- The World Health Organization estimates thatapproximately 500,000 women die each year from pregnancy-related causes, more than 98% of these deaths occurring in the developing world.
- most vulnerable period is postpartum period.
- > 60% of maternal deaths occurred in the postpartum period;
- 45% of postpartum deaths occurred within 1 day of delivery,
- > 65% within 1 week,
- > 80% within 2 weeks.
- In developing countries, 80% of postpartum deaths caused by obstetric factors occurred within 1 week.
- obstructed labor
- ruptured uterus
- postpartum hemorrhage
- maternal hypertension (10–15% of maternal deaths are associated with hypertensive disorders of pregnancy: difficult to prevent)
- eclampsia (10% are associated with eclampsia.)
- postpartum infection and
- complications of illegal abortion.
- barriers for the effective treatment of maternal mortality.
- inexperienced staff, inadequate drugs and supplies.
- presentation at late stage of disease due to lack of awareness about the severity of condition.
- clinical mismanagement
- administrative delays
- Prerequisites for the prevention
- many cases are avoidable
- there should be the knowledge of magnitude of problem.
- education of health professionals and communities
2. Barriers for the prevention of maternal mortality.
- lack of resources.
- ill informed health professionals
Beyond the numbers.Reviewing maternal deaths and complications to make pregnancy safer.2004 – 150 pages
Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?
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Thaddeus S, Maine D. Too far to walk: maternal mortality in context.
Li XF, Fortney JA, Kotelchuck M, Glover LH. The postpartum period: the key to maternal mortality.
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