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Maternal tetanus: magnitude, epidemiology and potential control measures
V Fauveau1, M Mamdani, R Steinglass
1Center for Population Studies, London School of Hygiene and Tropical Medicine, UK.
Summary
Maternal tetanus, a preventable cause of maternal death, affects 15,000-30,000 women annually. Vaccinating women of reproductive age with tetanus toxoid is the most effective strategy to eliminate this condition.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Maternal Health
Background:
- Maternal tetanus is a significant, yet preventable, cause of maternal mortality.
- It encompasses tetanus occurring during pregnancy, postpartum, or postabortion.
- This condition arises from septic procedures or wounds during pregnancy or delivery.
Purpose of the Study:
- To review the global incidence of maternal tetanus.
- To highlight the preventable nature of maternal mortality due to tetanus.
- To identify cost-effective strategies for eliminating maternal tetanus.
Main Methods:
- A comprehensive review of published and unpublished hospital and community studies.
- Analysis of data on maternal tetanus incidence and mortality.
- Evaluation of intervention strategies for tetanus prevention.
Main Results:
- An estimated 15,000 to 30,000 cases of maternal tetanus occur annually worldwide.
- Maternal tetanus is identified as a readily preventable cause of maternal death.
- Complete tetanus toxoid coverage among reproductive-aged women is a highly cost-effective solution.
Conclusions:
- Maternal tetanus remains a neglected cause of maternal mortality.
- Eliminating maternal tetanus is achievable through widespread tetanus toxoid immunization.
- Targeting women of reproductive age with tetanus toxoid vaccination is crucial for public health initiatives.