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Abstract
MATERNAL MORTALITY IN NINEVEH GOVERNORATE 2018-2020
*Dr. Marab Younis Abdullah Al-Fathy, Dr. Alaa Abd-Alghany Younis and Dr. Nahla Wadallah Al-Habbah
ABSTRACT
Background: Maternal deaths reflects the low health status, which can be prevented by setting up strategies in cooperation with different sectors in community. Aim: To describe women death in Nineveh governorate 2018-2020. Methods: A Biometry study used to review a record of 81 deceased mothers during 2018-2020 from 1st Jan- July 2021, using standardized maternal mortality inquiry forms adopted by Ministry of Health. Result: deceased mothers was 43 (53.1%) in age 20-34 year and one fifth were illiterate. Utilization of antenatal care was 4 (18%), 16 (49%) and 15 (57.7%) during 2018-2020 respectively and 14 (42%) of deceased women who had moderate risk factors during 2019. Midwife intervention commonly seen during 2020, it was 7 (26.9%). Grand total of delivery and death occur in health institution 58(71.6%) and 61 (75.3%). Three fifth of death occur in purprium and 44 (73.3%) of them in 1st 24 hours. Hemorrhage, hypertensive disorder and embolism were the most common cause of direct cause of death and can be prevented in 17(77%), 31 (94%) and 18 (69.2%) during 2018-2020 respectively. Delay at D1D3 during 2018, 2020 it was 7(32%) and 5(19.2%) respectively. Net maternal mortality ratio and rate per 100000 live births were 31.81 and 2.9 respectively in Nineveh governorate. Conclusion: Although there was increase awareness of deceased women to seek medical advice during pregnancy but the quality of health care services provided to them were unacceptable.
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