Global causes of maternal death a who systematic analysis pdf

We used the global burden of diseases and risk factors gbd. Jurnal global causes of maternal death a who systematic analysis. In a 2009 article on maternal morbidity, the authors said, that generally, there is a distinction between a direct maternal death that is the result of a complication of the pregnancy, delivery, or management of the two, and an indirect maternal death, that is a pregnancyrelated death in a patient with a preexisting or. Mention causes of maternal mortality in developing countries. Globally, complications arising from pregnancy with abortive outcome abortions and ectopic gestations are leading causes of maternal morbidity and mortality.

A systematic analysis for the global burden of disease study 20 article fulltext available. About the guidelines avoiding maternal deaths is possible, even in resourcepoor countries, but it requires. The causes of maternal mortality are changing and preventable. Mention the causes of maternal mortality during childbirth. This study is conducted to specify the causes of maternal mortality. Late maternal death data from the causesofdeath database were limited to those location years where at least 05% of all maternal deaths in raw vital registration data files were coded. We searched specialised and general bibliographic databases for. However, between 1990 and 2010, the global maternal mortality ratio i. Global burden of disease study 2017 gbd 2017 data resources. Bonet m, pileggi vn, rijken mj, coomarasamy a, lissauer d, souza jp, et al. Maternal mortality to improve maternal health, barriers that limit access to quality maternal health services must be identified and addressed at all levels of the health system. A systematic analysis of global causes of maternal deaths from 2003 to 2009 found onequarter were due to indirect causes primarily ncds including heart disease. We developed and analyzed global, regional, and subregional estimates of the.

Say l, chou d, gemmill a, tuncalp o, moller ab, daniels j. Asia accounted for 62% of all maternal deaths worldwide. Global, regional, and national levels and causes of maternal mortality during 1990. Oct 08, 2016 late maternal death data from the causesofdeath database were limited to those location years where at least 05% of all maternal deaths in raw vital registration data files were coded to late maternal deaths as this was the lowest proportion reported in any surveillance studies. Causes of maternal death in ethiopia between 1990 and 2016. Ending preventable maternal and newborn mortality and. This number is about one quarter of the global average of 210. Point out the leading causes of maternal morbidity and mortality.

Of the direct causes of maternal death, the leading causes were obstetric hemorrhage followed by hypertensive disorders and pregnancy related infections 5. Data for the causes of maternal deaths are needed to inform policies to improve maternal health. Maternal mortality is noticeably high in subsaharan african countries including ethiopia. Say l, chou d, gemmill a, tuncalp o, moller ab, daniels j, et al. Sustainable development global goal of 70 maternal deaths per 00 live births. Global, regional, and national levels and causes of maternal mortality during 199020. Background maternal obesity is emerging as a public health problem, recently highlighted together with maternal undernutrition as a double burden, especially in african countries undergoing social. Global, regional, and national agesexspecific mortality and life expectancy, 19502017. Kassebaum nj, bertozzivilla a, coggeshall ms, shackelford ka, steiner. Continuous nationwide systematic evaluation and assessment of the problem helps to design appropriate policy and strategy in ethiopia. Also, they misclassify maternal death as that being attributable to causes other than pregnancyrelated causes 58. The main causes of maternal mortality are complications from abortions, pregnancy induced hypertension, puerperal sepsis, and postpartum hemorrhage.

This study aimed to investigate the trends and causes of maternal mortality in ethiopia between 1990 and 20. Maternal deaths are still high, with an estimated maternal mortality ratio of 412 maternal deaths per 100,000 live births in 2016. Background data for the causes of maternal deaths are needed to inform policies to improve maternal health. Say l, chou d, gemmill a, tuncalp o, moller ab, daniels jd, et al. Doris chou and colleagues discuss the strategic priorities needed to prevent maternal and newborn deaths and stillbirths and promote maternal and newborn health and wellbeing despite.

