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- Title
Maternal deaths due to indirect causes: Report from a tertiary care center of a developing country.
- Authors
Hossain, Nazli; Shaikh, Zeenat F
- Abstract
Objective: To assess the causes of indirect maternal deaths. Setting: The Department of Obstetrics & Gynecology, of a tertiary referral center in Karachi, Pakistan, from January 2018 to December 2020. Maternal deaths were categorized according to World Health Organization guidelines into direct and indirect deaths. Result: The total maternal deaths during the study period were 96, with 26 (27%) due to indirect causes. The mean age in the indirect group was 27 (range: 20–35) years, with only eight (31%) registered (attending for three of more antenatal visits). The mean gestational age was 33 (range: 22–39) weeks. Cesarean section was the main mode of delivery, in 13 (50%). Perinatal mortality was 68%. Cardiac and hepatic diseases (each six deaths, 23%) were the main causes of indirect maternal deaths. The majority of women (20; 76%) died during the postpartum period. Delays in seeking medical help, referral, and appropriate treatment were observed in 10, 9, and 7 cases, respectively. Conclusion: Indirect maternal deaths are an important cause of maternal mortality.
- Subjects
PAKISTAN; CAUSES of death; TERTIARY care; CARDIOVASCULAR diseases; LIVER diseases; TREATMENT delay (Medicine); DESCRIPTIVE statistics; MATERNAL mortality; DEVELOPING countries; INFANT mortality
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 3, p176
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X211037916