Survey of Maternal Deaths in South Iran Analysis of 96 Autopsies

Daneshbod, Khosrow; Borazjani, Gholam Reza; Sajadi, Hasan; Hamidzadeh, Mohamed Mehdi

doi:10.1111/j.1471-0528.1970.tb03471.x

Cited by 7 publications

(2 citation statements)

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“…There was a total of 25 (26%) maternal deaths resulting from unrelated causes. This is an apparent increase from the 17 cases reported in our previous series (2).…”

Section: Causes Unrelated To Obstetric Eventsmentioning

confidence: 42%

Maternal Mortality in South Iran: A Seven-Year Survey

Borazjani

Javey

Sadjadi

et al. 1978

International Journal of Gynecology & Obstetrics

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A second progress report on maternal mortality in South Iran is presented. The maternal mortality rate among hospitalized women for the period 1970 to 1976 was 248.7/100 000 live births, which was significantly lower than the rate for the period from 1963 to 1969 (391.8/100 000). However, the overall distribution of diseases leading to death remains unchanged. The causes of death were classified as direct obstetric in 60.4% of the cases, indirect obstetric in 13.5% and unrelated to obstetric events in 26.0%. Infection was the leading cause of death in all categories. Among the direct obstetric causes, hemorrhage, pulmonary embolism and eclampsia were the major causes of death. About 76% of the patients were from rural districts and 24% from urban areas. None of the mothers had antenatal care.

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“…There was a total of 25 (26%) maternal deaths resulting from unrelated causes. This is an apparent increase from the 17 cases reported in our previous series (2).…”

Section: Causes Unrelated To Obstetric Eventsmentioning

confidence: 42%

Maternal Mortality in South Iran: A Seven-Year Survey

Borazjani

Javey

Sadjadi

et al. 1978

International Journal of Gynecology & Obstetrics

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“…This is particularly true in a country such as Iran, where both maternal and neonatal mortality rates are high (1). The leading cause of maternal mortality in both developed and developing countries (2,3) is infection. Despite the many studies which have been carried out on the nature of the microbial flora of the birth canal, questions still remain concerning the microbiology of the female genital tract during pregnancy, and the factors predisposing to puerperal infection.…”

Section: Introductionmentioning

confidence: 99%

Microbiology of the Female Genital Tract during Pregnancy and Parturition

Naderi

Gettner

Zeighami

et al. 1976

Intl J Gynecology & Obste

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Microbiology of the female genital tract during pregnancy and parturition. Int J Gynaecol Obstet 14:81-85, 1976. To study the pattern of vaginal flora during pregnancy and parturition, high vaginal cultures were taken from three groups of women: (1) cultures were taken from 42 pregnant women during routine antenatal visits; (2) in 111 women admitted in labour, vaginal cultures were obtained upon admission, prior to delivery, just after completion of delivery and on the first and second postpartum day, and; (3) cultures were obtained from 55 normal non-pregnant women. The type of microbial inhabitants of the female genital tract in the antepartum, intrapartum and postpartum periods did not differ from the vaginal flora found in the normal non-pregnant condition. Pathogenic and opportunist organisms increased in frequency during labour and through the postpartum period. Lactobacillus, fungi and Staph, albus were the only organisms showing a decrease during the intrapartum and postpartum period. They were also the only organisms which were more frequently cultured in pregnant than in non-pregnant women. The pattern of change in the presence of organisms in the vagina was analysed according to length of labour. Length of labour appeared to have little effect on the probability of any organism gaining entrance into the vagina.

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Maternal Mortality in the Islamic Republic of Iran: On Track and in Transition

Sonntag

2012

Matern Child Health J

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The Maternal Mortality Ratio is an important public health indicator that reflects both the quality of a health care system and the role of women within that society. In September 2000 the United Nations Millennium Declaration outlined the eight Millennium Development Goals (MDGs) that set targets to be achieved by 2015. MDG 5 focused on improving maternal health. It had two clear subgoals: to reduce maternal mortality globally by three quarters between 1990 and 2015 and to obtain universal access to reproductive health for women. Despite a global trend of declining maternal mortality only a handful of nations are currently 'on track' to achieve their MDG targets by 2015. The Islamic Republic of Iran is one of these nations. In just over three decades, Iran has undergone demographic transition with significant reductions in total fertility and population growth rates. In concert with this transition, Iran has achieved a dramatic decline in the maternal mortality ratio that has fallen to a rate comparable with developed nations. Significantly Iran has also experienced a paradigm shift in its major causes of maternal mortality from those characteristic of developing nations (postpartum haemorrhage, infection) to causes more commonly seen in developed nations (pulmonary embolus, stroke). There is no single explanation that may account for this transition, rather it is the product of a number of different initiatives that have incorporated family planning, grass roots focus and wider improvements within the health care system of Iran over the past three decades. However the experience of this nation may provide a useful example to other developing countries looking to reduce maternal mortality.

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Survey of Maternal Deaths in South Iran Analysis of 96 Autopsies

Cited by 7 publications

References 1 publication

Maternal Mortality in South Iran: A Seven-Year Survey

Maternal Mortality in South Iran: A Seven-Year Survey

Microbiology of the Female Genital Tract during Pregnancy and Parturition

Maternal Mortality in the Islamic Republic of Iran: On Track and in Transition

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