In subsaharan africa, a number of countries have halved their levels of maternal mortality since 1990. In other regions, including asia and north africa, even greater headway has been made. Over the last few decades the maternal mortality estimation interagency group produced a series of maternal mortality estimates 7, 9, 10, the global burden of disease studies contributed. Methods medline, embase, scopus, cinahl and psycinfo were searched. Postpartum hemorrhage pphor excessive bleeding after childbirthis the leading cause of maternal mortality worldwide 1. Because prospective data sets that record large numbers of maternal deaths are lacking, much of the information available relative to maternal mortality is derived from models that generate estimates or synthesize data from. The most recent publication on thailand from the who reports that the maternal mortality ratio of thailand is 48 per 100,000 live births.

This systematic analysis suggests that indirect causes and haemorrhage are the largest causes of maternal death worldwide. The maternal mortality indicators presented in this report. Vol 390 september 16, 2017 1151 global, regional, and national agesex specific mortality for 264 causes of death, 19802016. It is a qualitative, indepth investigation of the causes of and circumstances surrounding maternal deaths occurring at health facilities 5, p 4. Maternal mortality is a global health issue that results in over 289,000 young women dying each year. We developed and analysed global, regional, and subregional estimates of the causes of.

A who systematic analysis article pdf available in the lancet global health 26. In a 2009 article on maternal morbidity, the authors said, that generally, there is a distinction between a direct maternal death that is. Maternal mortality declined by 38 per cent between 2000 and 2017 maternal mortality refers to deaths due to complications from pregnancy or childbirth. Kassebaum nj, bertozzivilla a, coggeshall ms, shackelford ka, steiner c, heuton kr, gonzalezmedina d, barber r, huynh c, dicker d, et al. Pdf indirect causes of maternal death researchgate. About 73% 1 771 000 of 2 443 000 of all maternal deaths between 2003 and 2009 were due to direct obstetric causes and deaths due to indirect causes accounted for 275 % 672 000, 95% ui 19737. Global, regional, and national agesexspecific mortality for 282 causes of death in 195 countries and territories, 19802017. Because prospective data sets that record large numbers of maternal. Background maternal obesity is emerging as a public health problem, recently highlighted together with maternal undernutrition as a double burden, especially in african countries undergoing social and economic transition. Say l1, chou d2, gemmill a3, tuncalp o2, moller ab2, daniels j4, gulmezoglu am2, temmerman m2, alkema l5. Mar 07, 2020 point out the leading causes of maternal morbidity and mortality.

Of the direct causes of death, haemorrhage was the leading cause of maternal death, followed by hypertensive disorders and sepsis. Report 2018, estimates developed by the united nations interagency. Maternal health infectious diseases overview briefer. Dec 10, 2019 say l, chou d, gemmill a, tuncalp o, moller ab, daniels j, et al. Dec 01, 2003 maternal deaths are too often solitary and hidden events that go uncounted. We developed and analysed global, regional, and subregional estimates of the causes. This is similar to the proportion of deaths during pregnancy and childbirth from severe bleeding. Determinants and causes of maternal mortality in iran based. Trends and causes of maternal mortality in ethiopia during. For analysis purposes, we grouped maternal causes of death into seven main categories of direct and indirect causes. Global, regional, and national levels of maternal mortality. Global burden of maternal death and disability british. An autopsy study of maternal mortality in mozambique. Information about the openaccess article global causes of maternal death.

The causes of maternal death and individual, environmental and health. Who united nations agencies report steady progress in. Between 2003 and 2009, haemorrhage, hypertensive disorders, and sepsis were responsible for more than half of maternal deaths worldwide. Risk factors for maternal death and trends in maternal. Doaj is an online directory that indexes and provides access to quality open access, peer. The difficulty arises not because of lack of clarity regarding the definition of a maternal death, but because of the weakness of health information systems and consequent absence of the systematic identification and recording of maternal deaths. This translates into an average annual rate of reduction of 2. Over the last few decades the maternal mortality estimation interagency group produced a series of maternal mortality estimates 7, 9, 10, the global burden of disease studies contributed important systematic analyses of trends, projections, and causes of maternal and child mortality 6, 11, 12, while the world health organization who. We developed and analysed global, regional, and subregional estimates of the causes of maternal death. From 2000 to 2017, the global maternal mortality ratio declined by 38 per cent.