Risk factors of maternal mortality in Sistan region: 10-year report

Background: Maternal mortality is one of the most important indicators of women health standard in developing countries. This study aimed to determine the prevalence of risk factors and etiology of maternal mortality in a geographic region of Iran. Methods: This descriptive- analytic cross sectional...

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Main Authors: Mohammad Sarani, Zahra Shahraki, Mahboobeh Shirazi, Soleiman Saravani
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2014-12-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5275&slc_lang=en&sid=1
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spelling doaj-43e409cc76d440738e496b5904f2f2852020-11-24T23:04:21ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222014-12-01729623629Risk factors of maternal mortality in Sistan region: 10-year reportMohammad Sarani 0Zahra Shahraki 1Mahboobeh Shirazi 2Soleiman Saravani 3 Faculty of Social Medicine, University of Zabol, Zabol, Iran. Department of Maternal, Fetal and Neonatal, Obstetrics, Zabol University of Medical Sciences, Zabol, Iran. Maternal, Fetal and Neonatal Research Center, Tehran Univer-sity of Medical Sciences, Tehran, Iran. Faculty of Social Medicine, University of Zabol, Zabol, Iran. Background: Maternal mortality is one of the most important indicators of women health standard in developing countries. This study aimed to determine the prevalence of risk factors and etiology of maternal mortality in a geographic region of Iran. Methods: This descriptive- analytic cross sectional study included all pregnant women who died during pregnancy and six weeks after delivery due to pregnancy related fac-tor. The study was done in Sistan region in the north of Sistan and Baluchestan Prov-ince of Iran from April 2002 to March 2014. The immigrant women were excluded. Data were collected using 3 parts questionnaire. The validity and reliability of ques-tioner were approved by experts in this field. Data were analyzed using the statistical software SPSS version 18, Chi-square test and ANOVA analysis were performed. Results: The total number of deliveries during this time period was 60496. The total number of maternal mortality was 57 patients which means 94.2 out of 100.000 live births. Most of the dead mothers had more than 35 years old (46.9%), gestational age was more than 22 weeks (77.2%), gravidity more than 4 (21.1%), pregnancy interval lower than two years (46.9%) and 75.4% of death was in post-partum. The main cause of mortality was post-partum hemorrhage (19.3%). Conclusion: Based on our findings, some factors including multiparity, pregnancy his-tory more than 4 times, short interval between pregnancies lower than 2 years and ma-ternal age more than 35 years were some risk factors for maternal death. Maternal mortality in the postpartum period was more than pre-delivery period. Bleeding was the main cause of maternal mortality. Therefore monitoring of vital signs in the post-partum period and the proper management of bleeding are very important. It is sug-gested that risk assessment should be done for pregnant women in delivery ward for detecting high risk pregnant women. Suitable management for these women especially for patients with postpartum hemorrhage plays an important role to decrease the ma-ternal mortality. http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5275&slc_lang=en&sid=1maternal mortality postpartum hemorrhage pregnancy prenatal care risk factors
collection DOAJ
language fas
format Article
sources DOAJ
author Mohammad Sarani
Zahra Shahraki
Mahboobeh Shirazi
Soleiman Saravani
spellingShingle Mohammad Sarani
Zahra Shahraki
Mahboobeh Shirazi
Soleiman Saravani
Risk factors of maternal mortality in Sistan region: 10-year report
Tehran University Medical Journal
maternal mortality
postpartum hemorrhage
pregnancy
prenatal care
risk factors
author_facet Mohammad Sarani
Zahra Shahraki
Mahboobeh Shirazi
Soleiman Saravani
author_sort Mohammad Sarani
title Risk factors of maternal mortality in Sistan region: 10-year report
title_short Risk factors of maternal mortality in Sistan region: 10-year report
title_full Risk factors of maternal mortality in Sistan region: 10-year report
title_fullStr Risk factors of maternal mortality in Sistan region: 10-year report
title_full_unstemmed Risk factors of maternal mortality in Sistan region: 10-year report
title_sort risk factors of maternal mortality in sistan region: 10-year report
publisher Tehran University of Medical Sciences
series Tehran University Medical Journal
issn 1683-1764
1735-7322
publishDate 2014-12-01
description Background: Maternal mortality is one of the most important indicators of women health standard in developing countries. This study aimed to determine the prevalence of risk factors and etiology of maternal mortality in a geographic region of Iran. Methods: This descriptive- analytic cross sectional study included all pregnant women who died during pregnancy and six weeks after delivery due to pregnancy related fac-tor. The study was done in Sistan region in the north of Sistan and Baluchestan Prov-ince of Iran from April 2002 to March 2014. The immigrant women were excluded. Data were collected using 3 parts questionnaire. The validity and reliability of ques-tioner were approved by experts in this field. Data were analyzed using the statistical software SPSS version 18, Chi-square test and ANOVA analysis were performed. Results: The total number of deliveries during this time period was 60496. The total number of maternal mortality was 57 patients which means 94.2 out of 100.000 live births. Most of the dead mothers had more than 35 years old (46.9%), gestational age was more than 22 weeks (77.2%), gravidity more than 4 (21.1%), pregnancy interval lower than two years (46.9%) and 75.4% of death was in post-partum. The main cause of mortality was post-partum hemorrhage (19.3%). Conclusion: Based on our findings, some factors including multiparity, pregnancy his-tory more than 4 times, short interval between pregnancies lower than 2 years and ma-ternal age more than 35 years were some risk factors for maternal death. Maternal mortality in the postpartum period was more than pre-delivery period. Bleeding was the main cause of maternal mortality. Therefore monitoring of vital signs in the post-partum period and the proper management of bleeding are very important. It is sug-gested that risk assessment should be done for pregnant women in delivery ward for detecting high risk pregnant women. Suitable management for these women especially for patients with postpartum hemorrhage plays an important role to decrease the ma-ternal mortality.
topic maternal mortality
postpartum hemorrhage
pregnancy
prenatal care
risk factors
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5275&slc_lang=en&sid=1
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