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2 Maternal mortality

Objectives

When you have completed this unit you should be able to:

  • Define and calculate maternal mortality rate.
  • List the important causes of maternal mortality.
  • Interpret maternal mortality rates.
  • Separate direct and indirect causes of maternal death.
  • Describe the confidential enquiry into maternal deaths.
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Item Title
2-1 What is maternal mortality?
2-2 What is the maternal mortality ratio?
2-3 Why does maternal mortality include the deaths of women during the first few months of pregnancy?
2-4 Why does the maternal mortality rate include the deaths of women during the 6 weeks after delivery?
2-5 What is the importance of the maternal mortality rate?
2-6 What is the maternal mortality rate in industrialised countries?
2-7 What is the maternal mortality rate in poor countries?
2-8 What is the maternal mortality rate in South Africa?
2-9 When is the causes of a maternal death determined?
2-10 Are maternal deaths notifiable?
2-11 What are primary and final causes of maternal death?
2-12 How can the primary causes of maternal deaths be subdivided?
2-13 What are direct causes of maternal death?
2-14 What are indirect causes of maternal death?
2-15 What are fortuitous causes of maternal death?
2-16 Is a cause found for all deaths during pregnancy and the puerperium?
2-17 What are the important direct causes of maternal death in South Africa?
2-18 What are the important indirect causes of maternal death in South Africa?
2-19 What are the most common causes of maternal death in South Africa?
2-20 Which causes of maternal deaths are most common at different levels of care?
2-21 Why do so many pregnant women still die in poor countries?
2-22 Why do many pregnant women in poor countries not have access to adequate care?
2-23 What is a confidential enquiry into maternal deaths?
2-24 Is there a confidential enquiry into maternal deaths in South Africa?
2-25 What is the Saving Mothers report?
2-26 What are avoidable factors, missed opportunities and substandard care?
2-27 Which maternal deaths are potentially avoidable?
2-28 What are the categories of avoidable factors for maternal mortality?
2-29 What patient related problems contribute to maternal mortality?
2-30 Are patient related problems the fault of the patient?
2-31 What administrative factors contribute to maternal mortality?
2-32 Why is lack of staff a common problem?
2-33 Why is a lack of adequate training a common problem?
2-34 Why is transport often inadequate?
2-35 Why are clinics and hospitals often not available?
2-36 Why are intensive care facilities often not available?
2-37 What health care worker related problems contribute to maternal mortality?
2-38 Why are health care workers some­times negligent or offer substandard care?
2-39 What are honest errors?
2-40 What training may be inappropriate?
2-41 What is a ‘near miss’?
2-42 What is the maternal mortality index?
2-43 Are the causes of maternal death in South Africa changing over time?
2-44 What is the role of the Perinatal Problem Identification Programme in recording maternal deaths?
Case study 1
Case study 2
Case study 3
Case study 4
PPIP classification of maternal deaths
 
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