Maternal Mortality in an Iraqi Tertiary Hospital: Lessons From the Years of the Crisis

Obeid, Reshed Zeki; Salman, Dina Akeel; Jaafar, Zainab Abdul Ameer

doi:10.15296/ijwhr.2020.58

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…The finding of present study was agreed by study in Al-Basrah 2019 [37], and in Baghdad Al-Yarmouk teaching hospital 2020 [38], both of them reveled that Maternal death is of still a problem and of preventable types due to lack of health care services at tertiary level hospitals.…”

Section: Causes Of Maternal Deathsupporting

confidence: 89%

Trends of Maternal Mortality in Nineveh Government (2018-2022) A time Series Analysis

Al-Fathy,

Shehab Barhawi,

Al-Rawee

2023

Trends Gen Med

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Aim: To describe women death in Nineveh governorate 2018-2022. Methods: A Biometry study used to review a record of 136 deceased mothers during 2018-2022 from 1st (Jan – July) during 2023, using standardized maternal mortality inquiry forms adopted by Ministry of Health consist from four section. Section I (maternal mortality surveillance system Questionnaire). Section II- decision of scientific committee for the study of maternal mortality) consist from 4 items. Section III The improvement plan. Section IV statistical form of maternal mortality contain the informative items. Using maternal mortality indicators (ratio, rate and proportional mortality) to measure trend of maternal death. Results: Total number of deceased mothers were 163, the study revealed that 62.0% of deceased mothers in age group 20-34 years and no differences regarding residence. Half of dead mother were illiterate and had had primary education. Death in relation to delivery commonly seen during puerperium and mainly in 1st 24hrs with decreasing trend of death during puerperium and increasing death during pregnancy. Direct cause of death is more prevalent with trend of decrease unlike indirect cause had increasing trend. Death Can’t be prevented in 2022. Maternal mortality indicators were fluctuated during last five years with trend to decrease toward 2022. Conclusion: Although of maternal mortality trend was fluctuated in last five years in Nineveh government and the direction was slightly drop toward 2022 but didn’t achieve the five Millennium Development Goals adopted by WHO.

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Section: Causes Of Maternal Deathsupporting

confidence: 89%

Trends of Maternal Mortality in Nineveh Government (2018-2022) A time Series Analysis

Al-Fathy,

Shehab Barhawi,

Al-Rawee

2023

Trends Gen Med

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Implementation of maternal and perinatal death surveillance and response (MPDSR) in humanitarian settings: insights and experiences of humanitarian health practitioners and global technical expert meeting attendees

Russell¹,

Tappis²,

Mwanga

et al. 2022

Confl Health

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Background Maternal and perinatal death surveillance and response (MPDSR) is a system of identifying, analysing and learning lessons from such deaths in order to respond and prevent future deaths, and has been recommended by WHO and implemented in many low-and-middle income settings in recent years. However, there is limited documentation of experience with MPDSR in humanitarian settings. A meeting on MPDSR in humanitarian settings was convened by WHO, UNICEF, CDC and Save the Children, UNFPA and UNHCR on 17th–18th October 2019, informed by semi-structured interviews with a range of professionals, including expert attendees. Consultation findings Interviewees revealed significant obstacles to full implementation of the MPDSR process in humanitarian settings. Many obstacles were familiar to low resource settings in general but were amplified in the context of a humanitarian crisis, such as overburdened services, disincentives to reporting, accountability gaps, a blame approach, and politicisation of mortality. Factors more unique to humanitarian contexts included concerns about health worker security and moral distress. There are varying levels of institutionalisation and implementation capacity for MPDSR within humanitarian organisations. It is suggested that if poorly implemented, particularly with a punitive or blame approach, MPDSR may be counterproductive. Nevertheless, successes in MPDSR were described whereby the process led to concrete actions to prevent deaths, and where death reviews have led to improved understanding of complex and rectifiable contextual factors leading to deaths in humanitarian settings. Conclusions Despite the challenges, examples exist where the lessons learnt from MPDSR processes have led to improved access and quality of care in humanitarian contexts, including successful advocacy. An adapted approach is required to ensure feasibility, with varying implementation being possible in different phases of crises. There is a need for guidance on MPDSR in humanitarian contexts, and for greater documentation and learning from experiences.

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Maternal Mortality in an Iraqi Tertiary Hospital: Lessons From the Years of the Crisis

Cited by 2 publications

References 21 publications

Trends of Maternal Mortality in Nineveh Government (2018-2022) A time Series Analysis

Trends of Maternal Mortality in Nineveh Government (2018-2022) A time Series Analysis

Implementation of maternal and perinatal death surveillance and response (MPDSR) in humanitarian settings: insights and experiences of humanitarian health practitioners and global technical expert meeting attendees

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