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

Abstract

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.