Amaç
Perinatal and maternal mortality are indicators of the quality of antenatal and perinatal care and such depend upon numerous factors. The economic status of the society is reflected directly upon the development of the health protection system, whose one of most precise indicators is maternal mortality. Aim of this study is to analyse rate and causes of maternal mortality in four-years period.
Yöntem
in retrospective study we analyzed completed pregnancies and maternal deaths in four-years period at OB/GYN Clinic in Tuzla with the particular review to causes of maternal deaths.
Bulgular
in four years period at Clinic for Obstetrics and Gynaecology we were 19672 completed pregnancies. Out of 19672 deliveries we had 6 women wich died in pregnancy and delivery by rate of 30 death per 100 000 deliveries. Analyzed causes of death we have concluded that the most frequent causes of maternal death are eclampsia. Out of six maternal deaths, five mothers died by eclampsia and one by cardiac disease. in group wich died by eclampsia all of them had suboptimal perinatal care with 0 - 3 conlrols during the pregnancy. Out of six maternal deaths we found that four pregnancies were terminated before 37 weeks of gestation, and five pregnancie.s (ali in groııp of eclampsia) were terminated by cesarean section. One pregnancy by cardiac disease was terminated by vaginal way but she died seven days after because of cardiac decompensation.
Sonuç
Results given by this analysis confirms that maternal mortality directly depends on the development of a health care system, economic sustainabilily and quality of antenatal çare. İn order to come closure to the rates in developed countries it is necessary to improve quality of antenatal care at primary and secondary health care level.
Anahtar Kelimeler
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