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Published on: January 17, 2013
Maternal mortality due to hemorrhage: population-based study in Turkey.
Cagri Gulumser1,2, Yaprak Engin-Ustun1,2, Levent Keskin3
1Department of Obstetrics and Gynecology, University of Health and Science , Istanbul , Turkey.
Maternal deaths in Turkey, primarily from cardiovascular diseases and postpartum hemorrhage, highlight the need for improved data surveillance and national guidelines. Efforts must continue to meet the sustainable development goal for reducing maternal mortality by 2030.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Investigating the effectiveness of Turkey's national preventative measures for maternal mortality.
- Analyzing epidemiological characteristics of maternal deaths, focusing on postpartum hemorrhage.
Observation:
- A population-based cohort study utilized Turkish National Maternal Mortality Data from 2012-2015.
- Included women who died from hemorrhage during pregnancy or within 42 days postpartum (N=812/146).
Findings:
- Identified 779 maternal deaths, estimating a Maternal Mortality Ratio (MMR) of 19.7 per 100,000 live births.
- Direct obstetric complications, including cardiovascular diseases (21%) and obstetric hemorrhage (20.6%), were leading causes.
- Assessed preventability and identified issues in each maternal hemorrhage death.
Implications:
- Enhanced data surveillance and national guidelines are crucial for reducing maternal mortality.
- Turkey aims to achieve ≤70 maternal deaths per 100,000 live births by 2030.
- Findings offer insights for developing countries aiming to reduce maternal mortality and improve global women's health.
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