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Article Home Women's Health Causes of mother deaths after delivery.

Causes of mother deaths after delivery.

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The death of woman is high during pregnancy. It can be due to various causes like bleeding post delivery, high blood pressure during pregnancy, unsafe abortion, delayed labor, anemia. Maternal mortality is 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 related to, or aggravated by the pregnancy or its management. The percentage death rates vary from country to country and ethnic groups. Here we try to give you a rough percentages of death varying with cause and intervention.

Causes of maternal deaths and interventions.

 

 

Causes

Description

Percentage

Interventions

Hemorrhage

The most important cause is post partum hemorrhage. Other causes are ante partum hemorrhage, retained placenta, bleeding due to abortions, ectopic pregnancy. Hemorrhage is more if it associated with anemia during pregnancy.

 

 

 

 

20-25%

pregnancy.

Skilled attendant at delivery.

Prevention and treatment of hemorrhage.

Use oxytocics in time.

Replace fluid loss.

Blood transfusion in severe cases.

Infection

It is associated with labour and puerperium. Infections from premature rupture of membranes, prolonged and obstructed labour

 

 

15-20%

Skilled attendant birth.

Clean practices during delivery.

Antibiotics if the infection is evident.

Hypertension during pregnancy

 

Pre-eclampsia, eclampsia

 

12-15%

Early detection.

Approprial referral.

Ant seizure prophylaxis/treatment with magnesium sulfate

Unsafe abortion

Illegal abortions

10-13%

Skilled attendant.

Antibiotics after evacuation.

Family planning and safe abortion services.

Post abortion care.

Obstructed labour

Due to cephalo pelvic disproportion, abnormal lie or Malpresentations

 

8%

Use of Partograph.

Early detection.

Operative delivery

Anemia

It is indirect cause for death. Anemia is commonly caused due to dietary deficiency like iron, folic acid, iodine, micronutrients or infections

 

 

15-20%

Routine iron-folic acid supplementation.

Treat hook worm, malaria, HIV etc.

Admit if the hemoglobin is less than 7gm and transfuse blood

Other causes like viral hepatitis, coagulation failure, post partum hemorrhage

Death can be due to hepatic coma, coagulation failure and post partum hemorrhage

 

5-10%

Safe drinking water.

Immunization.

Appropriate referral and supportive care.