W05: Maternal & Perinatal Mortality Flashcards
- Outline the global burden of maternal and perinatal mortality
a
Outline a basic understanding of the definitions, data sources and measurement challenges
a
Outline the major options for reducing the magnitude of maternal mortality at a population level
Antenatal care: monitor wt, bp, proteinuria, folic acid, malaria prophylaxis
skilled attendant at birth
emergency obstetric care: hygiene, mgmt of 3rd stage, abx, blood transfusion, c-sect
Maternal mort vs maternal morb.
The death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes
Maternal morbidity: Severe health complications occurring in pregnancy and delivery not resulting in death
Maternal mort. ratio
Number of maternal deaths during a given time period per 100 000 livebirths during same time period
= risk assoc. w/ each pregnancy
Maternal mortality rate
Number of maternal deaths in a given time period per 100 000 women of reproductive age, or woman-years of risk exposure, in same time period
= obstetric risk + frequency of exposure to risk
Lifetime risk of maternal death:
Probability of maternal death during a woman’s reproductive life, usually expressed in terms of odds
= womens chance of preg. + dying in preg
Proportionate mortality ratio
Maternal deaths as proportion of all female deaths of those of reproductive age—usually defined as 15–49 years—in a given time period.
Biggest cause of maternal deaths worldwide
Haemorrhage
Unsafe abortion
3 Delays Model
delay in deciding to seek care
delay in reaching care
delay in receiving care
Early Vs Late Neonatal Death (definition)
Early =. 1 week
Late = 1 mos
Essential Newborn Care
baby breathing
breastfeeding
baby warm
hygiene
