Obstetric deaths in Bangladesh, 1996-1997.

Autor: Rahman MH; Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT), Dhaka, Bangladesh., Akhter HH, Khan Chowdhury ME, Yusuf HR, Rochat RW
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2002 May; Vol. 77 (2), pp. 161-9.
DOI: 10.1016/s0020-7292(02)00010-3
Abstrakt: Objectives: The purpose of this study was to measure and to describe obstetric deaths in Bangladesh.
Methods: We reviewed hospital records and interviewed health workers in clinic sites and field workers who cared for pregnant women.
Results: We obtained case reports of 28998 deaths of women aged 10-50, of which 8562 (29.5%) were maternal deaths. Most (7086, 82.8%) of these deaths were due to obstetric causes. The most common causes of direct obstetric death were eclampsia (34.3%), hemorrhage (27.9%), and obstructed and/or prolonged labor (11.3%). National direct obstetric death rate was estimated to be 16.9 per 100,000 women.
Conclusions: Efforts to reduce fertility in Bangladesh have led to an estimated 49% reduction in the maternal mortality rate per 1000 women during the past 18 years. Variations in maternal mortality suggest the need to develop local strategies to improve obstetric care.
Databáze: MEDLINE
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