Maternal mortality rate and causes in Kermanshah province (2001-2012)

authors:

avatar Mehrangiz Jamshidpour 1 , avatar Neda Izadi 2 , * , avatar Farid Najafi 3 , avatar Firouzeh Khamoshi 4 , avatar Akram Roustaei Shirdel 1 , avatar Katayoon Jalili 1

Deputy of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran
Dept. of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
Journal of Kermanshah University of Medical Sciences: Vol.18, issue 7; e74080
published online: October 29, 2014
article type: Original Article
received: May 12, 2014
accepted: October 07, 2014
DOI: https://doi.org/10.22110/jkums.v18i7.1444

how to cite: Jamshidpour M, Izadi N, Najafi F, Khamoshi F, Roustaei Shirdel A, et al. Maternal mortality rate and causes in Kermanshah province (2001-2012). J Kermanshah Univ Med Sci. 2014;18(7):e74080. https://doi.org/10.22110/jkums.v18i7.1444.

Abstract

Background: Maternal mortality is one of the most important indicators that is indicative of the status of development of countries. This study was aimed to investigate the rate and causes of maternal mortality in Kermanshah province.
Methods: In this cross-sectional study, the maternal mortality records including demographic information, indicators of pregnancy and delivery, and mortality causes from 2001 to 2012 were extracted via census from the family health unit of the health deputy. To determine mortality rates, maternal deaths in every year were divided by the number of live births. Data were analyzed by Stata software.
Results: The maternal mortality rate in Kermanshah was 25.9 deaths per one hundred thousand live births. The highest rate was reported in 2003 (53.4) and the lowest rate in 2012 (14.6) per one hundred thousand live births. Most deceased mothers were urban residents (66.7%) with the age range of 18-35 years (64.6%), and high-risk pregnancies (65.3%). The most common cause of maternal death was bleeding (23.2%). There was a significant relationship between cause of death and urban-rural status, so that the most common causes in urban areas were complications of obstetric interventions whereas the most common cause in rural areas was bleeding (P= 0.008).
Conclusion: Based on the results, the mortality rate of pregnant mothers is declining in Kermanshsh. However, given the most common cause of death (bleeding) and high percentage of high-risk pregnancies, immediate and effective measures by healthcare personnel to prevent postpartum maternal mortality and adequate and appropriate care during pregnancy and after delivery are required to considered.

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