vitimizadas por quadros infecciosos edoencas cardiovasculares. Foi evidente a importância da melhoria da qualidade dos registros, da vigilância de obitos eassistencia pos- natal.

Epidemiological profile of maternal deaths in a referral hospital for high-risk pregnancy

Objective: to describe the epidemiological profile of maternal deaths in a referral public hospital. Methods: it is aretrospective, descriptive study of cross-section type. Variables in the death certifications and maternal death investigationforms were analyzed. Results: there were 93 cases recorded, corresponding to the ratio of 228.4 maternal deaths per100,000 live births. Most of these deaths were from women aged 20-29 years old (47.3%), undergoing cesarean section(39.8%). Most deaths occurred in the postpartum period (66.7%), by direct obstetric causes (55.9%), especially: infection(28%), cardiovascular disease (20.4%) and lung disease (10.8%). Conclusion: maternal deaths occurred in a context ofsocio-economic unfavorable condition, especially affecting young women, black, victimized by infectious conditions andcardiovascular diseases. The importance of improving the quality of records, surveillance deaths and postnatal care wereevident.

Maternal and Perinatal Death Inquiry and Response Project Implementation Review in India

Profile of maternal deaths in selected districts of four Indian states was studied to examine the regional differences in non-biological causal factors (socioeconomic and sociocultural) in maternal mortality and to examine the method and completeness of implementation of Maternal and Perinatal Death Inquiry and Response (MAPEDIR) process. An integrated qualitative and quantitative method was used to study the MAPEDIR process in selected districts of four states in India, through the use of standardized questionnaire for key informant interviews, participant observation checklist, analysis of verbal autopsy questionnaire, and maternal death reports. A comparison of Profile's maternal deaths investigated showed that women died between 25 and 27years of age. Half of the women died at home because of inability to afford transport (Delay II) and treatment costs. One third of the deaths had occurred in a health facility (Delay III) because of lack of specialists, equipments or blood. Two thirds of the delays (Delay I) were in seeking medical care. Review of the implementation process of MAPEDIR highlighted that the social audit review model is a unique field based collaborative initiative comprising of stakeholders from various sector in order to improve maternal health programming by reducing maternal mortality. MAPEDIR has been able to identify socio-cultural, economic and health care systems related determinants of maternal deaths. Standardization the mechanism for information data sharing at district, sub-district and village level can maximize the use of available evidence for advocacy and policy shifts by developing policies and interventions suited to local needs.

P97 Profile of maternal deaths in an obstetric ICU in Brazil

P97 Profile of maternal deaths in an obstetric ICU in Brazil