Maternal mortality in Syria: causes, contributing factors and preventability


Bashour, H; Abdulsalam, A; Jabr, A; Cheikha, S; Tabbaa, M; Lahham, M; Dihman, R; Khadra, M; Campbell, OM; (2009) Maternal mortality in Syria: causes, contributing factors and preventability. Tropical medicine & international health, 14 (9). pp. 1122-7. ISSN 1360-2276 DOI: https://doi.org/10.1111/j.1365-3156.2009.02343.x

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Abstract

OBJECTIVES: To describe the biomedical and other causes of maternal death in Syria and to assess their preventability. METHODS: A reproductive age mortality study (RAMOS) design was used to identify pregnancy related deaths. All deaths among women aged 15-49 reported to the national civil register for 2003 were investigated through home interviews. Verbal autopsies were used to ascertain the cause of death among pregnancy related maternal deaths, and causes and preventability of deaths were assessed by a panel of doctors. RESULTS: A total of 129 maternal deaths were identified and reviewed. Direct medical causes accounted for 88%, and haemorrhage was the main cause of death (65%). Sixty nine deaths (54%) occurred during labour or delivery. Poor clinical skills and lack of clinical competency were behind 54% of maternal deaths. Ninety one percent of maternal deaths were preventable. CONCLUSIONS: The causes of maternal death in Syria and their contributing factors reflect serious defects in the quality of maternal care that need to be urgently rectified.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Maternal Health Group
PubMed ID: 19624475
Web of Science ID: 269263800021
URI: http://researchonline.lshtm.ac.uk/id/eprint/4804

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