Prevalence and effective factors of maternal mortality in Hormozgan Province from 2007 until 2011

AUTHORS

Soheila Moradi 1 , * , Nasibeh Roozbeh 2 , Arezoo Mobarak Abadi 3 , Mehdi Tadris Hasani 4 , Mahmood Hosseinpoor 5 , Minoo Rajaei 6 , Abdoul Hossain Madani 7

1 BSc of Midwifery, Socia Factors in Health Improvement Research, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 PhD Student of Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 BSc of Midwifery, Socia Factors in Health Improvement Research, Hormozgan University of Medical Sciences , Bandar Abbas, Iran.

4 BSc of Public Health, Socia Factors in Health Improvement Research, Hormozgan University of Medical Sciences , Bandar Abbas, Iran.

5 General Practitioner, Socia Factors in Health Improvement Research, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

6 Associate Professor Department of Obstetrics and Gynecology, Research Social Factors in Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

7 Associate Professor Department of Epidemiology, Research Social Factors in Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Moradi S , Roozbeh N, Mobarak Abadi A , Tadris Hasani M , Hosseinpoor M , et al. Prevalence and effective factors of maternal mortality in Hormozgan Province from 2007 until 2011, Hormozgan Med J. 2015 ; 19(1):e87425.

ARTICLE INFORMATION

Hormozgan Medical Journal: 19 (1); e87425
Published Online: October 05, 2013
Article Type: Research Article
Received: May 18, 2013
Accepted: October 05, 2013

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Abstract

Introduction: Maternal death caused by pregnancy and childbirth complications is one of the
most important indicators of development of a society, and most countries are committed to reduce
its rate. The reason for choosing this index as a development profile is the impact of various social
and economic factors on it. Maternal mortality in Hormozgan Province, as one of the most
disadvantaged provinces of Iran according to national indicators and targets of the World Health
Organization, has an undesirable situation. Therefore, this study aimed at determining the
prevalence and risk factors of pregnant women mortality in the province during 2007-2011.
Methods: In this cross-sectional study, the data were collected from prenatal care files,
hospital records, and completed standard questionnaires of the National System of Maternal
Mortality Care. The causes of mothers’ death were identified according to the autopsy report
(in case of autopsy), comments of members of the University Committee, and final decision
of the National Committee about mothers’ death. Morally, all extracted information were
collected and coded anonymously. The data were analyzed using SPSS through t-test.
Results: The rate of maternal mortality during 5 years of the study was 39.81 per hundred
thousand live births; mostly occurred in the age group of 18-35 years (76.11%), with the
highest number living in rural areas (85.93%). The most and less prevalent causes of
maternal death were bleeding (25.37%) and infection (2.98%), respectively; 20.89% of
mothers had 5 or higher pregnancies, and in 34.32% of them, two recent pregnancies were
occurred in less than three years; 47.76% of the dead mothers suffered from an underlying
disease from the beginning of pregnancy; 76.11% of mothers have died during and after
pregnancy, and 23.89% during childbirth; and 76.11% of them had age-appropriate care
during pregnancy, and the remaining had incomplete or no care (23.89%).
Conclusion: The results showed that the maternal mortality rate in Hormozgan Province
was far from the national average. It seems that raising awareness of society regarding the
warning signs of pregnancy and postpartum, increasing coverage of prenatal, pregnancy,
and postnatal care, and improvement of the quality of family planning counseling can be
effective in reducing maternal mortality.

Keywords

Maternal Mortality – Bleeding - Hormozgan

© 2015, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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