Trends in maternal mortality in Saudi Arabia

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Epidemiology

Background:

• Maternal mortality remains a critical global health concern.
• Identifying specific risk factors and trends is essential for targeted interventions.

Purpose of the Study:

• To analyze maternal death trends and contributing factors in Saudi Arabia.
• To pinpoint areas requiring improvement in maternal healthcare.

Main Methods:

• Prospective national survey utilizing a multistage hospital sample in Saudi Arabia.
• Data collected on women who died during pregnancy or within 6 weeks postpartum.
• Maternal Mortality Ratio (MMR) and relative risks calculated using EPINFO software.

Main Results:

• The MMR in Saudi Arabia was 18 per 100,000 births.
• Higher mortality observed in older, multiparous women with low income and no education.
• Hemorrhage, uterine rupture, and abortive bleeding were leading causes (43% of direct deaths).
• Substandard care was a factor in 73% of direct maternal deaths.

Conclusions:

• Saudi Arabia's MMR is comparable to developed nations and Gulf states.
• Recommendations include increasing booked patients (especially older multiparas), improving blood bank availability, and enhancing surgical interventions.
• These measures are likely to reduce maternal deaths.