maternal + perinatal mortality Flashcards
maternal mortality
death of a woman while pregnant or within 42hrs of termination of pregnancy, irrespective of the duration and site of pregnancy
from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes
maternal morbidity
severe health complications occurring in pregnancy and delivery, not resulting in death
maternal mortality ratio
number of maternal deaths during given time period per 100,000 live births during same time period
risk assoc w each pregnancy e.g. the obstetric risk
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 period
lifetime risk of maternal death
probability of maternal death during a woman’s reproductive life, usually expressed in terms of odds
women’s chance of becoming pregnant as well as dying in pregnancy
proportionate mortality ratio
maternal deaths as proportion of all female deaths of thoseof reproductive age (15-49yrs) in given time period
facility based methods for measuring maternal deaths
health information systems registries confidential enquiries maternal death review audit
population/community based methods for measuring maternal deaths
notification by law
vital registration
census
surveys or surveillance
direct maternal deaths
obstetric complications during pregnancy, labour of peurperium, or resulting from any treatment received
e.g. haemorrhage, pre-eclampsia
indirect maternal deaths
associated with a disorder, the effect of which is exacerbated by pregnancy
e.g. malaria
late maternal deaths
42+ days but within 1yr end pregnancy
3 delays model
delay in decision to seek care
delay in reaching care
delay in receiving care
delay in decision to seek care
lack of understanding of complications
acceptance of maternal death
socio-cultural barriers to seeking care
low social status of women
delay in reaching care
geography - mountains, islands, rivers
lack of transport
delay in receiving care
supplies
poorly trained personnel with punitive attitude
