Maternal and Perinatal Mortality Flashcards
What is maternal mortality?
Death whilst pregnant or within 42 days of termination of pregnancy from any cause related to its management
What is the maternal mortality ratio?
Number of maternal deaths during given time per 100,000 livebirths
What is the maternal mortality rate?
Number of maternal deaths in given time per 100,000 women of reproductive age
What is the lifetime risk of maternal death?
Probability of maternal death during a woman’s reproductive life
How are maternal deaths measured?
Facility based:
- Health information systems
- Registries
- Confidential Enquiries
- Maternal death review
- Audit
Community based:
- Notification by law
- Vital registration
- Census
- Surveys or surveillance
What is the maternal mortality rate in the UK?
9 per 100,000
What are the types of deaths in mothers?
Direct deaths
Indirect deaths
Late deaths
What are direct deaths of mothers?
Related to obstetric complications during pregnancy
What are indirect deaths of mothers?
Associated with a disorder, the effect of which is exacerbated by pregnancy
What are late deaths of mothers?
Occurring >42 days post-end of pregnancy
What are the leading causes of maternal deaths worldwide?
Indirect Unsafe abortion Haemorrhage Hypertensive disorders Sepsis
What are the leading causes of maternal death in the UK?
Cardiac disease
VTE
Haemorrhage
Neurological
What is the 3 delay model?
Delay in decision to seek care
Delay in reaching care
Delay in receiving care
How can we prevent maternal mortality?
Antenatal care
Skilled attendant at birth
Emergency obstetric care
What factors in antenatal care can reduce the risk of maternal mortality?
4 visits
Monitoring weight, BP, proteinuria
Folic acid
Malaria prophylaxis
