Maternal Health and Survival in Pakistan: Issues and Options

Khan, Yasir; Bhutta, Shereen; Munim, Shama; Bhutta, Zulfiqar Ahmed

doi:10.1016/s1701-2163(16)34321-3

Cited by 54 publications

(32 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study has shown that the maternal mortality ratio in referral level facilities in Islamabad Capital Territory and in the provinces of Sindh and Punjab is 299 deaths per 100 000 live births. This ratio is in line with findings from community‐based studies, which have indicated that the maternal mortality ratio in Pakistan is in the range of 300–700 per 100 000 live births [8]. In the present study, there was one maternal death for every 2.5 women classified as maternal near miss, which is similar to the situation in other low‐income countries [9].…”

Section: Discussionsupporting

confidence: 91%

Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health

Mazhar

Batool

Emanuel

et al. 2014

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health

Mazhar

Batool

Emanuel

et al. 2014

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Arshinchi [8] found that the progeny age has not been affected the literacy for mother deaths that agreed with our study. According to the test results of regression logistic in our study are the significant statically difference between the mother pregnant and mother death (p = 0/01).…”

Section: Discussionsupporting

confidence: 91%

Evaluation factors affecting the maternal mortality among pregnant women during 2001–2011 in Ardabil Province, Iran

Farzollahpour¹,

Imani²

2019

Medical Research Journal

View full text Add to dashboard Cite

Background: considering health indicators, analyzing pregnant women population is an important subject and mortality degree among this population is disastrous. According to the World Health Organization, annually 600,000 women die due to side-effects of pregnancy and delivery; it means that 1600 women die daily and one woman dies in each minute because of progeny side-effects. The average of MMR is 200 in developing countries and it is 20 out of 1000 in developed countries. This study was done aimed to determine the rate of maternal mortality among pregnant women and the factors affecting it in the Ardabil province so that identified dominant effective factors and presented Executive Solutions for reducing maternal mortality. Methods: This study was conducted as a cross-sectional and descriptive-analysis study by using existing data in the health centre network system of Ardabil province during 2001-2011. According to the information of all maternal deaths (50 cases) in the health care system, the causes of death were extracted by study and evaluation of the documents and questionnaires about and the control group information have been collected randomly in the ratio of 1 to 4 (N = 200). Data was analyzed by using the Statistical tests as Chi-square, t2test and regression with the SPSS.20 software. Results: findings showed that the proportion of maternal deaths is 20 per 100,000 live births in Ardabil province. 70% of maternal death was direct because of pregnancy's side-effects.68% of deaths occurred in the postpartum period. The common causes of death were respectively, the bleeding (28%), preeclampsia, eclampsia and its side-effects (16%) were thromboembolic disorders (16%) and infection (8%). The maximum number of deaths were in the years 2003 and 2011 (18%) and the minimum number of these were 2008 (zero). 72% of maternal deaths were in the age range of 18 to 35 years. 33% of mothers were illiterate and less educated (the primary school). 62% of died mothers, lived urban residents. In this study, the relationship between cares before pregnancy, suffering from different diseases during pregnancy and distance between two pregnancy times were evaluated by Logistic regression test which was significant. Conclusions: The most effective factors to reduce the maternal deaths in the province were increased coverage of pre-pregnancy, pregnancy and postpartum cares and improving its quality.

show abstract

“…The situation is considered critical in South Asia, and it is remarkable that the prevalence of female undernutrition is consistently higher in Bangladesh than in any other developing country [3] where >30% of women of child-bearing age have chronic energy deficiency [4]. In Pakistan, the prevalence of malnutrition is high both among lactating and pregnant women (16.1%) and their non-pregnant counterparts (12.5%) [5], while in Indonesia, 12–22% women suffer from chronic energy deficiency and 40% of pregnant women are anemic [6]. These findings are not confined to Asia; in sub-Saharan Africa, only 3 out of 10 countries show a decline in the rate of severe maternal malnutrition (body mass index <16) [7].…”

Section: Maternal Undernutritionmentioning

confidence: 99%

Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies

Ahmed

Hossain²,

Sanin³

2012

Ann Nutr Metab

308

275

View full text Add to dashboard Cite

Maternal and child undernutrition and micronutrient deficiencies affect approximately half of the world’s population. These conditions include intrauterine growth restriction (IUGR), low birth weight, protein-energy malnutrition, chronic energy deficit of women, and micronutrient deficiencies. Although the rates of stunting or chronic protein-energy malnutrition are increasing in Africa, the absolute numbers of stunted children are much higher in Asia. The four common micronutrient deficiencies include those of iron, iodine, vitamin A, and zinc. All these conditions are responsible directly or indirectly for more than 50% of all under-5 deaths globally. According to more recent estimates, IUGR, stunting and severe wasting are responsible for one third of under-5 mortality. About 12% of deaths among under-5 children are attributed to the deficiency of the four common micronutrients. Despite tremendous progress in different disciplines and unprecedented improvement with many health indicators, persistently high undernutrition rates are a shame to the society. Human development is not possible without taking care to control undernutrition and micronutrient deficiencies. Poverty, food insecurity, ignorance, lack of appropriate infant and young child feeding practices, heavy burden of infectious illnesses, and poor hygiene and sanitation are factors responsible for the high levels of maternal and child undernutrition in developing countries. These factors can be controlled or removed by scaling up direct nutrition interventions and eliminating the root conditions including female illiteracy, lack of livelihoods, lack of women’s empowerment, and poor hygiene and sanitation.

show abstract

Maternal Health and Survival in Pakistan: Issues and Options

Cited by 54 publications

References 9 publications

Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health

Severe maternal outcomes and their predictors among Pakistani women in the WHO Multicountry Survey on Maternal and Newborn Health

Evaluation factors affecting the maternal mortality among pregnant women during 2001–2011 in Ardabil Province, Iran

Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies

Contact Info

Product

Resources

About