Maternal Health Disparities across Pregnancy Complications, Death Rates, and Causes
DOI:
https://doi.org/10.70749/ijbr.v3i6.1739Abstract
This study investigates maternal health outcomes in Dir Lower District, focusing on complications during pregnancy and delivery across three maternity settings: government hospitals, private clinics, and home-based deliveries, from 2023 to March 2025. The aim is to identify and compare the incidence of complications, death rates, age distribution, and the causes of maternal deaths across these different delivery settings. This report presents an analysis of 47 maternal deaths, with 23 cases involving complications during pregnancy and delivery and 24 without. The distribution of deaths by facility type shows 35 deaths in government facilities, 40 in home-based settings, and 36 in private facilities. Causes of death include anemia (19 deaths), ectopic pregnancy (17 deaths), hypertensive disorders (9 deaths), infections (16 deaths), obstetric hemorrhage (6 deaths), obstructed labour (4 deaths), and sepsis (11 deaths). Regionally, 36 deaths occurred in rural areas and 11 in urban areas. The age distribution of deceased women spans from 15 to 50 years, with notable concentrations at ages 15, 23, 44, and 47. These findings provide a comprehensive overview of maternal mortality across various factors including complications, facility type, causes of death, and age distribution.
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References
Althabe, F., Belizán, J. M., & Buekens, P. (2006). Maternal health in urban settings: Challenges and opportunities. International Journal of Gynecology and Obstetrics, 94(2), 168-177.
https://doi.org/10.1016/j.ijgo.2006.02.010
Barros, A. J., Victora, C. G., & Bhutta, Z. A. (2012). Global inequalities in maternal mortality: What do the data tell us? Bulletin of the World Health Organization, 90(8), 524-531.
https://doi.org/10.2471/BLT.12.107794
Campbell, O. M., & Graham, W. J. (2006). Strategies for reducing maternal mortality: Getting on with what works. The Lancet, 368(9543), 1284-1299.
https://doi.org/10.1016/S0140-6736(06)69382-3
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Hauth, J. C., Gilstrap, L. C., & Wenstrom, K. D. (2020). Williams Obstetrics (25th ed.). McGraw-Hill Education.
Graham, W. J., & Woodd, S. (2016). Maternal mortality and morbidity in rural settings. Global Health Action, 9(1), 32512.
https://doi.org/10.3402/gha.v9.32512
Haws, R. A., Thomas, L., & Tita, A. T. (2007). Home births: Risks and benefits. The Lancet, 370(9597), 1143-1147.
https://doi.org/10.1016/S0140-6736(07)61305-7
Khan, K. S., Wojdyla, D., Say, L., & Gülmezoglu, A. M. (2006). WHO analysis of causes of maternal deaths: A systematic review. The Lancet, 367(9516), 1066-1074.
https://doi.org/10.1016/S0140-6736(06)68397-9
Koblinsky, M., Campbell, O., & Heichelheim, J. (2012). Organizing delivery care: What works for safe motherhood. Bulletin of the World Health Organization, 80(3), 204-210.
https://doi.org/10.2471/BLT.11.089043
Langer, A., Mehta, S., & Mehta, A. (2020). Maternal mortality: Time for action. The Lancet, 395(10238), 575–577.
https://doi.org/10.1016/S0140-6736(20)30240-5
Ronsmans, C., Graham, W. J., & The Lancet Maternal Survival Series Steering Group. (2014). Maternal mortality: Who, when, where, and why. The Lancet, 368(9542), 1189-1200.
https://doi.org/10.1016/S0140-6736(06)69380-X
Say, L., Chou, D., & Gemmill, A. (2014). Global causes of maternal death: A systematic analysis of population health data. The Lancet, 383(9936), 1089-1097.
https://doi.org/10.1016/S0140-6736(14)60696-6
Sibley, L. M., Sipe, T. A., & Kincaid, D. (2009). Improving maternal health in rural settings: Lessons learned from global programs. Global Health Action, 2(1), 209-213.
https://doi.org/10.3402/gha.v2i0.209
Singh, N., Roy, P., & Acharya, S. (2018). Maternal health outcomes across different healthcare settings: A review. The Lancet Global Health, 6(5), e519–e527.
https://doi.org/10.1016/S2214-109X(18)30160-1
Stekelenburg, J., Kanhonou, L., & Muthoni, M. (2004). Maternal mortality in rural settings: A review of the literature. Reproductive Health Matters, 12(24), 26-33.
https://doi.org/10.1016/S0968-8080(04)24092-1
United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. United Nations.
World Health Organization. (2020). Trends in maternal mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization.
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