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Abstract
MATERNAL MORTALITY IN NINEVEH GOVERNORATE 2018-2019
*Dr. Marab Younis Abdullah Al-Fathy, Dr. Nahla Wadallah Al-Habbah and Dr. Alaa Abd-Alghany Younis
ABSTRACT
Background: Maternal death due to pregnancy or labor complications is a tragedic end because it is preventable and treatable. Aim: Describe women death in childbearing age in Nineveh governorate 2018-2019. Methods: A Biometry study used to review a records of 55 deceased mothers during 2018-2019. The study extended from 1st Feb-June 2020, using standardized maternal mortality inquiry forms adopted by Ministry of Health. Result: The study showed that 4(12%) of deceased mothers in age less than 20 years and 13(39%) in age more than 35 years were seen during 2019, death of women in age 20-34 years more frequently seen during 2018. Visit to antenatal care was 18% and 49% and no improvement in provision of health services in health institution during 2018-2019 respectively. Delivery in health institution slightly increase from 73% to 79% with minimum increase in percentage of cesarean section 36% during 2018 and 39% during 2019. Death in health institution more frequent during 2019 than 2018 it was 82 % and 73% respectively, and death during puerprum specially in 1st 24 hrs was decrease in 2019 than 2018. Death can be prevented in 17 (77)% and 31(94%) during 2018- 2019. The most common causes of death were hemorrhage, complication of hypertension and PET and pulmonary embolism. Conclusion: Although there was increase awareness of deceased women to seeking medical advice during pregnancy but the quality of health care services provided to them were unacceptable. Recommendation: Provision of emergency obstetric care in central and remote maternity hospital to reduce maternal mortality.
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