Conceiving and dying in Afghanistan

Bartlett, LA; Dalil, Suraya; Salama, Peter; Mawji, Shairose; Whitehead, Sara J.

doi:10.1016/s0140-6736(05)66692-5

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Os exames complementares se destacaram como método isolado para diagnóstico durante a confirmação do óbito materno, enquanto que a realização de necropsia ocorreu na minoria dos casos. Quanto a esse último aspecto, há concordância com outros trabalhos 18,19 , nos quais a ausên-cia de exame post-mortem na maioria dos casos dificulta a adequada identificação e classificação das causas de morte materna. Outros autores indicaram no seu trabalho 14 que a porcentagem de necropsias realizadas foi maior, o que denota em nossa realidade a carência de um serviço de saúde bem estruturado e interligado, que possa suprir as necessidades da população.…”

Section: Discussionunclassified

Causas de morte materna no Estado do Pará, Brasil

Botelho

Silva

Tavares

et al. 2014

Rev. Bras. Ginecol. Obstet.

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,9 e não diminuiu significativamente no período. Os óbitos ocorreram, em sua maioria, no puerpério (até 42 dias) (51,7%) e foi utilizado algum método para confirmação diagnóstica. As causas obstétricas diretas predominaram (90,6%), principalmente a hipertensão (34,6%), com destaque para a eclâmpsia (70%), e a hemorragia (22,2%), sendo todas evitáveis (100%). CONCLUSÃO: A morte materna no Pará é caracterizada por ocorrer durante o puerpério (até 42 dias), em virtude principalmente de causas obstétricas diretas, como a hipertensão, com destaque para a eclâmpsia, e transtornos hemorrágicos, evidenciando a necessidade de atenção integral e de qualidade à saúde da gestante, desde o pré-natal até o puerpério, no Estado do Pará. Abstract PURPOSE:To identify the major causes of maternal death in the State of Pará, Brazil. METHODS: A descriptive, observational and retrospective study was conducted using data from the Mortality Information System (SIM) of the State Department of Public Health of Pará. SIM information was obtained using the TabWin 3.2 software and recorded in a research protocol developed by the investigators. The sample included 383 maternal deaths of 10-49-year-old women, which occurred from 2006 to 2010. Data were analyzed using non-parametric tests (χ 2 and G-tests). The BioStat ® 5.0 software was used for statistical analysis and Microsoft ® Excel 2007 for the preparation of database and tables. RESULTS: The Maternal Mortality Ratio was 51.9 and did not decrease significantly during the period. Most deaths occurred during the postpartum period (up to 42 days) (51.7%), and some diagnostic confirmation was used. Direct obstetric causes were dominant (90.6%), mainly hypertension (34.6%), with emphasis on eclampsia (70%), and hemorrhage (22.2%). All of these maternal deaths were avoidable (100%). CONCLUSION: Maternal death in Pará is characterized by occurring during the puerperium (up to 42 days), due mainly to direct obstetric causes, such as hypertension, with emphasis on eclampsia, and hemorrhage. This evidences the need for complete attention with good quality for pregnant women, from prenatal care to puerperium, in the state of Pará.Universidade do Estado do Pará -UEPA -Belém (PA), Brasil.

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Section: Discussionunclassified

Causas de morte materna no Estado do Pará, Brasil

Botelho

Silva

Tavares

et al. 2014

Rev. Bras. Ginecol. Obstet.

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“…[14][15][16] The findings of the studies conducted between 2001 and 2011 that there is a need to improve health facilities, and to increase the number of professionals in both urban and rural areas in order to improve maternal health. [17][18][19][20][21][22][23][24][25][26] Published research suggests that the provision of expanded health services alone would not lead to the increased utilization of Bartlett et al found that 93% of women who died due to maternity-related causes were illiterate. 3 …”

Section: Health Carementioning

confidence: 99%

Social Determinants of Maternal Health in Afghanistan: A Review

Najafizada

Bourgeault

Labonté

2017

cajgh

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Introduction: Afghanistan has a high maternal mortality rate of 400 per 100,000 live births. Although direct causes of maternal morbidity and mortality in Afghanistan include hemorrhage, obstructed labor, infection, high blood pressure, and unsafe abortion, the high burden of diseases responsible for maternal mortality arises in large part due to social determinants of health. The focus of this literature review is to examine the impact of various social determinants of health on maternal health in Afghanistan, filling an important gap in the existing literature. Methods: This narrative review was conducted using Arksey and O'Malley's framework of (1) defining the question, (2) searching the literature, (3) assessing the studies, (4) synthesizing selected evidence in context, and (5) summarizing potential programmatic implication of the context. We searched Medline, CABI global health database, and Google Scholar for relevant publications. Results: A total of 38 articles/reports were included in this review. We found that social determinants such as maternal education, sociocultural practices, and social infrastructure have a significant impact on maternal health. Health care may be the immediate determinant, but it is influenced by other determinants that must be addressed in order to alleviate the burden on health care, as well as to achieve long-term reduction in maternal mortality. Conclusion: Because of the importance of social factors for maternal health outcomes, committed involvement of multiple government sectors (i.e. education, labor and social affairs, information and culture, transport and rural development among others, alongside health care) is the long-term solution to the maternal health problems in Afghanistan. National and international organizations' long-term commitment to social investment such as education, local economy, cultural change, and social infrastructure is recommended for Afghanstan and globally.

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