The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020
Introduction: Based on the Millennium Development Goals, the maternal mortality rate should be reduced by two-thirds of 2010 until 2030 (in Iran below 10 per 100,000 live births). Since it is necessary to identify the risk factors of death and survive the near death mothers, this study was performed...
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| Format: | Article |
| Language: | fas |
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Mashhad University of Medical Sciences
2022-05-01
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| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
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| Online Access: | https://ijogi.mums.ac.ir/article_20425_d9b7f0c14a9bb5ced5d52a1b2d3bda05.pdf |
| _version_ | 1798044429701873664 |
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| author | Mostafa Zemorshidi Nayereh Ghomian Majid Khadem-Rezaiyan |
| author_facet | Mostafa Zemorshidi Nayereh Ghomian Majid Khadem-Rezaiyan |
| author_sort | Mostafa Zemorshidi |
| collection | DOAJ |
| description | Introduction: Based on the Millennium Development Goals, the maternal mortality rate should be reduced by two-thirds of 2010 until 2030 (in Iran below 10 per 100,000 live births). Since it is necessary to identify the risk factors of death and survive the near death mothers, this study was performed with aim to evaluate the ratio of severe maternal outcome and its related factors.
Methods: This cross-sectional study was performed in an academic hospital of Mashhad in 2019-2020. Pregnant women and women who in the first 42 days after delivery (puerperium) suffered from a severe complication but survived, and also cases that led to maternal death entered the study by census method. Using a checklist of the Ministry of Health organization, demographic data, risk factors, pregnancy complications, outcome of complications, vital interventions and ICU admission and outcomes of pregnancy and mother were extracted from the patient's file.
Results: During one year, severe maternal outcome ratio was 50.26 per 1000 live births and near death mothers ratio was 45.60 per 1000 live births. The most common risk factors were hypertension (22%) and bleeding in the current pregnancy (19%), and the most common life-threatening complications were severe bleeding during pregnancy and postpartum (32%), and severe preeclampsia (22%). The most common critical intervention used was ICU admission (62%) and blood/blood products transfusion (37%). The most common organ failure was respiratory disorders (29%) and coagulopathy (20%). The most common cause of death was COVID-19 (30%).
Conclusion: Hypertension and bleeding are the most important risk factors during pregnancy and the most important life-threatening complications in cases of near death mothers. With proper prevention and treatment measures and education of mothers and medical team, the mortality due to these complications can be reduced. |
| first_indexed | 2024-04-11T23:05:14Z |
| format | Article |
| id | doaj.art-4673966b78b74136bf89aad52b95d916 |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-11T23:05:14Z |
| publishDate | 2022-05-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-4673966b78b74136bf89aad52b95d9162022-12-22T03:58:03ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632022-05-01253606810.22038/ijogi.2022.2042520425The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020Mostafa Zemorshidi0Nayereh Ghomian1Majid Khadem-Rezaiyan2General Practitioner, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Assisstant Professor, Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction: Based on the Millennium Development Goals, the maternal mortality rate should be reduced by two-thirds of 2010 until 2030 (in Iran below 10 per 100,000 live births). Since it is necessary to identify the risk factors of death and survive the near death mothers, this study was performed with aim to evaluate the ratio of severe maternal outcome and its related factors. Methods: This cross-sectional study was performed in an academic hospital of Mashhad in 2019-2020. Pregnant women and women who in the first 42 days after delivery (puerperium) suffered from a severe complication but survived, and also cases that led to maternal death entered the study by census method. Using a checklist of the Ministry of Health organization, demographic data, risk factors, pregnancy complications, outcome of complications, vital interventions and ICU admission and outcomes of pregnancy and mother were extracted from the patient's file. Results: During one year, severe maternal outcome ratio was 50.26 per 1000 live births and near death mothers ratio was 45.60 per 1000 live births. The most common risk factors were hypertension (22%) and bleeding in the current pregnancy (19%), and the most common life-threatening complications were severe bleeding during pregnancy and postpartum (32%), and severe preeclampsia (22%). The most common critical intervention used was ICU admission (62%) and blood/blood products transfusion (37%). The most common organ failure was respiratory disorders (29%) and coagulopathy (20%). The most common cause of death was COVID-19 (30%). Conclusion: Hypertension and bleeding are the most important risk factors during pregnancy and the most important life-threatening complications in cases of near death mothers. With proper prevention and treatment measures and education of mothers and medical team, the mortality due to these complications can be reduced.https://ijogi.mums.ac.ir/article_20425_d9b7f0c14a9bb5ced5d52a1b2d3bda05.pdflive birthmaternal morbiditymaternal mortalitynear death mothers |
| spellingShingle | Mostafa Zemorshidi Nayereh Ghomian Majid Khadem-Rezaiyan The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān live birth maternal morbidity maternal mortality near death mothers |
| title | The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 |
| title_full | The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 |
| title_fullStr | The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 |
| title_full_unstemmed | The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 |
| title_short | The Ratio of Severe Maternal Outcome and its Related Factors in an Academic Hospital from October 2019 to October 2020 |
| title_sort | ratio of severe maternal outcome and its related factors in an academic hospital from october 2019 to october 2020 |
| topic | live birth maternal morbidity maternal mortality near death mothers |
| url | https://ijogi.mums.ac.ir/article_20425_d9b7f0c14a9bb5ced5d52a1b2d3bda05.pdf |
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