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Verbal autopsy for maternal death.

F Hussain1, A B Bhuiyan, Y A Haque

  • 1Dept of Obstetrics & Gynaecology, Dhaka Medical College, Dhaka.

Bangladesh Medical Research Council Bulletin
|February 18, 2003
PubMed
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Maternal deaths were high in teenage mothers and those over 30, with hemorrhage and eclampsia as leading causes. Improving marriage age and skilled birth attendance is crucial for reducing maternal and infant mortality.

Area of Science:

  • Reproductive Health
  • Maternal and Child Health
  • Public Health

Background:

  • Maternal mortality and adverse perinatal/neonatal outcomes remain significant global health challenges.
  • Understanding the specific causes and risk factors for maternal deaths is essential for targeted interventions.
  • Previous studies highlight the need for comprehensive data on maternal and infant health in specific regions.

Purpose of the Study:

  • To determine the extent and causes of maternal deaths in Gopalganj district.
  • To investigate the perinatal and neonatal outcomes of babies born to mothers experiencing these deaths.
  • To identify demographic and obstetric risk factors associated with maternal mortality.

Main Methods:

  • A cross-sectional study conducted in Gopalganj district from September 1997 to August 1998.

Related Experiment Videos

  • Verbal autopsy was used to investigate 205 maternal deaths that occurred between 1994 and 1997.
  • Data analysis focused on age, gravidity, causes of death, and timing of death (postpartum period).

    • Main Results:

    • Teenage mothers faced higher mortality risks during their first pregnancy.
    • Maternal deaths increased with gravidity and advanced maternal age (above 30 years).
    • Hemorrhage and eclampsia were the primary causes of maternal death, with distinct age and gravidity associations (P=0.029 for age, P<0.001 for gravidity).
    • Approximately 64% of maternal deaths occurred postpartum.
    • A significant proportion (45.6%) of live-born infants died before their first birthday.

    Conclusions:

    • Increasing the age of marriage and first childbirth is recommended to reduce maternal mortality.
    • Strengthening family planning programs and ensuring skilled birth attendance are vital.
    • Public health communication regarding danger signs during pregnancy and childbirth needs enhancement.