Maternal morbidity and mortality

Lack of access to risk-appropriate maternity services, particularly for rural residents, is thought to be a leading contributor to disparities in maternal morbidity and mortality. There are several existing measures of access to obstetric care in the literature and popular media. In this study, we explored how current measures of obstetric access inform the number and location of additional obstetric care facilities required to improve access.

10p vishanshan 27-06-2024 1 1   Download

Sigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity and mortality if not diagnosed and managed early. Early diagnosis and management can prevent adverse effects such as bowel ischemia and preterm labor. Because classic clinical and radiological features may not be evident, high degree of suspicion is warranted.

3p vilazada 31-01-2024 4 2   Download

Uterine rupture is a rare complication that can occur in the first trimester of pregnancy. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. First-trimester uterine rupture is rare; hence, diagnosis can be challenging as it may be confused with other causes of early pregnancy bleeding such as an ectopic pregnancy.

6p vitiki 30-01-2024 7 2   Download

Current research is focused on clinical, institutional/policy level deficiencies with little community involvement and not much is said about culture, beliefs and practices that may negatively impact on maternal health. Under the current Primary Health Care model, community involvement is represented by a Community Health Committee (CHC) made of a chief, police officer, health professional and a school principal.

8p vikissinger 21-12-2023 2 1   Download

Sickle cell disease (SCD) can pose serious maternal and fetal risk in pregnancy. Transfusion, both during and outside of pregnancy, can improve patient morbidity and mortality but carries risk of alloimmunization, complicating future management.

3p viintuit 26-09-2023 0 0   Download

Globally, malnutrition is one of the most common causes of morbidity and mortality in children under the age of five year. The relative importance of each of the known risk factors of malnutrition including household food insecurity is likely to vary between settings.

12p viisac 23-09-2023 4 1   Download

Early initiation of breastfeeding reduces neonatal and maternal morbidity and mortality, enhances mother-infant dyad bonding and maternal optimal breastfeeding practices. Studies on socio-economic inequalities in early initiation of breastfeeding are sparse in Uganda.

8p viisac 23-09-2023 1 1   Download

Black women are disproportionately impacted by chronic illness and are significantly more likely to experience severe morbidity and mortality as a consequence of pregnancy and childbirth.1,2 As seen in a myriad of stories on maternal death and “near misses”, Black women often experience maltreatment in clinical settings.

5p vigamora 25-05-2023 6 2   Download

Maternal early warning systems reduce maternal morbidity. We developed an electronic maternal surveillance system capable of visually summarizing the labor and delivery census and identifying changes in clinical status.

10p vampires36 30-12-2021 13 0   Download

The obstetric airway is a significant cause of maternal morbidity and mortality. Endotracheal intubation is considered the standard of care but the laryngeal mask airway (LMA) has gained acceptance as a rescue airway and has been incorporated into the obstetric airway management guidelines.

8p vizhangzhidong 29-12-2021 6 0   Download

Obstetric dfficult airway is a leading cause of maternal morbidity and mortality. The laryngeal mask airway (LMA) is often used as a rescue airway device after failed intubation, however, little is known about predictors of difficult LMA insertion, particularly in obstetrics. Since Mallampati scores of III/IV has been associated with difficult tracheal intubation, our present study aims to investigate if Mallampati score (MP) could predict airway outcomes for LMA use in obstetrics.

7p vizhangzhidong 29-12-2021 16 0   Download

National estimates of perinatal mood and anxiety disorders (PMAD) and serious mental illness (SMI) among delivering women over time, as well as associated outcomes and costs, are lacking. The prevalence of perinatal mood and anxiety disorders and serious mental illness from 2006 to 2015 were estimated as well as associated risk of adverse obstetric outcomes, including severe maternal morbidity and mortality (SMMM), and delivery costs.

7p vitokyo2711 31-08-2020 21 2   Download

Malnutrition and poor health status especially in rural areas is a common problem. It retards children growth, increases the risk and duration of illness, reduces work output, and slows social and mental development. Malnutrition among women of reproductive age increases the risk of mortality during labor and delivery and puts their newly born children at risk of long-term deficiencies. Improving nutritional status, including micronutrient status, can lead to increased productivity, increased child survival and growth, and reduced maternal morbidity and mortality.

7p cothumenhmong4 25-03-2020 18 1   Download

Despite the overwhelming evidence confirming the morbidity and mortality benefits of early initiation of highly active anti-retroviral therapy (HAART) in HIV-infected infants, some children are still disadvantaged from gaining access to care.

10p vichengshin2711 26-02-2020 17 1   Download

Diarrhea and acute respiratory infection (ARI) are major causes of child mortality. We aimed to identify risk factors associated with diarrhea and ARI among children under 2 years of age in rural northern Bangladesh.

11p virome2711 13-01-2020 14 0   Download

Low income postpartum mothers with little to no social support have increased maternal and infant morbidity and mortality, especially those with limited English proficiency and limited accesses to resources. Haitians, a growing minority in the US are an understudied population excluded from most studies due to the lack of instruments in Creole.

9p viriyadh2711 19-12-2019 12 0   Download

Besides, Expanded Programme on Immunization (EPI) and fertility regulation activities, Integrated management of Childhood Illnesses (IMCI) is also playing an important role in child survival through reducing child mortality and morbidity and promoting child growth, development and healthy practices. Effective implementation of IMCI case management guidelines improved quality of care in health facilities across various settings in Bangladesh. Considering its impact at a low cost, government plans gradual expansion of IMCI programme in the country.

84p nhamnhiqa 01-03-2013 60 1   Download

Access to skilled birth attendance is one measure of inequity in maternal health. Differences in socioeconomic aspects account for about two-thirds (61%) of inequalities in skilled birth attendance, of which household wealth accounts for 24%, mother’s education 16% and living in rural areas 12%. 12 When examining the relationship between utilization patterns and offer of skilled care during delivery, women who did not receive valid antenatal care (at least four visits to a health professional during pregnancy) were more likely to deliver without professional care.

45p nhamnhiqa 01-03-2013 45 2   Download

Responding to the disease burden of Communicable and Noncommunicable Diseases (NCD), the WCO will help strengthen the national capacity to reduce morbidity and mortality due to AIDS, tuberculosis and malaria, achieve high-level immunization coverage with all antigens in order to reduce the burden of vaccine-preventable diseases, achieve the eradication of polio, elimination/control of measles and neonatal tetanus, reduce morbidity due to helminthiasis, eliminate leprosy, intensify surveillance and response to epidemic-prone diseases, and reduce/control the burden of NCDs, while paying atten...

70p nhamnhiqa 01-03-2013 57 1   Download

Within specific geographic areas, GHI Kenya will identify existing activities and programmatic gaps and, in the intensified areas, new potential synergies between USG agencies/programs and the GOK towards maternal, neonatal and child mortality and NTD morbidity and mortality reduction. Illustrative activities described in Appendix 1 are part of standard care and management practices.

151p nhamnhiqa 01-03-2013 42 4   Download