The journal of obstetrics and gynaecology research · 2007
Why do mothers die in Dakahlia, Egypt?
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Abdel-Hady El-Said, Mashaly Abdel-Maguid, Sherief Lotfy S, Hassan Mostafa, Al-Gohary Alaa, Farag Mohamed K, El-Khoeriby Fouad
Аннотация
AIM: To investigate the causes of maternal mortality in the Dakahlia Governorate in Egypt.
METHODS: A confidential enquiry for each case of maternal mortality during the years 2004-2005 was carried out.
RESULTS: One hundred and seventy-nine maternal deaths were reported, giving a maternal mortality rate (MMR) of 71.3/100,000 live births. 140 (78.2%) women died due to direct obstetric causes, 24 (13.4%) due to indirect causes and 15 (8.4%) due to accidental or unexplained causes. 44 (24.6%) women died during or following delivery by cesarean section and 91 (50.8%) during labor or within 24 h following delivery. Complications during cesarean delivery, postpartum hemorrhage and hypertensive disorders were the leading causes of maternal mortality. Death due to substandard care was encountered in 85% of cases. Obstetricians were responsible for 51% of causes of avoidable maternal death.
CONCLUSION: Maternal mortality in Dakahlia, although declining, is still relatively high. To further reduce maternal mortality, deliveries should be conducted at well-equipped hospitals.
METHODS: A confidential enquiry for each case of maternal mortality during the years 2004-2005 was carried out.
RESULTS: One hundred and seventy-nine maternal deaths were reported, giving a maternal mortality rate (MMR) of 71.3/100,000 live births. 140 (78.2%) women died due to direct obstetric causes, 24 (13.4%) due to indirect causes and 15 (8.4%) due to accidental or unexplained causes. 44 (24.6%) women died during or following delivery by cesarean section and 91 (50.8%) during labor or within 24 h following delivery. Complications during cesarean delivery, postpartum hemorrhage and hypertensive disorders were the leading causes of maternal mortality. Death due to substandard care was encountered in 85% of cases. Obstetricians were responsible for 51% of causes of avoidable maternal death.
CONCLUSION: Maternal mortality in Dakahlia, although declining, is still relatively high. To further reduce maternal mortality, deliveries should be conducted at well-equipped hospitals.