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

[11] Levels and causes of maternal mortality in Senegal
Kodio, B
de Bernis, L
Ba, M
Ronsmans, C
Pison, G
Etard, JF
[J]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2002, 7 (06) : 499 - 505
[12] Civil registration systems and vital statistics: successes and missed opportunities
Mahapatra, Prosanta
Shibuya, Kenji
Lopez, Alan D.
Coullare, Francesca
Notzon, Francis C.
Rao, Chalapati
Szreter, Simon
[J]. LANCET, 2007, 370 (9599) : 1653 - 1663
[13] A comprehensive assessment of maternal deaths in Argentina: translating multicentre collaborative research into action
Ramos, Silvina
Karolinski, Ariel
Romero, Mariana
Mercer, Raul
[J]. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2007, 85 (08) : 615 - 622
[14] A comparison of three verbal autopsy methods to ascertain levels and causes of maternal deaths in Matlab, Bangladesh
Ronsmans, C
Vanneste, AM
Chakraborty, J
Van Ginneken, J
[J]. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1998, 27 (04) : 660 - 666
[15] Validity of verbal autopsy procedures for determining cause of death in Tanzania
Setel, PW
Whiting, DR
Hemed, Y
Chandramohan, D
Wolfson, LJ
Alberti, KGMM
Lopez, AD
[J]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2006, 11 (05) : 681 - 696
[16] SHAKIR M, 2005, ANAL STUDY PERINATAL
[17] Verbal autopsy: current practices and challenges
Soleman, N
Chandramohan, D
Shibuya, K
[J]. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2006, 84 (03) : 239 - 245
[18] *SYR CENTR BUR STA, 1995, PAN AR PROJ CHILD HL
[19] *SYR CENTR BUR STA, 2007, PREL REO MULT IND CL
[20] *SYR CENTR BUR STA, 2001, PAN AR PROJ FAM HLTH

← 1 2 3 →