Trends and causes of maternal mortality in Kazakhstan

Objective: The aim of this study was to determine trends in the rate and causes of maternal mortality in Kazakhstan. Methods: Maternal deaths occurring between 1960 and 1996 in the 29 oblast (administrative regions) of Kazakhstan were documented and analyzed. Results: After an initial phase of decrease in the period 1960-1980, the level of maternal mortality in Kazakhstan has been stable at 70-80 maternal deaths per 100 000 live births. Maternal deaths due to hypertension and abortion complications have not substantially decreased. Over the last 10 years, illegal abortions have accounted for most Kazakh maternal deaths resulting from abortion complications. Conclusion: To reduce the maternal death rate, the Kazakh health authorities and health workers (obstetricians, midwives, health educators) must develop and rapidly implement maternal health and family planning policies. (C) 1998 International Federation of Gynecology and Obstetrics.