Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran
Reduction in maternal mortality requires an in-depth knowledge of the causes of death. This study was conducted to explore the circumstances and events leading to maternal mortality through a holistic approach. Using narrative text analysis, all documents related to maternal deaths occurred from 200...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2013-11-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/?_action=showPDF&article=2782&_ob=7b08193fc767f95a6179ebe59b73eafd&fileName=full_text.pdf. |
| _version_ | 1811259336876359680 |
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| author | Rana Eftekhar-Vaghefi Shohreh Foroodnia Nouzar Nakhaee |
| author_facet | Rana Eftekhar-Vaghefi Shohreh Foroodnia Nouzar Nakhaee |
| author_sort | Rana Eftekhar-Vaghefi |
| collection | DOAJ |
| description | Reduction in maternal mortality requires an in-depth knowledge of the causes of death. This study was conducted to explore the circumstances and events leading to maternal mortality through a holistic approach. Using narrative text analysis, all documents related to maternal deaths occurred from 2007 to 2011 in Kerman province/Iran were reviewed thoroughly by an expert panel. A 93-item chart abstraction instrument was developed according to the expert panel and literature. The instrument consisted of demographic and pregnancy related variables, underlying and contributing causes of death, and type of delays regarding public health aspects, medical and system performance issues. A total of 64 maternal deaths were examined. One third of deaths occurred in women less than 18 or higher than 35 years. Nearly 95% of them lived in a low or mid socioeconomic status. In half of the cases, inappropriate or nonuse of contraceptives was seen. Delay in the provision of any adequate treatment after arrival at the health facility was seen in 59% of cases. The most common medical causes of death were preeclampsia/eclampsia (15.6%), postpartum hemorrhage (12.5%) and deep phlebothrombosis (10.9%), respectively. Negligence was accounted for 95% of maternal deaths. To overcome the root causes of maternal death, more emphasis should be devoted to system failures and patient safety rather than the underlying causes of death and medical issues solely. |
| first_indexed | 2024-04-12T18:28:53Z |
| format | Article |
| id | doaj.art-2309c00338a5456caafbf78e7ce041c2 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-12T18:28:53Z |
| publishDate | 2013-11-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-2309c00338a5456caafbf78e7ce041c22022-12-22T03:21:08ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392013-11-0114255259Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, IranRana Eftekhar-VaghefiShohreh ForoodniaNouzar NakhaeeReduction in maternal mortality requires an in-depth knowledge of the causes of death. This study was conducted to explore the circumstances and events leading to maternal mortality through a holistic approach. Using narrative text analysis, all documents related to maternal deaths occurred from 2007 to 2011 in Kerman province/Iran were reviewed thoroughly by an expert panel. A 93-item chart abstraction instrument was developed according to the expert panel and literature. The instrument consisted of demographic and pregnancy related variables, underlying and contributing causes of death, and type of delays regarding public health aspects, medical and system performance issues. A total of 64 maternal deaths were examined. One third of deaths occurred in women less than 18 or higher than 35 years. Nearly 95% of them lived in a low or mid socioeconomic status. In half of the cases, inappropriate or nonuse of contraceptives was seen. Delay in the provision of any adequate treatment after arrival at the health facility was seen in 59% of cases. The most common medical causes of death were preeclampsia/eclampsia (15.6%), postpartum hemorrhage (12.5%) and deep phlebothrombosis (10.9%), respectively. Negligence was accounted for 95% of maternal deaths. To overcome the root causes of maternal death, more emphasis should be devoted to system failures and patient safety rather than the underlying causes of death and medical issues solely.http://www.ijhpm.com/?_action=showPDF&article=2782&_ob=7b08193fc767f95a6179ebe59b73eafd&fileName=full_text.pdf.Maternal MortalityMaternal Health Services/Organization and AdministrationPatient Safety |
| spellingShingle | Rana Eftekhar-Vaghefi Shohreh Foroodnia Nouzar Nakhaee Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran International Journal of Health Policy and Management Maternal Mortality Maternal Health Services/Organization and Administration Patient Safety |
| title | Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran |
| title_full | Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran |
| title_fullStr | Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran |
| title_full_unstemmed | Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran |
| title_short | Gaining Insight into the Prevention of Maternal Death Using Narrative Analysis: An Experience from Kerman, Iran |
| title_sort | gaining insight into the prevention of maternal death using narrative analysis an experience from kerman iran |
| topic | Maternal Mortality Maternal Health Services/Organization and Administration Patient Safety |
| url | http://www.ijhpm.com/?_action=showPDF&article=2782&_ob=7b08193fc767f95a6179ebe59b73eafd&fileName=full_text.pdf. |
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