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Scoping maternal care through the lens of maternal deaths: A retrospective analysis of maternal mortality in Georgia.
Skhvitaridze, Natia; Anda, Erik Eik; Brenn, Tormod; Kintraia, Nikoloz; Gamkrelidze, Amiran.
Afiliación
  • Skhvitaridze N; Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Hansine Hansens veg 18, Tromsø 9037, Norway; National Center for Disease Control and Public Health, Kakheti Highway 99, Tbilisi 0198, Georgia; The University of Georgia, Kostava Street 77a, Tbilisi 017
  • Anda EE; Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Hansine Hansens veg 18, Tromsø 9037, Norway.
  • Brenn T; Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Hansine Hansens veg 18, Tromsø 9037, Norway.
  • Kintraia N; Georgian Perinatal Association, Kostava Street 38, Tbilisi 0179, Georgia.
  • Gamkrelidze A; National Center for Disease Control and Public Health, Kakheti Highway 99, Tbilisi 0198, Georgia.
Sex Reprod Healthc ; 26: 100560, 2020 Dec.
Article en En | MEDLINE | ID: mdl-33059117
INTRODUCTION: Reduction of the maternal mortality ratio (MMR) to 12 per 100,000 live births by 2030 is a priority target in Georgia. This study aims to assess and classify MM in Georgia by direct and indirect causes of death from 2014 to 2017, using data from the national surveillance system and in accordance with internationally approved criteria. MATERIAL AND METHODS: In this secondary study, MM data was retrieved from the Maternal and Children's Health Coordinating Committee and validated with data from the Vital Registry System and the Georgian Birth Registry. The study sample comprised 61 eligible MM cases. Relevant information was transferred to case-report forms to review and classify MM cases by direct and indirect causes of maternal death. RESULTS: The MMR during the study period was 26.7 per 100,000 live births. The proportion of direct causes of maternal death exceeded that of indirect causes, at 62% and 38%, respectively. The leading direct cause of maternal death was haemorrhage, while infection was the most frequent indirect cause. 52.5% of MM cases had no pre-existing medical condition, 62.3% had frequent adherence to antenatal care, and 52.5% had emergency caesarean sections. CONCLUSION: In Georgia, direct causes of maternal death exceed indirect causes in MM cases, with haemorrhage and infections, respectively, being most common. These findings are important to ensure optimal and continuous care and to accelerate progress in the reduction of MM in the country.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Mortalidad Materna / Muerte Materna Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sex Reprod Healthc Asunto de la revista: ENFERMAGEM / MEDICINA REPRODUTIVA / OBSTETRICIA Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Mortalidad Materna / Muerte Materna Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sex Reprod Healthc Asunto de la revista: ENFERMAGEM / MEDICINA REPRODUTIVA / OBSTETRICIA Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos