Maternal Mortality: A Five Years Retrospective Analysis from a Tertiary Care Hospital, Rajasthan, India

Verma, Madhureema; Bano, Gulshan; Nagar, Teena; Singh, Ajay K.; Nagar, R. P.

doi:10.7860/jcdr/2022/52937.15838

Cited by 2 publications

(3 citation statements)

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“…The maternal mortality ratio (MMR) is a key public health indicator that quanti es the number of maternal deaths per 100,000 live births. It serves as a re ection of the quality of health services and the position and importance accorded to women in the society [7][8][9]. The global MMR has decreased signi cantly from 342 in 2000 to 211 in 2017 [10].…”

Section: Introductionmentioning

confidence: 99%

“…Identi cation of suitable strategies to prevent them is considered one of the most important programs in most countries [3][4][5].According to the WHO, "A maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes" [6].The maternal mortality ratio (MMR) is a key public health indicator that quanti es the number of maternal deaths per 100,000 live births. It serves as a re ection of the quality of health services and the position and importance accorded to women in the society [7][8][9]. The global MMR has decreased signi cantly from 342 in 2000 to 211 in 2017 [10].…”

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confidence: 99%

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Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

Alipour

Payandeh

Karimi

2023

Preprint

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Background Maternal mortality is a universal public health challenge. The present study was conducted to estimate the global prevalence of maternal death causes through a systematic review and meta-analysis. Methods A systematic literature search was conducted using various databases, including Web of Science, PubMed, Scopus, ScienceDirect, Cochrane Library, as well as Persian databases such as MagIran and SID. The search encompassed articles published until August 21, 2022. Thirty-four eligible articles were included in the final analysis. Analysis was performed using a meta-analysis approach. The exact Clopper-Pearson confidence intervals, heterogeneity assessment, and random effects models with Mantel-Haenszel methods were employed using the STATA software version 14.2. Results The most prevalent causes of maternal deaths, listed in descending order from highest to lowest prevalence, were non-obstetric complications (48.32%), obstetric hemorrhage (17.63%), hypertensive disorders of pregnancy, childbirth, and the puerperium (14.01%), other obstetric complications (7.11%), pregnancy with abortive outcome (5.41%), pregnancy-related infection (5.26%), unanticipated complications of management (2.25%), unknown/undetermined causes (2.01%), and coincidental causes (1.59%), respectively. Conclusion Accurate and timely diagnosis and treatment of conditions complicating pregnancy, childbirth, and the puerperium continue to pose a significant gap in high-quality care for pregnant women worldwide, particularly in developing countries where the incidence is higher. To reduce the burden of maternal mortality causes, it is crucial to implement effective screening mechanisms for high-risk mothers during pregnancy, childbirth, and the puerperium. Additionally, increasing awareness and promoting self-care management among women of reproductive age can play a significant role. Our findings offer comprehensive and standardized information on the prevalence of maternal mortality causes using the ICD-MM classification. This information can be utilized by policymakers and managers at various levels to facilitate necessary planning aimed at reducing the burden of maternal mortality causes.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

Alipour

Payandeh

Karimi

2023

Preprint

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show abstract

“…The maternal mortality ratio (MMR) is a key public health indicator that quantifies the number of maternal deaths per 100,000 live births. It serves as a reflection of the quality of health services and the position and importance accorded to women in the society [7][8][9]. The global MMR has decreased significantly from 342 in 2000 to 211 in 2017 [10].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

Alipour,

Payandeh,

Karimi

2023

BMC Pregnancy Childbirth

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Background Maternal mortality is a universal public health challenge. ICD-Maternal Mortality (ICD-MM) was introduced in 2012 to facilitate the gathering, analysis, and interpretation of data on maternal deaths worldwide. The present study aimed to estimate the global prevalence of maternal death causes through a systematic review and meta-analysis. Methods A systematic literature search was conducted using various databases, including Web of Science, PubMed, Scopus, ScienceDirect, Cochrane Library, as well as Persian databases such as MagIran and Scientific Information Database (SID). The search encompassed articles published until August 21, 2022. Thirty-four eligible articles were included in the final analysis. Analysis was performed using a meta-analysis approach. The exact Clopper-Pearson confidence intervals, heterogeneity assessment, and random effects models with Mantel-Haenszel methods were employed using the STATA software version 14.2. Results The most prevalent causes of maternal deaths, listed in descending order from highest to lowest prevalence, were non-obstetric complications (48.32%), obstetric hemorrhage (17.63%), hypertensive disorders of pregnancy, childbirth, and the puerperium (14.01%), other obstetric complications (7.11%), pregnancy with abortive outcome (5.41%), pregnancy-related infection (5.26%), unanticipated complications of management (2.25%), unknown/undetermined causes (2.01%), and coincidental causes (1.59%), respectively. Conclusion Non-obstetric complications, obstetric hemorrhage, and hypertensive disorders of pregnancy, childbirth, and puerperium were the most common causes of maternal deaths. To reduce the burden of maternal mortality causes, increasing awareness and promoting self-care management among women of reproductive age, and implementing effective screening mechanisms for high-risk mothers during pregnancy, childbirth, and the puerperium can play a significant role. ICD-MM enables the uniform collection and comparison of maternal death information at different levels (local, national, and international) by facilitating the consistent collection, analysis, and interpretation of data on maternal deaths. Our findings can be utilized by policymakers and managers at various levels to facilitate necessary planning aimed at reducing the burden of maternal mortality causes.

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Maternal Mortality: A Five Years Retrospective Analysis from a Tertiary Care Hospital, Rajasthan, India

Cited by 2 publications

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Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

Common causes of maternal mortality based on ICD-MM: A systematic review and meta- analysis

Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis

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