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Maternal mortality in Assiut.

S A Abdullah1, E M Aboloyoun, H Abdel-Aleem

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Egypt.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|November 1, 1992
PubMed
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Maternal deaths in Upper Egypt were high, with 83% caused by direct obstetric issues. Village residence, high/low parity, and illiteracy increased maternal mortality risk.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • Maternal mortality remains a critical global health challenge, particularly in low-resource settings.
  • Understanding regional disparities and risk factors is crucial for targeted interventions.

Purpose of the Study:

  • To determine the maternal mortality ratio (MMR) in Assiut city and surrounding villages in Upper Egypt.
  • To identify key risk factors associated with maternal deaths in this population.

Main Methods:

  • Retrospective analysis of maternal deaths among 8656 pregnant women.
  • Logistic regression analysis to identify significant risk factors for maternal mortality.

Main Results:

  • A maternal mortality ratio of 368 per 100,000 live births was observed.

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  • Direct obstetric causes, including hemorrhage, eclampsia, ruptured uterus, and sepsis, accounted for 83% of deaths.
  • Village residence, nulliparity, grandmultiparity, and illiteracy were significantly associated with increased maternal death risk.

    • Conclusions:

    • High maternal mortality in Upper Egypt necessitates urgent public health strategies.
    • Addressing socioeconomic factors like illiteracy and improving access to obstetric care in rural areas are vital.
    • Focusing on direct obstetric causes and high-risk parity groups can help reduce preventable maternal deaths.