Maternal mortality Flashcards
What is maternal mortality?
Death of a woman while pregnant or within 42 days of termination of pregnancy.
(From causes related to/aggravated by pregnancy)
What is maternal morbidity?
Severe health complications occuring in pregnancy and delivery not resulting in death.
What percentage of maternal mortality cases are preventable globally?
> 80%
What is the definition of maternal mortality ratio?
Number of maternal deaths during given time period per 100,000 livebirths
What is the definition of maternal mortality rate?
Number of maternal deaths in given time period per 100,000 women of reproductive age, or woman-years of risk exposure in same time period.
What is the definition of lifetime risk of maternal death?
Probability of maternal death during a woman’s reproductive life, usually expressed in terms of odds
What is maternal mortality ratio useful for?
Represents risk associated with each pregnancy ie obstetric risk
What is maternal mortality rate useful for?
Takes obstetric risk into account, plus frequency with which women are exposed to the risk
What is lifetime risk of maternal death useful for?
A measure of women’s risk of becoming pregnant as well as the risk of dying while pregnant.
List some facility based methods for measuring maternal deaths?
Health information systems Registries Confidential Enquiries Maternal death review Audit -Critical Incident audit -Criterion Based Clinical Audit
List some population/community based methods for measuring maternal deaths?
Notification by law Vital registration Census Surveys or surveillance -Sisterhood method -Verbal Autopsy
What are the classifications of maternal death?
Direct (obstetric complications)
Indirect (exacerbated by pregnancy)
Late
List some causes of worldwide maternal death?
Haemorrhage Sepsis Hypertensive disorders Obstructed labour Unsafe abortion Indirect Others
What are the 3 delays that contribute to worldwide maternal mortality?
Delay in decision to seek care
Delay in reaching care
Delay in receiving care
What can be done to prevent maternal mortality?
Antenatal care
Skilled attendant at birth
Emergency obstetric care