MATERNAL MORBIDITY AND MORTALITY IN PAKISTAN - AN OVERVIEW OF MAJOR CONTRIBUTORS
Maternal Morbidity And Mortality
Keywords:Anti partum hemorrhage,, Eclampsia,, Hypertension, Maternal mortality, Morbidity, , Post-PArtum hemorrhage
Objective: To assess the trend of the proportion of maternal mortality ratio (MMR) due to common direct causes that are the major contributors in Pakistan.
Study Design: Descriptive method study.
Place and Duration of Study: The study was conducted in Jun 2014.
Material and Methods: Descriptive method study was conducted in June 2014. Data collected in different time periods from articles published between 01 Jan 2005 to 31 Dec 2012 in medical journals, proceedings of workshops/conferences as well as from newsletters of the National Committee of Maternal Health (NCMH) along with global borden of disease (GBD) 2013 to estimate MMR. Data were later tabulated accordingly in June 2014.
Results: In the hospitals over 80% of the deaths are due to direct causes. Direct causes account for 78.1% of deaths, hemorrhage being the most common followed by sepsis, eclampsia, rupture of the uterus, and abortions. The contributors were greater in booked multi-gravid as of 20 to 40 years, para 3 to 5, under matric education and with less than Rs. 10,000 monthly income.
Conclusion: Massive hemorrhage and uncontrolled hypertension are major contributors of maternal morbidity in Pakistan.
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