Maternal mortality in Syria: causes, contributing factors and preventability

被引：17

作者：

Bashour, Hyam ^{[1
]}

Abdulsalam, Asmaa ^{[2
]}

Jabr, Aisha ^{[3
]}

Cheikha, Salah ^{[2
]}

Tabbaa, Mohammed ^{[2
]}

Lahham, Moataz ^{[3
]}

Dihman, Reem ^{[3
]}

Khadra, Mazen ^{[4
]}

Campbell, Oona M. R. ^{[5
]}

机构：

[1] Damascus Univ, Fac Med, Dept Family & Community Med, Damascus, Syria

[2] Damascus Univ, Fac Med, Dept Obstet & Gynaecol, Damascus, Syria

[3] Minist Hlth, Div Reprod Hlth, Damascus, Syria

[4] Minist Hlth, Primary Hlth Directorate, Damascus, Syria

[5] London Sch Hyg & Trop Med, Dept Epidemiol & Populat Hlth, London WC1, England

来源：

TROPICAL MEDICINE & INTERNATIONAL HEALTH | 2009年 / 14卷 / 09期

关键词：

maternal mortality; maternal death; cause of death; RAMOS; civil registration; Syria; VERBAL AUTOPSY; DEATHS; MULTICENTER; VALIDITY;

D O I：

10.1111/j.1365-3156.2009.02343.x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

OBJECTIVES To describe the biomedical and other causes of maternal death in Syria and to assess their preventability. METHODS A reproductive age mortality study (RAMOS) design was used to identify pregnancy related deaths. All deaths among women aged 15-49 reported to the national civil register for 2003 were investigated through home interviews. Verbal autopsies were used to ascertain the cause of death among pregnancy related maternal deaths, and causes and preventability of deaths were assessed by a panel of doctors. RESULTS A total of 129 maternal deaths were identified and reviewed. Direct medical causes accounted for 88%, and haemorrhage was the main cause of death (65%). Sixty nine deaths (54%) occurred during labour or delivery. Poor clinical skills and lack of clinical competency were behind 54% of maternal deaths. Ninety one percent of maternal deaths were preventable. CONCLUSIONS The causes of maternal death in Syria and their contributing factors reflect serious defects in the quality of maternal care that need to be urgently rectified.

引用

页码：1122 / 1127

页数：6

共 29 条

[1]

[Anonymous], 2007, SAVING MOTHERS LIVES

[2]

[Anonymous], 2007, MILL DEV GOALS REP

[3]

BASHOUR H, 1996, P MAMAH NETW M HELD

[4] Preventability of pregnancy-related deaths - Results of a state-wide review [J].

Berg, CJ ;

Harper, MA ;

Atkinson, SM ;

Bell, EA ;

Brown, HL ;

Hage, ML ;

Mitra, AG ;

Moise, KJ ;

Callaghan, WM .

OBSTETRICS AND GYNECOLOGY, 2005, 106 (06) :1228-1234

[5]

Campbell O, 1994, VERBAL AUTOPSIES MAT

[6] The validity of verbal autopsies for assessing the causes of institutional maternal death [J].

Chandramohan, D ;

Rodrigues, LC ;

Maude, GH ;

Hayes, RJ .

STUDIES IN FAMILY PLANNING, 1998, 29 (04) :414-422

[7] Verbal autopsies for adult deaths: their development and validation in a multicentre study [J].

Chandramohan, D ;

Maude, GH ;

Rodrigues, LC ;

Hayes, RJ .

TROPICAL MEDICINE & INTERNATIONAL HEALTH, 1998, 3 (06) :436-446

[8] Reliability of a preventability model in maternal death and morbidity [J].

Geller, Stacie E. ;

Adams, Marci G. ;

Kominiarek, Michelle A. ;

Hibbard, Judith U. ;

Endres, Loraine K. ;

Cox, Suzanne M. ;

Kilpatrick, Sarah J. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 196 (01) :57-58

[9] Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data [J].

Hill, Kenneth ;

Thomas, Kevin ;

AbouZahr, Carla ;

Walker, Neff ;

Say, Late ;

Inoue, Mie ;

Suzuki, Emi .

LANCET, 2007, 370 (9595) :1311-1319

[10] WHO analysis of causes of maternal death:: a systematic review [J].

Khan, KS ;

Wojdyla, D ;

Say, L ;

Gülmezoglu, AM ;

Van Look, PFA .

LANCET, 2006, 367 (9516) :1066-1074

← 1 2 3 →