Maternal mortality Flashcards

1
Q

What is maternal mortality?

A

Death of a woman while pregnant or within 42 days of termination of pregnancy.

(From causes related to/aggravated by pregnancy)

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2
Q

What is maternal morbidity?

A

Severe health complications occuring in pregnancy and delivery not resulting in death.

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3
Q

What percentage of maternal mortality cases are preventable globally?

A

> 80%

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4
Q

What is the definition of maternal mortality ratio?

A

Number of maternal deaths during given time period per 100,000 livebirths

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5
Q

What is the definition of maternal mortality rate?

A

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.

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6
Q

What is the definition of lifetime risk of maternal death?

A

Probability of maternal death during a woman’s reproductive life, usually expressed in terms of odds

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7
Q

What is maternal mortality ratio useful for?

A

Represents risk associated with each pregnancy ie obstetric risk

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8
Q

What is maternal mortality rate useful for?

A

Takes obstetric risk into account, plus frequency with which women are exposed to the risk

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9
Q

What is lifetime risk of maternal death useful for?

A

A measure of women’s risk of becoming pregnant as well as the risk of dying while pregnant.

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10
Q

List some facility based methods for measuring maternal deaths?

A
Health information systems
Registries
Confidential Enquiries
Maternal death review
Audit
-Critical Incident audit
-Criterion Based Clinical Audit
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11
Q

List some population/community based methods for measuring maternal deaths?

A
Notification by law
Vital registration
Census
Surveys or surveillance
-Sisterhood method
-Verbal Autopsy
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12
Q

What are the classifications of maternal death?

A

Direct (obstetric complications)
Indirect (exacerbated by pregnancy)
Late

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13
Q

List some causes of worldwide maternal death?

A
Haemorrhage
Sepsis
Hypertensive disorders
Obstructed labour
Unsafe abortion
Indirect
Others
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14
Q

What are the 3 delays that contribute to worldwide maternal mortality?

A

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

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15
Q

What can be done to prevent maternal mortality?

A

Antenatal care
Skilled attendant at birth
Emergency obstetric care

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16
Q

What factors are important in emergency obstetric care?

A

Clean delivery
Active management of 3rd stage
Parenteral antibiotics/oxytocics/magnesium sulphate
Manual removal of placenta/conception products
Blood transfusion
Caesarean section/operative delivery

17
Q

What is the definition of stillbirth?

A

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

18
Q

What is the definition of early neonatal death?

A

Death of a baby within first week of life

19
Q

What is the definition of late neonatal death?

A

Death of a baby within 28 days of life

20
Q

What is the definition of perinatal mortality?

A

Includes stillbirth and neonatal mortality

21
Q

What is the definition of infant mortality?

A

Death of an infant within the first year of life

22
Q

What is the definition of child mortality?

A

Death of a child within the first 5 years of life

23
Q

List some causes of stillbirth?

A
Congenital anomaly
Cord issues
Fetal death
Infection
Intrapartum
Maternal problems
Neonantal problems
Placenta issues
Termination
Unexplained (40%)
24
Q

What is involved in essential newborn care?

A
  • Ensuring baby is breathing
  • Starting newborn on exclusive breastfeeding right away
  • Keeping baby warm
  • Washing hands before touching baby
25
Q

What is a global policy for newborn babies?

A

ENAP - Every Newborn Action Plan

26
Q

What are the objectives of the ENAP?

A

Strengthen and invest in care during labour, delivery, first week of life
Improve quality of maternal and newborn care
Reach every woman and newborn to reduce inequities
Harness the power of parents, families and communities
Count every newborn – measurement, programme tracking and accountability

27
Q

What are some potential causes of direct maternal death?

A
Haemorrhage
Sepsis
Preeclampsia
Obstructed labour
Unsafe abortion