Unsafe motherhood: the determinants of maternal mortality.
J Indian Med Assoc
; 93(2): 47-8, 1995 Feb.
Article
en En
| MEDLINE
| ID: mdl-7658035
PIP: Maternal mortality is a three-step process (pregnancy, pregnancy-related complications, and death). Close birth spacing, early pregnancy, unwanted pregnancy, and access to family planning are determinants of maternal mortality. World Fertility Survey figures show that 35% of maternal deaths in Asia could be prevented if all women who did not want children had access to contraceptives. The status of women affects health during pregnancy. Many years of physical neglect and inequitable distribution of food, health care, and other resources effect stunting, an inadequately formed pelvis, low pre-pregnancy weight, anemia, and chronic illnesses such as malaria. Conditions such as aseptic abortion can be prevented. Clean delivery practices, proper management of the third stage of labor, and tetanus immunization are other preventive measures. Many complications are difficult to prevent and to predict; some studies have estimated that up to 50% of maternal deaths were to "low risk" women. The timing of detection of complication and the effectiveness and speed of treatment impact on survival. Intervention means preventing delays in seeking care, delays in reaching an appropriate facility (substantial numbers of deaths occur en route), and delays in receiving treatment, even after reaching the appropriate facility. The timing between the occurrence of the emergency and death involves sociocultural, logistic, and health services factors. When safe motherhood efforts become part of child survival efforts, maternal health will improve.^ieng
Palabras clave
Critique; Delivery Of Health Care; Demographic Factors; Developing Countries; Economic Factors; Health; Health Services; Health Services Evaluation; Maternal Health Services; Maternal Mortality; Maternal-child Health Services; Mortality; Mortality Determinants; Organization And Administration; Population; Population Dynamics; Primary Health Care; Program Evaluation; Programs; Quality Of Health Care; Socioeconomic Factors; Women's Status
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mortalidad Materna
Tipo de estudio:
Prognostic_studies
Aspecto:
Equity_inequality
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Indian Med Assoc
Año:
1995
Tipo del documento:
Article
Pais de publicación:
India