Maternal mortality at the Maternity Teaching Hospital in Erbil, Kurdistan: A hospital-based data 2011-2013
Keywords:Maternal mortality, Pre-eclampsia, Rupture of uterus
Background and objective: Maternal deaths are still leading problems in many developing countries, including Iraq. Iraq is, in fact, far away to reach the Millennium Development Goal declared to reduce the maternal mortality ratio by three quarters between 1990 and 2015. The aim of this study was to highlight the main causes of avoidable deaths that lead to maternal mortality among those admitted to Maternity Teaching Hospital in Erbil.
Methods: This survey was carried out in the Maternity Teaching Hospital in Erbil city, Kurdistan region, Iraq. Variables included in this study were those related to patient’s age, number of parity and mode of delivery of the last baby. Data were collected from patient’s records. In addition, some clinical data were included related to causes leading to death and underlying condition of death.
Results: Of the total 75000 live birth recorded in the hospital during the study period (2011-2013), 33 maternal deaths were recorded which gives an overall maternal mortality ratio of 44 per 100,000 live births. Pre-eclampsia and eclampsia were among the top causes of maternal deaths in this study (42.4%) followed by obstetrical bleeding and rapture uterus (30.3%).
Conclusion: Maternal mortality rate in Maternity Teaching Hospital was 44/100,000 total live births. The main cause of the maternal deaths was pre-eclampsia and its complications. Most of those died were residents of rural areas and were illiterate women.
World Health Organization, UNICEF, UNFPA and The World Bank. Trends in maternal mortality: 1990 to 2010 WHO, UNICEF, UNFPA and The World Bank estimates, 2012.
Fikree FF, Gray RH, Berendes HW, Karim MS. A community-based nested case-control study of maternal Mortality. Int J Gynaecol Obstet 1994; 47:247-55.
World Health Organization. New estimates of Maternal Mortality. Wkly Epidemiol Rec 1996; 97-110.
Court C. WHO claims maternal mortality has been underestimated. BMJ 1996; 312:398-9.
Salanave B, Bouvier-Colle MH, Varnoux N. Classification differences and maternal mortality: European study. MOMS group. Mothers’ Severe morbidity. Int J Epidemiol 1999; 64-9.
Requejo JH, Merialdi M, Bustreo F .Improving global maternal health:progress, challenges, and promise. Curr Opin Obstet Gynecol 2011; 465-70.
Bueno de Mesquita J, Kismodi E .Maternal mortality and human rights: landmark decision by United Nations human rights body. Bull World Health Organ 2012; 90: 7.
Campbell OM, Graham WJ, Lancet Maternal Survival Series steering group .Strategies for reducing maternal mortality: getting on with what works. Lancet 2006; 1284-99.
WHO. Trends in Maternal Mortality: 1990 to 2008 Estimates developed by WHO, UNICEF, UNFPA and The World Bank. WHO Library Cataloguing-in- Publication Data. 2010.
UNHRC .The Millennium Development Goals report. New York: UN Human Rights Council; 2011.
WHO . World Health Statistics 2012. Geneva, Switzerland: World Health Organization.
Nawzad T. Draft of Regional Development Strategy- Kurdistan region 2013-2017. Ministry of Planning 2012;139-41.
Zahr CA, Wardlaw TM, Hill K, Choi Y. Maternal mortality in 2000: Estimates developed by WHO, UNICEF and UNFPA. Geneva: WHO; 2004.
Kilpatrick SJ, Prentice P, Jones RL, Geller S State Maternal Mortality Review: Process and Impact. J Womens Health (Larchmt). JCommunity Med Health Educ. 2012;
WHO, UNICEF, UNFPA ,The World Bank and United Nations population Division. Maternal mortality in Iraq 1990-2013. 2014.
Ahlam Saleh Bin-Berik1 and Amen Ahmed Bawazir. Trends in Maternal Mortality at the Mukalla City, Yemen, 2000–2010,
Al-Sumadi MD, Rami SM. Maternal mortality ratio at the Royal Medical services Hospitals: Hospital-based data. JRMS April 2009;16(1):26-9.
Al-Meshari A, Chattopadhyay SK, Younes B, Hassonah M. Trends in maternal mortality in Saudi Arabia. Int J Gynaecol Obstet 1996; 52(1):25-32.
Etard JF, Kodio B, Traore S. Assessment of maternal mortality and late maternal mortality among a cohort of pregnant women in Bamako, Mali. Br J Obstet Gynaecol 1999;106:60-5.
Ounsa MAAE, Mohamed EY .Maternal Mortality in Ribat University Hospital, Khartoum, Sudan: Seven years of experience. Sudan Med J.2011; 6.
Ikeako LC, Onah HE, Iloabachie GC. Influence of formal maternal education on the use of maternity services in Enugu, Nigeria. J Obstet Gynaecol. 2006; 26(1):30-4.
Chibber R1, Al-Hijji J, Al-Adwani AR, Rammah A, Fouda M, Al-Saleh E, Tasneem MA.Trends in maternal mortality over 29 years in a Kuwait Tertiary Teaching Hospital: signs of progress? Eur J Contracept Reprod Health Care. 2009;14(1):75-82.
François J , Kodio B , Traoré S. Assessment of maternal mortality and late maternal mortality among a cohort of pregnant women in Bamako, Mali. BJOG 1999 ; 106 (1):60-5.
WHO Reproductive Health Library, No. 2. Geneva, World Health Organization, 1999.
Report of Arab Conference on Safe Motherhood, Amman, Jordan, 1988; 1-34.
Ikeako LC, Onah HE, Iloabachie GC. Influence of formal maternal education on the use of maternityservices in Enugu, Nigeria. J Obstet Gynaecol 2006; 26(1):30-4.
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