Maternal mortality from cardiac disease in Turkey: a population-based study

Engin-Üstün, Yaprak; Çelen, Şevki; Özcan, Ayşe; Sanisoğlu, Sema; Karaahmetoğlu, Selma; Gül, Rukiye; Bilgin, Sibel; Irez, Mine; Köse, M Rıfat

doi:10.3109/14767058.2012.703719

Cited by 20 publications

(18 citation statements)

References 10 publications

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“…Anaemia was the most common indirect cause of SMO in this current analysis. This is in accordance with other reports from developing countries; however, cardiac disease was the leading indirect cause of MD from developed countries …”

Section: Discussionsupporting

confidence: 93%

“…Recent reports indicated that indirect causes were responsible for about a quarter of all maternal deaths . The main indirect causes included anaemia, cardiac disease, HIV/AIDS, and cerebrovascular disease . In 2009, WHO, through an international consultative process, developed a standard definition of maternal near miss, using markers of organ dysfunction during pregnancy, childbirth, or after birth .…”

Section: Introductionmentioning

confidence: 99%

“…2,3 The main indirect causes included anaemia, cardiac disease, HIV/ AIDS, and cerebrovascular disease. [4][5][6][7][8][9] In 2009, WHO, through an international consultative process, developed a standard definition of maternal near miss, using markers of organ dysfunction during pregnancy, childbirth, or after birth. 10 Thus, a severe maternal outcome (SMO), including both maternal deaths and near-miss cases, is a more robust indicator for evaluating the quality of maternal health care.…”

Section: Introductionmentioning

confidence: 99%

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Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health

Lumbiganon

Laopaiboon

Intarut

et al. 2014

BJOG

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Objective To assess the proportion of severe maternal outcomes resulting from indirect causes, and to determine pregnancy outcomes of women with indirect causes.Design Secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health.Setting A total of 359 health facilities in 29 countries in Africa, Asia, Latin America, and the Middle East.Sample A total of 314 623 pregnant women admitted to the participating facilities.Methods We identified the percentage of women with severe maternal outcomes arising from indirect causes. We evaluated the risk of severe maternal and perinatal outcomes in women with, versus without, underlying indirect causes, using adjusted odds ratios and 95% confidence intervals, by a multilevel, multivariate logistic regression model, accounting for clustering effects within countries and health facilities.Main outcome measures Severe maternal outcomes and preterm birth, fetal mortality, early neonatal mortality, perinatal mortality, low birthweight, and neonatal intensive care unit admission.Results Amongst 314 623 included women, 2822 were reported to suffer from severe maternal outcomes, out of which 20.9% (589/ 2822; 95% CI 20.1-21.6%) were associated with indirect causes. The most common indirect cause was anaemia (50%). Women with underlying indirect causes showed significantly higher risk of obstetric complications (adjusted odds ratio, aOR, 7.0; 95% CI 6.6-7.4), severe maternal outcomes (aOR 27.9; 95% CI 24.7-31.6), and perinatal mortality (aOR 3.8; 95% CI 3.5-4.1).Conclusions Indirect causes were responsible for about one-fifth of severe maternal outcomes. Women with underlying indirect causes had significantly increased risks of severe maternal and perinatal outcomes.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health

Lumbiganon

Laopaiboon

Intarut

et al. 2014

BJOG

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“…Our study revealed that overall maternal near miss ratio was 2.47 per 1,000 live births and the maternal mortality ratio was 13.46 per 100,000 live births which was below the ratio of Turkey in 2007-2009 periods (19.7 per 100.000 live births) (6). As one of the largest public hospital in the country, the hospital handles about 17.000 deliveries annually.…”

Section: Discussionmentioning

confidence: 55%

Maternal Near Miss Morbidity and Maternal Mortality in a Tertiary Referral Center in Turkey

Uygur¹,

Üstün²,

Kara³

et al. 2017

Gynecol Obstet Reprod Med

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OBJECTIVE:The objective of the study is to present the maternal near miss and maternal mortality cases from a tertiary hospital and to evaluate the factors associated with the presence of maternal near miss. STUDY DESIGN:We performed a retrospective study, including all women who fulfilled the WHO criteria for maternal near miss or death between June 2009 and June 2014 at a tertiary referral education hospital. This study was conducted to evaluate the risk factors' influence on near miss, multivariate logistic regression was used. Before setting logistic regression, univariate analyses were used to select candidate variables. RESULTS:During the 5-year study, there were 82924 deliveries and 81673 live births. We identified 202 maternal near miss events and 11 maternal deaths. The maternal near miss ratio was 2.47 per 1.000 live births and the maternal mortality ratio was 13.46 per 100.000 live births. There were 213 women with a severe maternal outcome ratio (near miss + maternal death), with a ratio of 2.6 cases/1.000 live birth. Near miss events were associated with length of hospital stay (p<0.001), hemoglobin level (p=0.003). CONCLUSION:By the help of the WHO near miss approach, we identified that near miss events were associated with length of hospital stay, hemoglobin level, cesarean section deliveries and parity.

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“…In their study of maternal mortality in the United States between 2011 and 2013, Creanga et al (14) found that cardiovascular diseases was the leading cause of mortality (15.5%) and 11% of patients with cardiomyopathy had died. In our country, Engin Üstün et al (17) studied cardiac-induced maternal deaths and they found that maternal mortality rate as 19.7 in 100000 live births. Although the main cause of death of these cases was hemorrhage, while in 16.5% the main cause of death was due to cardiac causes and valvular heart disease (25.6%) was the most common cause of cardiac disease.…”

Section: Discussionmentioning

confidence: 99%

Trends and causes of maternal mortality in Eastern province of Turkey

Çim¹,

Elçi²,

Sayan³

et al. 2017

Eastern J Med

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Maternal mortality from cardiac disease in Turkey: a population-based study

Abstract: The main cause of indirect maternal death has been cardiac disease in 3-year period.

Cited by 20 publications

References 10 publications

Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health

Indirect causes of severe adverse maternal outcomes: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health

Maternal Near Miss Morbidity and Maternal Mortality in a Tertiary Referral Center in Turkey

Trends and causes of maternal mortality in Eastern province of Turkey

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