Determining the Frequency and Causes of Maternal Mortality in Hormozgan Province, Iran during 2005-2011

Document Type : Original Article

Authors

1 Associate Professor , Department of Obstetrics and Gynecology, Persian Gulf Fertility and Infertility Research Center, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Associate Professor, Department of Community Medicine, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

3 M.Sc. Student of Health Education, Mother and Child Welfare Research Center, School of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

4 Ph.D. Student of Molecular Medicine, Cellular and Molecular Research Center, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

5 Resident of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

6 M.Sc. of Midwifery, School of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

7 B.Sc. of Midwifery, School of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Abstract

Introduction: Maternal mortality rate is an important indicator of the development of any society. It indicates the effect of pregnancy healthcare, and on the other hand it is an indicator of the economic status of the society. The aim of this study was to determine the rate and related factors of maternal mortality in Hormozgan, Iran during 2005-2011.
Methods: This descriptive-analytical, cross-sectional study was conducted on all pregnant women who died between April 2005 and march 2012 in Hormozgan province, Iran. Data gathering instrument was a questionnaire and the information regarding each case was obtained from the records of maternal mortality committee, perinatal healthcare reports, verbal reports and interviews. Data were analyzed by SPSS software version16 and chi-square and ANOVA. P value less than 0.05 was considered significant.
Results: There were 91 cases of mortality and mortality rate was 39.7 per 100000 live births. The highest maternal death cases occurred in 2010 (19 cases) and the lowest occurred in 2009 (10 cases). The majority of the deceased were observed in rural residents (60.4%) and women who had at least one risk factor during pregnancy (74.7%). 70 women (76.9%) died during postpartum period. The most common cause of maternal death was bleeding (34.1%). The causes of maternal mortality had significant relationship with the type of delivery (p<0.001), parity (p<0.001) and risk factors during pregnancy (p=0.022).
Conclusion: To reduce maternal mortality after delivery, it is necessary to increase the quality of obstetric healthcare services provided in rural areas and pay special attention to mothers with high risk status, and provide efficient emergency as well as the follow-up healthcare of mothers in the postpartum period

Keywords

References

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