open access

Vol 4, No 2 (2019)
ORIGINAL ARTICLES
Published online: 2019-05-09
Get Citation

Evaluation factors affecting the maternal mortality among pregnant women during 2001–2011 in Ardabil Province, Iran

Forough Farzollahpour, Ramin Imani
DOI: 10.5603/MRJ.a2019.0022
·
Medical Research Journal 2019;4(2):89-94.

open access

Vol 4, No 2 (2019)
ORIGINAL ARTICLES
Published online: 2019-05-09

Abstract

Background: considering health indicators, analyzing pregnant women population is an important subject
and mortality degree among this population is disastrous. According to the World Health Organization,
annually 600,000 women die due to side-effects of pregnancy and delivery; it means that 1600 women
die daily and one woman dies in each minute because of progeny side-effects. The average of MMR is
200 in developing countries and it is 20 out of 1000 in developed countries. This study was done aimed to
determine the rate of maternal mortality among pregnant women and the factors affecting it in the Ardabil
province so that identified dominant effective factors and presented Executive Solutions for reducing
maternal mortality.
Methods: This study was conducted as a cross-sectional and descriptive-analysis study by using existing
data in the health centre network system of Ardabil province during 2001–2011. According to the information of all maternal deaths (50 cases) in the health care system, the causes of death were extracted by study and evaluation of the documents and questionnaires about and the control group information have been collected randomly in the ratio of 1 to 4 (N = 200). Data was analyzed by using the Statistical tests as
Chi-square, t2test and regression with the SPSS.20 software.
Results: findings showed that the proportion of maternal deaths is 20 per 100,000 live births in Ardabil
province. 70% of maternal death was direct because of pregnancy’s side-effects.68% of deaths occurred in the postpartum period. The common causes of death were respectively, the bleeding (28%), preeclampsia, eclampsia and its side-effects (16%) were thromboembolic disorders (16%) and infection (8%). The maximum number of deaths were in the years 2003 and 2011 (18%) and the minimum number of these were 2008 (zero). 72% of maternal deaths were in the age range of 18 to 35 years. 33% of mothers were illiterate and less educated (the primary school). 62% of died mothers, lived urban residents. In this study, the relationship between cares before pregnancy, suffering from different diseases during pregnancy and distance between two pregnancy times were evaluated by Logistic regression test which was significant.
Conclusions: The most effective factors to reduce the maternal deaths in the province were increased
coverage of pre-pregnancy, pregnancy and postpartum cares and improving its quality.

Abstract

Background: considering health indicators, analyzing pregnant women population is an important subject
and mortality degree among this population is disastrous. According to the World Health Organization,
annually 600,000 women die due to side-effects of pregnancy and delivery; it means that 1600 women
die daily and one woman dies in each minute because of progeny side-effects. The average of MMR is
200 in developing countries and it is 20 out of 1000 in developed countries. This study was done aimed to
determine the rate of maternal mortality among pregnant women and the factors affecting it in the Ardabil
province so that identified dominant effective factors and presented Executive Solutions for reducing
maternal mortality.
Methods: This study was conducted as a cross-sectional and descriptive-analysis study by using existing
data in the health centre network system of Ardabil province during 2001–2011. According to the information of all maternal deaths (50 cases) in the health care system, the causes of death were extracted by study and evaluation of the documents and questionnaires about and the control group information have been collected randomly in the ratio of 1 to 4 (N = 200). Data was analyzed by using the Statistical tests as
Chi-square, t2test and regression with the SPSS.20 software.
Results: findings showed that the proportion of maternal deaths is 20 per 100,000 live births in Ardabil
province. 70% of maternal death was direct because of pregnancy’s side-effects.68% of deaths occurred in the postpartum period. The common causes of death were respectively, the bleeding (28%), preeclampsia, eclampsia and its side-effects (16%) were thromboembolic disorders (16%) and infection (8%). The maximum number of deaths were in the years 2003 and 2011 (18%) and the minimum number of these were 2008 (zero). 72% of maternal deaths were in the age range of 18 to 35 years. 33% of mothers were illiterate and less educated (the primary school). 62% of died mothers, lived urban residents. In this study, the relationship between cares before pregnancy, suffering from different diseases during pregnancy and distance between two pregnancy times were evaluated by Logistic regression test which was significant.
Conclusions: The most effective factors to reduce the maternal deaths in the province were increased
coverage of pre-pregnancy, pregnancy and postpartum cares and improving its quality.

Get Citation

Keywords

mortality, delivery, pregnant mothers, hemorrhage

About this article
Title

Evaluation factors affecting the maternal mortality among pregnant women during 2001–2011 in Ardabil Province, Iran

Journal

Medical Research Journal

Issue

Vol 4, No 2 (2019)

Pages

89-94

Published online

2019-05-09

DOI

10.5603/MRJ.a2019.0022

Bibliographic record

Medical Research Journal 2019;4(2):89-94.

Keywords

mortality
delivery
pregnant mothers
hemorrhage

Authors

Forough Farzollahpour
Ramin Imani

References (11)
  1. World Health Organization. International statistical classification of diseases and related health problems. 10th ed Geneva: WHO; 1993 P. ; 141.
  2. -Farrok Es, Nanbakhsh F, Heshmati F, et al. epidemiological research of maternal mortality in East Azerbaijan 2001-2005. Urmia Medical Journal. 2006; 17(1): 23–31.
  3. -Emamiafshar N, Jalilvand P, Delavar B. Radpouyan Azemikhah A, Valafar S. National maternal surveillance system. 1st ed. Tehran: Tandis. ; 2006.
  4. Goodburn E, Campbell O. Reducing maternal mortality in the developing world: sector-wide approaches may be the key. BMJ. 2001; 322(7291): 917–920.
  5. Harper L, Powell J, Pijl EmM, et al. Pregnancy-related death and health care services. Obstet Gynecol. 2003; 102(2): 273–278.
  6. ANDERSSON T, BERGSTRÖM S, HÖGBERG U. Swedish maternal mortality in the 19th century by different definitions: previous stillbirths but not multiparity risk factor for maternal death. Acta Obstetricia et Gynecologica Scandinavica. 2001; 79(8): 679–686.
  7. Kaupova N, Nukusheva S, Biktasheva H, et al. Trends and causes of maternal mortality in Kazakhstan. Int J Gynaecol Obstet. 1998; 63(2): 175–181.
  8. Khan YP, Bhutta SZ, Munim S, et al. Maternal health and survival in Pakistan: issues and options. J Obstet Gynaecol Can. 2009; 31(10): 920–929.
  9. -Golyan Te, Holakoei K, Zarei M. Survey study of effective factors on maternal mortality in Kurdestan province from 1998 to 2002. Hayat. 2004; 10(2): 47–54.
  10. -Azimi KH, Jalilvand A. Report of performance and achievement of the country's maternal care (movements of strategies to reduce maternal mortality). Tehran: Office of Maternal Health. ; 2004.
  11. -Arshinchi M. Demograhic study of maternal mortality in Iran today [MSc Thesis].Tehran:Tehran Branch, Azad University Central; 2005. p. : 152–4.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.