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Maternal mortality: evolving trends

F H Loh1, S Arulkumaran, S Montan

  • 1Department of Obstetrics and Gynaecology, National University of Singapore.

Asia-Oceania Journal of Obstetrics and Gynaecology
|September 1, 1994
PubMed
Summary
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Maternal mortality in Singapore remains high, with most deaths linked to pre-existing medical conditions rather than pregnancy complications. This highlights a need to address underlying health issues in maternal care.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health Research

Background:

  • Despite advancements in healthcare and socioeconomic status in Singapore, maternal mortality rates have not decreased.
  • The National University Hospital (NUH) in Singapore recorded a maternal mortality rate of 22.9 per 100,000 live births between 1986 and 1992.

Purpose of the Study:

  • To analyze the causes of maternal mortality at the National University Hospital, Singapore, from 1986 to 1992.
  • To identify trends and contributing factors to maternal deaths, particularly those not attributed to conventional obstetric complications.

Main Methods:

  • Retrospective review of maternal deaths at the National University Hospital, Singapore.
  • Classification of deaths into direct, indirect, and incidental causes.
Keywords:
AsiaCauses Of DeathDelivery Of Health CareDemographic FactorsDeveloping CountriesHealthHealth FacilitiesHigh Risk WomenHospitalsMaternal Mortality--changesMortalityPopulationPopulation DynamicsReproductionResearch ReportRetrospective StudiesSingaporeSoutheastern AsiaStudies

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  • Analysis of mortality data over a 7-year period (1986-1992).

    • Main Results:

    • The overall maternal mortality rate, including incidental deaths, was 34.4 per 100,000 live births.
    • A significant proportion of maternal deaths were not caused by traditional obstetric emergencies like hemorrhage, sepsis, embolism, or hypertensive diseases.
    • Most maternal deaths were attributed to pre-existing medical disorders that pose a high risk independent of pregnancy.

    Conclusions:

    • Maternal mortality in Singapore is influenced by underlying medical conditions rather than solely by pregnancy-related complications.
    • There is a critical need to manage pre-existing medical disorders in pregnant women to reduce maternal mortality.
    • Further research into the management of high-risk medical conditions during pregnancy is warranted.