Why do mothers die in Dakahlia, Egypt?

Abdel-Hady, El-Said; Mashaly, Abdel Maguid; Sherief, Lotfy S.; Hassan, Mostafa M.; Al-Gohary, Alaa; Farag, Mohamed; El-Khoeriby, Fouad

doi:10.1111/j.1447-0756.2007.00525.x

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…), Egypt (Abdel‐Hady et al . )] compared to rich countries [France (Bouvier‐Colle et al . ), United Kingdom (Centre for Maternal and Child Enquiries (CMACE) (), Australia (Kildea et al .…”

Section: Discussionmentioning

confidence: 99%

Preventable maternal mortality in Morocco: the role of hospitals

Abouchadi

Alaoui

Meski

et al. 2013

Tropical Med Int Health

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Abstractobjective In 2009, the Ministry of Health of Morocco launched a national confidential enquiry around maternal deaths based on the newly implemented routine maternal death surveillance system (MDSS). The objective of this paper is to show the importance of substandard care among the factors associated with maternal deaths.methods The Moroccan National Expert Committee (NEC) organised an audit of maternal deaths identified by the MDSS to determine the medical cause, the preventability of the deaths and the type of substandard care involved.results Three hundred and three cases of maternal deaths were analysed for the year 2009. Direct causes accounted for 80.8%. 75.9% were considered avoidable by the NEC. The three main factors were insufficient follow-up of care in 45.6% of cases, inadequate treatment in 43.9% and delay in seeking care in 41.3%. The auditors found that 54.3% of all maternal deaths could have been avoided if appropriate action had been taken at the health facilities.conclusion The audit of maternal deaths in Morocco enabled a better understanding of the circumstances contributing to maternal deaths and pinpointed that more than half of maternal deaths were associated with substandard care in hospitals.

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Section: Discussionmentioning

confidence: 99%

Preventable maternal mortality in Morocco: the role of hospitals

Abouchadi

Alaoui

Meski

et al. 2013

Tropical Med Int Health

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“…Forty‐seven maternal mortality reports were included, reporting on a total of 38,486 maternal deaths in LMIC [13‐19,22‐61]. Study selection is summarised in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…The study period was clearly defined in all studies and ranged from 1992 until 2015. Twenty‐seven studies were population‐based [23,26‐28,31,33‐34,37‐38,40‐41,43‐44,46‐55,57,59‐61]. Fourteen reports were facility‐based [13‐19,22,32,35,42,45,56,58].…”

Section: Resultsmentioning

confidence: 99%

“…The proportion of reviewed deaths outside facilities ranged from 1.8% (Botswana, 2010) to nearly half of the reviewed deaths in Zimbabwe (49.3%), Pakistan (50.0%), Bangladesh (51.6%) and Nepal (53.8%) [48,50,53,57]. In 21 out of 27 population‐based reports, an MMR was extracted directly from the report [23,26‐27,31,33‐34,37‐38,40‐41,43,46‐50,54‐55,57,59,60]. Five reports stated zero cardiac deaths of which data were reported as missing of the reports from Tanzania, Malawi and Sudan as possible deaths due to cardiac disease were missed (Appendix S2) [14,25,36,45,51].…”

Section: Resultsmentioning

confidence: 99%

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Maternal mortality due to cardiac disease in low‐ and middle‐income countries

Heemelaar

Petrus

Knight

et al. 2020

Tropical Med Int Health

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objectives To assess the frequency of maternal death (MD) due to cardiac disease in low-and middle-income countries (LMIC).methods Systematic review searching Medline, EMBASE, Web of Science, Cochrane Library, Emcare, LILACS, African Index Medicus, IMEMR, IndMED, WPRIM, IMSEAR up to 01/Nov/2017. Maternal mortality reports from LMIC reviewing all MD in a given geographical area were included. Hospital-based reports or those solely based on verbal autopsies were excluded. Numbers of MD and cardiac-related deaths were extracted. We calculated cardiac disease MMR (cMMR, cardiac-related MD/100 000 live births) and proportion of cardiac-related MDs among all MDs. Frequency of cardiac MD was compared with the MMR of the country.results Forty-seven reports were included, which reported on 38,486 maternal deaths in LMIC. Reported cMMR ranged from 0/100 000 live births (Moldova, Ghana) to 31.9/100 000 (Zimbabwe). The proportion of cardiac-related MD ranged from 0% (Moldova, Ghana) to 24.8% (Sri Lanka). In countries with a higher MMR, cMMR was also higher. However, the proportion of cardiac-related MD was higher in countries with a lower MMR.conclusions The burden of cardiac-related mortality is difficult to assess due limited availability of mortality reports. The proportion of cardiac deaths among all MD appeared to be higher in countries with a lower MMR. This is in line with what has been called 'obstetric transition': pre-existing medical diseases including cardiac disease are becoming relatively more important where the MMR falls.keywords cardiac disease, maternal mortality, low-and middle-income countries Sustainable Development Goals (SDGs): SDG 3 (good health and well-being), SDG 17 (partnerships for the goals)

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Hypertensive emergencies in pregnancies in underresourced countries

Moodley¹

2008

Current Opinion in Obstetrics &Amp; Gynecology

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Why do mothers die in Dakahlia, Egypt?

Abstract: Maternal mortality in Dakahlia, although declining, is still relatively high. To further reduce maternal mortality, deliveries should be conducted at well-equipped hospitals.

Cited by 5 publications

References 7 publications

Preventable maternal mortality in Morocco: the role of hospitals

Preventable maternal mortality in Morocco: the role of hospitals

Maternal mortality due to cardiac disease in low‐ and middle‐income countries

Hypertensive emergencies in pregnancies in underresourced countries

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