Journal ArticleDOI
Trends in maternal mortality over 29 years in a Kuwait Tertiary Teaching Hospital: signs of progress?
Rachana Chibber,Jassim Al-Hijji,Abdul Razzak Al-Adwani,Ahmed Rammah,Mohamed Fouda,Eyad Al-Saleh,M. Asiya Tasneem +6 more
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TLDR
Maternal mortality rates are decreasing significantly at a tertiary hospital over the last 29 years, and substandard care was identified in 70% of Direct and 55% of indirect deaths.Abstract:
This study aims at (1) Assessing trends in maternal mortality in kuwait (2) Define strategies for prevention. Methods: Retrospective analysis of maternal deaths that occurred among, 55,979 live births at a tertiary hospital, between 1980 and 2009. Results: There were 14 maternal deaths, and 55,979 live births, giving a maternal mortality rate of 25 per 100,000 live birth. In terms of decades maternal mortality declined from 54.8 in 1980–90 to 28.4 in 1990–2000 and continued to decline to 12.2 in 2000–2009. Thromboembolism (28.6%), Obstetric haemorrhage (21.5%) and Eclampsia (14.3%) were the leading causes of direct deaths. Cardiac disease is the most common cause of indirect deaths (14.3%) followed by H1N1 pneumonia 7.1%. Eclampsia contributed to 40% of deaths, only in the 1980s. Thromboembolism caused 28.6% of deaths, 50% of which were in the last 9 years. Indirect deaths from cardiomyopathies (66.7%) gained prominence in the 1990s. No deaths from puerperal sepsis were reported after the 1980s (14.3%). C...read more
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Clinical risk factors for pre-eclampsia determined in early pregnancy: systematic review and meta-analysis of large cohort studies
TL;DR: A practical evidence based list of clinical risk factors that can be assessed by a clinician at ≤16 weeks’ gestation to estimate a woman’s risk of pre-eclampsia and the use of aspirin prophylaxis in pregnancy is developed.
Journal ArticleDOI
Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health.
Pisake Lumbiganon,Malinee Laopaiboon,N. Intarut,Joshua P. Vogel,Joshua P. Vogel,João Paulo Souza,Ahmet Metin Gülmezoglu,Rintaro Mori +7 more
TL;DR: To assess the proportion of severe maternal outcomes resulting from indirect causes, and to determine pregnancy outcomes of women with indirect causes.
Journal ArticleDOI
How we manage the haematological aspects of major obstetric haemorrhage
TL;DR: The current understanding of the pathophysiological aspects of MOH together with the principles of transfusion and haemostatic therapy are described, with emphasis on a coordinated multidisciplinary approach.
Journal ArticleDOI
Motor–vehicle injury in pregnancy and subsequent feto-maternal outcomes: of grave concern
TL;DR: Important causes of adverse pregnancy outcome were: abruptio placenta, preterm labor and uterine rupture, which resulted in 100 maternal and 78 fetal deaths with 97 preterm births.
Journal ArticleDOI
An investigation of maternal mortality at a tertiary hospital of the Limpopo province of South Africa
TL;DR: A retrospective review of all maternal deaths which occurred at the Pietersburg Hospital, Limpopo province was done over a five-year period, resulting in an institutional Maternal Mortality Ratio (iMMR) of 1579/100 000 live births.
References
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Roch Cantwell,Thomas Clutton-Brock,G. M. Cooper,Andrew J. Dawson,James Owen Drife,Debbie Garrod,Ann Harper,Diana Hulbert,Sebastian Lucas,John D. McClure,Harry Millward-Sadler,James P Neilson,Catherine Nelson-Piercy,Jane E. Norman,Colm O'Herlihy,Margaret R. Oates,Judy Shakespeare,Michael de Swiet,Catherine Williamson,Valerie Beale,Marian Knight,Christopher E. Lennox,Alison Miller,Dharmishta Parmar,Jane Rogers,Anna Springett +25 more
TL;DR: For the first time there has been a reduction in the inequalities gap, with a significant decrease in maternal mortality rates among those living in the most deprived areas and those in the lowest socio-economic group.
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Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5.
Margaret C. Hogan,Margaret C. Hogan,Kyle J Foreman,Mohsen Naghavi,Stephanie Y. Ahn,Mengru Wang,Susanna M Makela,Alan D. Lopez,Rafael Lozano,Christopher J L Murray +9 more
TL;DR: Although only 23 countries are on track to achieve a 75% decrease in MMR by 2015, countries such as Egypt, China, Ecuador, and Bolivia have been achieving accelerated progress and substantial, albeit varied, progress has been made towards MDG 5.
Journal ArticleDOI
H1N1 2009 influenza virus infection during pregnancy in the USA
Denise J. Jamieson,Margaret A. Honein,Sonja A. Rasmussen,Jennifer Williams,David L. Swerdlow,Matthew Biggerstaff,Stephen Lindstrom,Janice K. Louie,Cara M. Christ,Susan Bohm,Vincent P. Fonseca,Kathleen A. Ritger,Daniel J Kuhles,Paula Eggers,Hollianne Bruce,Heidi A Davidson,Emily Lutterloh,Meghan L. Harris,Colleen Burke,Noelle M. Cocoros,Lyn Finelli,Kitty MacFarlane,Bo Shu,Sonja J Olsen +23 more
TL;DR: Cases and deaths associated with pandemic H1N1 virus in pregnant women identified in the USA during the first month of the present outbreak lend support to the present recommendation to promptly treat pregnant women with H 1N1 influenza virus infection with anti-influenza drugs.
Journal Article
Pregnancy-related mortality surveillance--United States, 1991--1999.
Jeani Chang,Laurie D. Elam-Evans,Cynthia J. Berg,Joy L. Herndon,Lisa Flowers,Kristi Seed,Carla Syverson +6 more
TL;DR: The reportedregnancy-related mortality ratio has substantially increased during 1991-1999, probably because of improved ascertainment of pregnancy-related deaths.
Journal ArticleDOI
Maternal Mortality for 181 Countries, 1980−2008: A Systematic Analysis of Progress Toward Millennium Development Goal 5
Margaret C. Hogan,Kyle J Foreman,M. Naghavi,S.Y. Ahn,M. Wang,S.M. Makela,A.D. Lopez,R. Lozano,C.J. Murray +8 more
TL;DR: The data show a substantial decline in maternal mortality from 1980 to 2008 and an apparent rise in MMR was found in the USA, Canada, and Norway although the investigators thought this could be explained in part by a revision in the International Classification of Disease that occurred during the study period.