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Related Experiment Videos

Maternal mortality and its prevention.

N W Schuitemaker1, J B Gravenhorst, H P Van Geijn

  • 1Department of Obstetrics and Gynaecology, Leiden University Medical Centre, The Netherlands.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|December 1, 1991
PubMed
Summary

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This summary is machine-generated.

Maternal mortality has decreased in developed nations due to medical advances. However, high rates persist in developing countries, highlighting the need for improved maternal health services and safe contraception to prevent deaths.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Global Health

Background:

  • Maternal mortality rates have significantly declined in developed countries over the past 50 years, aided by advancements like sulphonamides and blood transfusions.
  • Despite progress, maternal mortality remains unacceptably high in developing countries, linked to high fertility rates and pregnancy-related risks.
  • Substandard care factors were identified in a significant percentage of maternal deaths in the Netherlands, indicating room for improvement even in developed settings.

Purpose of the Study:

  • To analyze the trends and contributing factors of maternal mortality in both developed and developing countries.
  • To identify potential strategies for further reducing maternal mortality globally.
  • To emphasize the role of accessible maternal health services and contraception in preventing maternal deaths.
Keywords:
Abortion, SepticAntibioticsBiologyBleedingBlood Coagulation EffectsBlood SupplyCauses Of DeathCerebrovascular EffectsData CollectionData SourcesDemographic FactorsDeveloped CountriesDeveloping CountriesDiseasesDrugsEmbolismEquipment And SuppliesEuropeHealth Services EvaluationHematological EffectsHemic SystemHypertensionMaternal Mortality--changesMethodological StudiesMortalityNetherlandsOrganization And AdministrationPhysiologyPopulationPopulation DynamicsPregnancy ComplicationsProgram EvaluationProgramsQuality Of Health CareResearch MethodologyRetrospective StudiesSigns And SymptomsStudiesThromboembolismTreatmentVascular DiseasesWestern Europe

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Main Methods:

  • Review of historical data on maternal mortality rates in developed countries.
  • Analysis of maternal mortality data from The Netherlands (1983-1988) to identify substandard care.
  • Discussion of factors contributing to high maternal mortality in developing countries, including fertility and unsafe abortions.

Main Results:

  • Maternal mortality in The Netherlands was 8.8/100,000 livebirths between 1983-1988, with substandard care identified in 57% of cases.
  • Complications from illegal abortions account for a substantial proportion (25-50%) of maternal deaths in developing countries.
  • Developed countries have seen steep declines due to medical interventions, while developing countries face persistent high rates.

Conclusions:

  • Further reduction of maternal mortality is achievable through addressing substandard care, even in developed nations.
  • Accessible maternal health services and safe contraception are crucial for significantly lowering maternal mortality in developing countries.
  • Addressing high fertility and the risks associated with illegal abortions are key to improving maternal survival globally.