Analysis of Maternal Mortality in Ain Shams Maternity Hospital in The last Five Years.
Haitham Mohamed Donya;
Abstract
Child birth is a universally celebrated event for thousands of women every year. But for some women childbirth is experienced not as enjoy full event as should be, but as a hell and tragedy not only for the family but for all the community.
Maternal death is defined as death of any woman 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.
The maternal mortality rate is defined as the number of maternal deaths per 100,000 women of the reproductive age (14-49), while the maternal mortality ratio is the number of maternal deaths per100.000 live births.
The WHO estimates that more than 500,000 women die each year because of conditions related to pregnancy and childbirth. Almost 99% of these deaths take place in developing countries.
The causes, maternal deaths should be divided into two groups: Direct obstetric deaths are those resulting from obstetric complications of the pregnant state (pregnancy, labor and the puerperium), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect obstetric deaths are those resulting from previous existing disease or disease that developed during pregnancy and which was not due to direct obstetric causes, but was aggravated by physiologic effects of pregnancy (e.g., cardiac disease, psychiatric illness, hepatic disease).
In developing countries, maternal mortality has been described as a neglected tragedy. Complications of childbirth are the leading cause of death of women in the reproductive age today, accounting for 20-25% of their death.
It's obvious that maternal mortality rates had receded in developed countries especially Sewed and USA, which are considered one of the least states of the world in the rates of maternal mortalities. The most important causes of maternal deaths in these two countries are pregnancy associated hypertension, pulmonary embolisms, heart diseases, infections, and hemorrhage.
Its noteworthy that in developed countries, regular inquiries are made on each maternal death and every attempt is made to eliminate all avoidable factors, in addition to raising awareness and interest in nutrition, increase the percentage of deliveries inside the hospitals, provision of blood banks, antibiotics and intensive care units, as well as the high level of medical competence and ongoing training with such an approach maternal mortality rates have declined to a negligible level.
In Egypt, maternal mortality in spite the recent progresses continues to be one of the existing and pressing problems. Incorrect or absent diagnosis of causes of death, elevated percent of literacy, poverty, and deliveries conducted at places rather than equipped hospitals has made the accurate measurement of the problem difficult.
Despite of the previous difficulties, Egypt is on the right track in terms of reducing maternal mortality rates according to many indicators issued by the Ministry of Health, where the national maternal mortality ratio in year 1990 was nearly 233, and the ratio is decreasing year after year, to 130 in year 2000, then 84in year 2005, to become 59 in year 2009 compared with 12 in Qatar, 15 in Saudi Arabia, 20 in Palestine, 86 in Lebanon and 366 in Yemen.
This retrospective study conducted at ain shams teaching hospital for obstetrics about maternal mortality files inside the hospital in the study period from 1/1/2008 to 31/12/2012, had
Maternal death is defined as death of any woman 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.
The maternal mortality rate is defined as the number of maternal deaths per 100,000 women of the reproductive age (14-49), while the maternal mortality ratio is the number of maternal deaths per100.000 live births.
The WHO estimates that more than 500,000 women die each year because of conditions related to pregnancy and childbirth. Almost 99% of these deaths take place in developing countries.
The causes, maternal deaths should be divided into two groups: Direct obstetric deaths are those resulting from obstetric complications of the pregnant state (pregnancy, labor and the puerperium), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect obstetric deaths are those resulting from previous existing disease or disease that developed during pregnancy and which was not due to direct obstetric causes, but was aggravated by physiologic effects of pregnancy (e.g., cardiac disease, psychiatric illness, hepatic disease).
In developing countries, maternal mortality has been described as a neglected tragedy. Complications of childbirth are the leading cause of death of women in the reproductive age today, accounting for 20-25% of their death.
It's obvious that maternal mortality rates had receded in developed countries especially Sewed and USA, which are considered one of the least states of the world in the rates of maternal mortalities. The most important causes of maternal deaths in these two countries are pregnancy associated hypertension, pulmonary embolisms, heart diseases, infections, and hemorrhage.
Its noteworthy that in developed countries, regular inquiries are made on each maternal death and every attempt is made to eliminate all avoidable factors, in addition to raising awareness and interest in nutrition, increase the percentage of deliveries inside the hospitals, provision of blood banks, antibiotics and intensive care units, as well as the high level of medical competence and ongoing training with such an approach maternal mortality rates have declined to a negligible level.
In Egypt, maternal mortality in spite the recent progresses continues to be one of the existing and pressing problems. Incorrect or absent diagnosis of causes of death, elevated percent of literacy, poverty, and deliveries conducted at places rather than equipped hospitals has made the accurate measurement of the problem difficult.
Despite of the previous difficulties, Egypt is on the right track in terms of reducing maternal mortality rates according to many indicators issued by the Ministry of Health, where the national maternal mortality ratio in year 1990 was nearly 233, and the ratio is decreasing year after year, to 130 in year 2000, then 84in year 2005, to become 59 in year 2009 compared with 12 in Qatar, 15 in Saudi Arabia, 20 in Palestine, 86 in Lebanon and 366 in Yemen.
This retrospective study conducted at ain shams teaching hospital for obstetrics about maternal mortality files inside the hospital in the study period from 1/1/2008 to 31/12/2012, had
Other data
| Title | Analysis of Maternal Mortality in Ain Shams Maternity Hospital in The last Five Years. | Other Titles | تحليل وفيات الامهات داخل مستشفى عين شمس للتوليد وامراض النساء في الفتره من | Authors | Haitham Mohamed Donya | Issue Date | 2014 |
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