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Current Women`s Health Reviews

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ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

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Research Article

Epidemiological and Maternal Features of Maternal Mortality in the West of Iran: Hamadan, 2011-2019

Author(s): Azam Ali Shirzad, Ebrahim Jalili , Fatemeh Shahbazi, Hasan Bahrami, Salman Khazaei and Samereh Ghelichkhani*

Volume 18, Issue 1, 2022

Published on: 23 February, 2021

Article ID: e201221191754 Pages: 5

DOI: 10.2174/1573404817666210223164615

Price: $65

Abstract

Background: Maternal mortality is an important public health problem that is perceived as a sensitive indicator of socioeconomic status and healthcare services.

Objective: This study aims to describe the epidemiological features of maternal mortality in Hamadan province in western Iran.

Methods: In this cross-sectional study, 50 maternal deaths that occurred in all hospitals and delivery places in the Hamadan province from March 2011 to January 2019 were studied for epidemiological features and the history of pregnancy care prior to the maternal death was also analyzed. The extracted data were analyzed using descriptive statistics in Stata software version 14.

Results: Our findings show that the mortality due to pregnancy and childbirth was 18.07 per 100,000 live birth. The majority of maternal death occurred in women aged 20- 34 years living in urban areas who were mostly housewives. Kabudrahang and Razan towns had the highest maternal mortality rate.

Conclusion: The present study revealed that maternal mortality is higher among women aged 20-34 years (mainly housewives) living in urban areas. Cesarean delivery, having a history of abortion, and gestational age under 37 weeks were other factors associated with maternal death. Therefore, it is suggested to direct the focus of pregnancy care and training programs on these high-risk groups.

Keywords: Maternal mortality, maternal death, epidemiology, public health problem, cross-sectional study, healthcare services.

Graphical Abstract

[1]
Poorolajal J, Alafchi B, Najafi VR, Hamzeh S, Ghahramani M. Risk factors for maternal mortality in the west of Iran: a nested case-control study. Epidemiol Health 2014; 36: e2014028.
[http://dx.doi.org/10.4178/epih/e2014028] [PMID: 25381997]
[2]
Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014; 2(6): e323-33.
[http://dx.doi.org/10.1016/S2214-109X(14)70227-X] [PMID: 25103301]
[3]
Dadipoor S, Mehraban M, Ziapour A, Safari MA. Causes of maternal mortality in Iran: a systematic review. Int J Pediatr 2017; 5(12): 6757-70.
[4]
World Health Organization. Maternal Health. Available from: https://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality
[5]
Nour NM. An introduction to maternal mortality. Rev Obstet Gynecol 2008; 1(2): 77-81.
[PMID: 18769668]
[6]
Women and health alliance international. Maternal health 2014. Available from: http://www.waha-international.org/?health-topics &gclid=CI7Uw6qg0r8CFZJr7AodtxMAkw
[7]
Amirian H, Roshanaei G, Poorolajal J, Esmailnasab N, Moradi G. Analyzing socioeconomic related health inequality in mothers and children using the concentration index. Epidemiol Biostat Public Health 2014; e9086-1.
[http://dx.doi.org/10.2427/9086]
[8]
Moazzeni MS. Maternal mortality in the Islamic Republic of Iran: on track and in transition. Matern Child Health J 2013; 17(4): 577-80.
[http://dx.doi.org/10.1007/s10995-012-1043-6] [PMID: 22618490]
[9]
Aghajanian A, Merhyar AH. Fertility, contraceptive use and family planning program activity in the Islamic Republic of Iran. Int Fam Plan Perspect 1999; 25: 98-102.
[http://dx.doi.org/10.2307/2991948]
[10]
World Health Organization. Maternal mortality: Levels and trends 2000 to 2017 2020. Available from: https://www.who.int/reproductivehealth/publications/maternal-mortality-2000-2017/en/
[11]
United Nations. Millennium development goals and beyond 2015. Available from: http://www.un.org/millenniumgoals/bkgd.shtml
[12]
Cham M, Sundby J, Vangen S. Maternal mortality in the rural Gambia, a qualitative study on access to emergency obstetric care. Reprod Health 2005; 2(1): 3.
[http://dx.doi.org/10.1186/1742-4755-2-3] [PMID: 15871743]
[13]
Statistical center of Iran. General population and housing census 2014. Available from: https://www.amar.org.ir/
[14]
Lam SK, To WK, Duthie SJ, Ma HK. Narcotic addiction in pregnancy with adverse maternal and perinatal outcome. Aust N Z J Obstet Gynaecol 1992; 32(3): 216-21.
[http://dx.doi.org/10.1111/j.1479-828X.1992.tb01950.x] [PMID: 1445130]
[15]
Gillogley KM, Evans AT, Hansen RL, Samuels SJ, Batra KK. The perinatal impact of cocaine, amphetamine, and opiate use detected by universal intrapartum screening. Am J Obstet Gynecol 1990; 163(5 Pt 1): 1535-42.
[http://dx.doi.org/10.1016/0002-9378(90)90621-D] [PMID: 2240103]
[16]
Oats JN, Beischer NA, Breheny JE, Pepperell RJ. The outcome of pregnancies complicated by narcotic drug addiction. Aust N Z J Obstet Gynaecol 1984; 24(1): 14-6.
[http://dx.doi.org/10.1111/j.1479-828X.1984.tb03314.x] [PMID: 6588957]
[17]
Deneux-Tharaux C, Carmona E, Bouvier-Colle MH, Bréart G. Postpartum maternal mortality and cesarean delivery. Obstet Gynecol 2006; 108(3 Pt 1): 541-8.
[http://dx.doi.org/10.1097/01.AOG.0000233154.62729.24] [PMID: 16946213]
[18]
Evrard JR, Gold EM. Cesarean section and maternal mortality in Rhode Island. Incidence and risk factors, 1965-1975. Obstet Gynecol 1977; 50(5): 594-7.
[PMID: 909666]
[19]
Liu S, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS. Maternal health study group of the canadian perinatal surveillance system. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 2007; 176(4): 455-60.
[http://dx.doi.org/10.1503/cmaj.060870] [PMID: 17296957]
[20]
Gerdts C, Dobkin L, Foster DG, Schwarz EB. Side effects, physical health consequences, and mortality associated with abortion and birth after an unwanted pregnancy. Womens Health Issues 2016; 26(1): 55-9.
[http://dx.doi.org/10.1016/j.whi.2015.10.001] [PMID: 26576470]
[21]
Cheraghi P, Poorolajal J, Moeini B, Cheraghi Z. Predictors of unintended pregnancy among married women in Hamadan, Western Iran: a case-control study. Iran J Public Health 2013; 42(8): 854-9.
[PMID: 26056639]
[22]
Conde-Agudelo A, Belizán JM, Lindmark G. Maternal morbidity and mortality associated with multiple gestations. Obstet Gynecol 2000; 95(6 Pt 1): 899-904.
[http://dx.doi.org/10.1097/00006250-200006000-00022] [PMID: 10831988]
[23]
Bergsjø P. What is the evidence for the role of antenatal care strategies in the reduction of maternal mortality and morbidity? 2001. Studies in Health Services Organization and Policy 17: 35-54.

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