Maternal and perinatal mortality Flashcards

1
Q

How is maternal mortality defined?

A

Death of a woman while pregnant or within 42 days of termination of pregnancy irrespective of the duration and site of pregnancy from any cause related to or aggravated by the pregnancy, but not from accidental or incidental cause

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2
Q

What is maternal morbidity?

A

Severe health complications occurring in pregnancy and delivery not resulting in death

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3
Q

What percentage of global maternal mortality and morbidity is preventable?

A

Around 80%

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4
Q

What is the maternal mortality ratio?

A

Number of maternal deaths during a given time per period per 100000 livebirths during the same period

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5
Q

What is maternal mortality rate?

A

Number of maternal deaths in a given time period per 100000 women of reproductive age

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6
Q

What is lifetime risk of maternal death?

A

Probability of maternal death during a woman’s reproductive life

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7
Q

What is proportionate mortality ratio?

A

Maternal deaths as proportion of all female deaths of those of reproductive age in a given time period

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8
Q

How is maternal mortality ratio interpreted?

A

The risk associated with each pregnancy

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9
Q

How is maternal mortality rate interpreted?

A

Frequency of which women are exposed to obstetric risk

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10
Q

How is lifetime risk of maternal death interpreted?

A

Measure of women’s risk of becoming pregnant as well as risk of dying while pregnnat

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11
Q

What are facility based methods of measuring maternal deaths

A
Health information systems
Registries
Confidential enquiries
Maternal death review
Audit
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12
Q

What are direct maternal deaths?

A

Deaths related to obstetric complications during pregnancy, labour, or puerperium or resulting from any treatment recieved

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13
Q

What are major causes of maternal death?

A
Haemorrhage
Sepsis
Hypertensive disorders
Obstructed labour
Unsafe abortion
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14
Q

What are the 3 delays in the 3 delays model?

A

Delays in decision to seek care
Delay in reaching care
Delay in receiving care

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15
Q

Where does the majority of maternal death occur?

A

Africa and Afghanistan

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16
Q

What is done in antenatal care to prevent maternal mortality?

A
4 visits
Monitoring weight
Monitoring blood pressure
Monitoring proteinuria
Monitoring folic aci
Malaria prophylaxis
17
Q

What is a stillbirth?

A

Birth of a dead baby after 20/24/28 weeks of pregnancy or weighing more than 500g

18
Q

What is neonatal death?

A

Early neonatal death - death of a baby within the first week of life
Late neonatal death - Death of a baby within first 28 days of life

19
Q

What is perinatal mortality?

A

Includes stillbirth and neonatal mortality