Maternal Morbidity and Disability and Their Consequences: Neglected Agenda in Maternal Health

Koblinsky, Marge; Chowdhury, Mahbub Elahi; Moran, Allisyn C.; Ronsmans, Carine

doi:10.3329/jhpn.v30i2.11294

Cited by 114 publications

(124 citation statements)

References 26 publications

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“…Previous research has suggested that infants who have lost their mothers have significantly higher risks of death and disease well into childhood and that maternal death also has an adverse effect on other siblings and on the extended family. 15,[28][29][30]32,33 Our study is a prospective, international, population-based research to assess the relationship between maternal and perinatal deaths. This study has several strengths.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries

Saleem

McClure

Goudar

et al. 2014

Bull. World Health Organ.

173

129

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Section: Discussionmentioning

confidence: 99%

A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries

Saleem

McClure

Goudar

et al. 2014

Bull. World Health Organ.

173

129

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“…It is well-known that the health of women during pregnancy or childbirth further impacts the health and development of the next generation and the wellbeing of the family-both economically and socially-through impoverishment, violence, stigmatization, isolation, divorce, and remarriage of spouse. 12 These disabilities are tragic on two counts: they occur in the process of giving life, and they are almost entirely preventable.…”

Section: Classificationmentioning

confidence: 99%

Maternal Morbidity and Estimates from Community Studies in India

Doke¹,

Kaul²

2014

MGM Journal of Medical Sciences

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First phase of implementation of national rural health mission was completed with 11th plan. Reviews are regularly conducted to monitor the achievements of goals which include reduction of maternal mortality ratio, which is an emerging priority. Due to inherent difficulties in definition, data compilation studies are infrequent. Maternal mortality to morbidity ratio varies from 5 to 223. The morbidities range from mild to severe almost near miss case. The criteria for inclusion of a patient in severe acute maternal morbidity on organ/system failure/dysfunction seem to be objective but availability of diagnostic facilities is the limiting factor. The simple criterion based on some diseases or conditions is widely accepted. Usually magnitude is recorded high when disease or condition criteria are used and low when failure or dysfunction criteria are used. Community-based studies are scarce. National level surveys provide limited information. In such type of studies, morbidities are self-reported and hence the magnitude is very high. The district level household survey-3 recorded morbidity in 93.3% women. Very few studies were carried out before 2001. Studies in this millennium have been deliberated. Women having some postnatal depression ranged from 11 to 33%.

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“…3,4 Although most obstetric complications (defined as acute conditions such as postpartum haemorrhage, sepsis, eclampsia, and obstructed labour that can cause maternal death cannot be predicted, the majority can be treated with timely provision of a package of evidence-based interventions known as emergency obstetric care (EmOC). [5][6][7] The availability of EmOC is considered to be an indicator of how well a health system is prepared to manage conditions leading to acute maternal morbidity and mortality. 8,9 Emergency obstetric care EmOC refers to elements of obstetric care needed or management of complications during pregnancy, delivery and postpartum period, skilled personnel, equipment and support services.…”

Section: Introductionmentioning

confidence: 99%

To study pattern of obstetric cases referred at tertiary care centre in Central India

Goswami

Bindal

Chug

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Maternal morbidity and mortality remains a major challenge to health systems worldwide. Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness of referral are challenge to obstetricians, since delay in referral affects maternal outcome adversely, hence the identification of at risk patients and obstetric emergencies and their timely referral is of immense importance. The aim of this study was to review the pattern of obstetric cases referred to tertiary care centre, to identify their clinical course, mode of delivery and maternal outcomes.Methods: It was prospective observational study carried out from January 2015 to July 2016. Study population was all Obstetrics patients referred to Department of Obstetrics and Gynecology of Kamla Raja Hospital, G.R. Medical College, Gwalior, Madhya Pradesh, a tertiary care centre during the study period.Results: The total number of referred cases in above study period was 4085.The proportion of referred cases in the tertiary care hospital was 20.86%. Mode of transport used by the referred patients were hospital ambulances (38%) and private vehicles (62%). Most common diagnosis at the time of referral was anaemia (27.8%). Out of the total referred cases, 48% had vaginal delivery (either spontaneous or induced), 28% had caesarean section and 24% were managed conservatively. Hypertensive disorders (25.4%) constitutes the leading cause of maternal deaths amongst the referred cases.Conclusions: Peripheral health care system needs to be strengthened and practice of early referral needs to be implemented for better maternal outcome.

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Maternal Morbidity and Disability and Their Consequences: Neglected Agenda in Maternal Health

Cited by 114 publications

References 26 publications

A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries

A prospective study of maternal, fetal and neonatal deaths in low- and middle-income countries

Maternal Morbidity and Estimates from Community Studies in India

To study pattern of obstetric cases referred at tertiary care centre in Central India

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