maternal death


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ma·ter·nal death

death of a woman while pregnant or within 42 days after the termination of gestation, irrespective of the duration and site of pregnancy and the cause of death; two periods are recognized in the 42-day interval: period one includes day 1-day 7; period two includes day 8- day 42. Maternal deaths are further classified as: direct maternal death, death resulting from obstetric complications of the gestation, labor, or puerperium, and from interventions, omissions, incorrect treatment, or a chain of events caused by any of the above; indirect maternal death, an obstetric death resulting from previously existing disease or from disease developing during pregnancy, labor, or the puerperium; it is not directly due to obstetric causes, but to conditions aggravated by the physiologic effects of pregnancy.

maternal death

As defined in the UK, death of the mother during pregnancy or within 6 weeks of delivery (late maternal death encompasses up to 1 year post delivery), which is divided into direct causes (e.g., pulmonary embolus, eclampsia) and indirect cause (e.g., cardiovascular disease, suicide, diabetes).

Risk factors for maternal death
Social disadvantage, poverty, minority ethnic group, late booking/poor attendance, obesity, domestic violence, substance abuse, suboptimal clinical care, lack of interprofessional/ interagency communication.

Direct causes of maternal death
Thromboembolism (most direct common cause), hypertensive disease of pregnancy (pre-eclampsia and eclampsia), haemorrhage, amniotic fluid embolism, deaths in early pregnancy (ectopic pregnancy, spontaneous miscarriage, abortion), genital tract sepsis, genital tract trauma, acute fatty liver of pregnancy, anaesthesia-related.

Indirect causes of maternal death
Suicide (most common indirect cause), cardiac, CNS haemorrhage, epilepsy, infections, malignancy.

Coincidental maternal death
RTA/MVA.

ma·ter·nal death

(mă-tĕrnăl deth)
Demise of a woman while pregnant or within 42 days after the termination of gestation, irrespective of the duration and site of pregnancy and the cause of death.
References in periodicals archive ?
It shares features with the Boerma and Mati's "networking" approach (10) of eliciting maternal deaths and MIMF (Maternal death from Informants and Maternal death Follow-on review) (11), which relies on interviews with individual mothers.
VATICAN CITY * The Vatican has urged the international community to implement social and health care measures to reduce what it called the "shocking" number of maternal deaths around the world.
"If you reduce one maternal death, you can reduce 10 child deaths, because the mother is the cornerstone of the family.
California isn't the only place where maternal death is rising.
(1) In a study based on record reviews from a network of hospitals with a patient population that is "roughly" nationally representative, more than half of maternal deaths were attributable to four causes: complications of preeclampsia, amniotic fluid embolism, obstetric hemorrhage and cardiac disease.
'The lifetime risk of maternal death in the developing world as a whole is 1 in 76, compared with 1 in 8,000 in the industrialized world,' Unicef said.
At the start of the new millennium, the United Nations set up a goal to have reduced the global maternal death rate by 75% by 2015.
"In Canada, maternal death rates are based on causes of death directly attributable to classic obstetric indicators and within 42 days of the birth event" Professor Stewart does not believe this is good enough." If we want to lower rates in this country, the first step would be to take a broader conceptualization of maternal morbidity and mortality and include deaths attributable to mental health conditions and violence.
The maternal death rate is extremely high (1,600-2,200 deaths per 100,000 live births) in Afghanistan as a whole, and the estimate in one study site was the highest ever recorded (6,500/100,000 live births in Ragh, Badakshan).
A target was set by the millennium development goal to reduce MMR by 75% in the year 2015.2 During the year 2013 MMR in developed and developing countries was 16/100,000 and 230/100,00 live births respectively in which chief input of the global maternal deaths was from African region alone (62%) followed by Southern Asia (24%).3
A monthly cash award of PHP50,000 awaits those among the province's 237 barangays that will be able to attain zero case of dengue, drugs, maternal death, and death from rabies, and plant the most number of trees
A NEW law that demands inquests into maternal deaths has been welcomed by the families of women who died in childbirth.

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