National maternal mortality ratio for Jordan, 2007-2008

Amarin, Zouhair; Khader, Yousef; Okour, Abdelhakeem; Jaddou, Hashim; Al‐Qutob, Raeda

doi:10.1016/j.ijgo.2010.05.016

Cited by 31 publications

(37 citation statements)

References 19 publications

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“…Dentre os medicamentos geralmente prescritos dessa forma no presente estudo estão paracetamol e escopolamina associada com paracetamol 4 . Observou-se que as gestantes acompanhadas nesta pesquisa são jovens, de baixa escolaridade e de baixa renda, tal perfil se assemelha a outros estudos nacionais [24][25][26] e internacionais [27][28][29] . Poucos estudos investigaram a exposição aos medicamentos utilizados antes do diagnóstico gestacional.…”

Section: Discussionunclassified

Uso de medicamentos no primeiro trimestre de gravidez: avaliação da segurança dos medicamentos e uso de ácido fólico e sulfato ferroso

Lunardi-Maia¹,

Schuelter-Trevisol²,

Galato³

2014

Rev. Bras. Ginecol. Obstet.

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Houve diferença entre as proporções de medicamentos utilizados segundo a ATC, e os principais grupos anatômicos identificados foram os dos medicamentos que atuam no sangue e órgãos hematopoiéticos e anti-infecciosos de uso sistêmico. Na época do diagnóstico da gravidez, observou-se expressivo uso de medicamentos que atuam no sistema geniturinário e hormônios sexuais (16,2%), como anticoncepcionais orais, o que provavelmente está relacionado ao percentual de gestações não planejadas (67,0%), nessa mesma ocasião 4 gestantes utilizaram ácido fólico e 3 utilizaram o sulfato ferroso. CONCLUSÃO: Os resultados demonstram uso expressivo de medicamentos durante a gravidez. Mesmo que haja menor exposição aos medicamentos no momento do diagnóstico da gravidez, observa-se maior consumo de medicamentos de risco e da prática de automedicação nesse período. Abstract PURPOSE:To identify the profile of use of medication during the first trimester of pregnancy with emphasis on safety assessment and on the adoption of folic acid and ferrous sulfate by pregnant women attended at a Basic Health Unit in Brazil. METHODS: This was a cross-sectional study nested in a cohort of pregnant women. Medications were classified according to the Anatomical Therapeutic Chemical (ATC), and their safety was evaluated according to the Food and Drug Administration (FDA) and the Brazilian Health Surveillance Agency (ANVISA). The adoption of ferrous sulfate and folic acid was investigated according to the protocol set forth by the Brazilian Ministry of Health. RESULTS: The survey included 212 pregnant women, 46.7% of whom were taking medications at the time of pregnancy diagnosis, and 97.6% used medication during the first trimester after diagnosis. The highest percentage of self-medication occurred before the beginning of prenatal care (64.9%). According to the FDA criteria, there was a high level of exposure to D and X risk drugs before the beginning of prenatal care (23.0%), which was also observed for drugs not recommended by ANVISA (36.5%). Of the surveyed sample, 32.5% did not follow the protocol of the Brazilian Ministry of Health. In all, 67.9% of pregnant women had inadequate drug exposure. There was a difference between the proportions of

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Section: Discussionunclassified

Uso de medicamentos no primeiro trimestre de gravidez: avaliação da segurança dos medicamentos e uso de ácido fólico e sulfato ferroso

Lunardi-Maia¹,

Schuelter-Trevisol²,

Galato³

2014

Rev. Bras. Ginecol. Obstet.

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“…The data reported here were derived from the Jordan national maternal mortality study for 2007-08 [13]. The initial study described the methods, maternal mortality ratio and causes of death [13].…”

Section: Introductionmentioning

confidence: 99%

“…The initial study described the methods, maternal mortality ratio and causes of death [13]. The present report describes an audit of the avoidable causes of maternal death, focusing on substandard care and delays.…”

Section: Introductionmentioning

confidence: 99%

Maternal mortality in Jordan: role of substandard care and delays

Am¹,

Khader²,

Amarin³

et al. 2012

East Mediterr Health J

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Understanding the factors that operate during pregnancy, delivery and postpartum is the key to success in the prevention of maternal mortality. This cross-sectional survey in Jordan for the years 2007-2008 aimed to identify the role of substandard care and delays in maternal deaths. All maternal deaths among women aged 15-49 years over this period (n = 76) were investigated retrospectively through file review and household interviews in all hospitals (n = 102) and forensic medicine departments in Jordan; elements of substandard care and delays at hospital, home and transport levels were evaluated. Substandard care accounted for 52.6% of deaths, delay in seeking care 55.3%, delay in transport 15.8% and delay in hospital care 17.1%. Women who did not recognize the danger signs of pregnancy (OR 6.32), refused medical advice to terminate the pregnancy (OR 1.78) or at a gestational age > 37 weeks (OR 1.85) were significantly more likely to delay seeking care, as were those with larger mean family size.

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“…According to WHO in developing world 52% pregnant women were anaemic. The major reasons that are associated with anaemia included inadequate supply of food, parasitic infection, season, spacing b/w child, age, educational level, alcohol and caffeine intake, gravidity and gestational age [27][28][29][30][31][32][33][34][35][36][37]. With the early exposure of the anaemia, antenatal care should be done because anaemia is the most common problem during pregnancy.…”

Section: Resultsmentioning

confidence: 99%

Study of Prevalence of Anaemia among Pregnant Women and Its Correlation with Different Risk Factors

Hameed¹,

Hameed²,

Bashir³

et al. 2018

Drug Des

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In current study the prevalence of anaemia among pregnant females and its correlation with foetal mortality was studied in Punjab, Pakistan. Overall 65.4% females were anaemic. On basis of Hb level 6.4% females were severely anaemic, 19.2% were moderately and 39.8% were mild anaemic. The values of PCV in 86.6% while MCV in 46.4% and MCH in 41.8% females were less than normal values. Significant correlation was observed in Prevalence of anaemia and daily intake of three or more cups of tea. A similar significant correlation was also found between anaemia, vegetarian diet and poor diet. Age group of pregnant females was also observed significantly correlated with prevalence of anaemia and maximum anaemic females were in the age group of 35>40. Overall 17.7% foetal mortality was recorded with significantly highest among anaemic group which gradually decreased with increase in Hb among moderately and mild anaemic groups. The TLC in 13.6% pregnant females showed higher than normal. Significant differences in neutrophils, monocytes, lymphocytes and eosinophils were observed among pregnant females.

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National maternal mortality ratio for Jordan, 2007-2008

Cited by 31 publications

References 19 publications

Uso de medicamentos no primeiro trimestre de gravidez: avaliação da segurança dos medicamentos e uso de ácido fólico e sulfato ferroso

Uso de medicamentos no primeiro trimestre de gravidez: avaliação da segurança dos medicamentos e uso de ácido fólico e sulfato ferroso

Maternal mortality in Jordan: role of substandard care and delays

Study of Prevalence of Anaemia among Pregnant Women and Its Correlation with Different Risk Factors

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