IDEAS home Printed from https://ideas.repec.org/a/ibn/gjhsjl/v9y2017i3p138.html
   My bibliography  Save this article

Frequency and Risk Factors Associated with Mortality in Pregnant Women in Tehran-Iran

Author

Listed:
  • Fereshteh Farzianpour
  • Khatere Ramezani
  • Najmeh Bahmanziari
  • Omolbanin Atashbahar

Abstract

BACKGROUND & OBJECTIVES- Ending mortality in pregnant women is not just a health challenge, but a development challenge. The purpose of this study was to access the frequency and risk factors associated with maternal mortality in Tehran from 2008 to 2011.METHODS- The present study was a case-control study with a population group which consists of all the women who have died since the beginning of pregnancy up to 42 days after delivery from the year 2008 to 2011 and a control group which consists of all delivered pregnant women with a perfect record in the hospitals (n=16) in Tehran from 2008 to 2011. In the case group, sampling was done through census (n = 113) and random sampling was used in the control group and 327 people were selected. Data collection tool was a record sheet consisting of two parts- demographic and risk factors associated with pregnancy which was completed using the data in the case and control groups. Finally, SPSS 22, descriptive statistics and statistical tests such as Chi-square, t-test and Fisher were used to analyze the data.RESULTS- Maternal deaths were reported in Tehran from 2008 to 2011 and the ratio was 15.8 in 100 thousand of live births during the period. Among the mothers who died, 73.5% of them were 18 to 34 years old, 1.22% were 35 years old or above and only 4.4% were less than 18 years of age. Of these mothers that died, 83.2% lived in the city and 16.8% lived in rural areas, but there were significant relationship between age, place of residence and maternal deaths. In combination with other risk factors, such as pregnancy age, pregnancy number, number of abortions, underlying medical condition, access to appropriate prenatal care, methods of delivery, factors of delivery, and the time may be between two last pregnancy, a significant difference was observed between the case and control groups, except for the distance between the two last pregnancy.CONCLUSION- Maternal mortality has been declining over the years; due to the identified factors associated with maternal death, proposed strategies, such as improving the quality of hospital services in the field of obstetric emergencies, improving the quality and coverage of prenatal care, avoidance of selective cesarean sections, identifying high risk pregnancies and referrals to specialized centers.

Suggested Citation

  • Fereshteh Farzianpour & Khatere Ramezani & Najmeh Bahmanziari & Omolbanin Atashbahar, 2017. "Frequency and Risk Factors Associated with Mortality in Pregnant Women in Tehran-Iran," Global Journal of Health Science, Canadian Center of Science and Education, vol. 9(3), pages 138-138, March.
    • Handle: RePEc:ibn:gjhsjl:v:9:y:2017:i:3:p:138
    as

    Download full text from publisher

    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/download/56044/32885
    Download Restriction: no
    File URL: http://www.ccsenet.org/journal/index.php/gjhs/article/view/56044
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. WHO & UNICEF & UNFPA & World Bank & United Nations Population Division, 2014. "Trends in Maternal Mortality : 1990 to 2013," World Bank Publications - Books, The World Bank Group, number 18203, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chaofang Yan & Charuwan Tadadej & Kanittha Chamroonsawasdi & Natkamol Chansatitporn & John FC Sung, 2020. "Ethnic Disparities in Utilization of Maternal and Child Health Services in Rural Southwest China," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    2. Patience A Afulani & Cheryl Moyer, 2016. "Explaining Disparities in Use of Skilled Birth Attendants in Developing Countries: A Conceptual Framework," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    3. Sameh El-Saharty & Naoko Ohno & Intissar Sarker & Federica Secci, 2014. "South Asia: Maternal and Reproductive Health at a Glance," Health, Nutrition and Population (HNP) Knowledge Briefs 93552, The World Bank.
    4. D. Mark Anderson & Ryan Brown & Kerwin Kofi Charles & Daniel I. Rees, 2016. "The Effect of Occupational Licensing on Consumer Welfare: Early Midwifery Laws and Maternal Mortality," NBER Working Papers 22456, National Bureau of Economic Research, Inc.
    5. Rossi, Pauline & Rouanet, Léa, 2015. "Gender Preferences in Africa: A Comparative Analysis of Fertility Choices," World Development, Elsevier, vol. 72(C), pages 326-345.
    6. Siân L Curtis & Robert G Mswia & Emily H Weaver, 2015. "Measuring Maternal Mortality: Three Case Studies Using Verbal Autopsy with Different Platforms," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-16, August.
    7. Rishworth, Andrea & Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul & Tampah Prince, Caesar, 2016. "“I was on the way to the hospital but delivered in the bush”: Maternal health in Ghana's Upper West Region in the context of a traditional birth attendants' ban," Social Science & Medicine, Elsevier, vol. 148(C), pages 8-17.
    8. Patience A Afulani, 2015. "Rural/Urban and Socioeconomic Differentials in Quality of Antenatal Care in Ghana," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-28, February.
    9. Molina, Oswaldo & Saldarriaga, Victor, 2017. "The perils of climate change: In utero exposure to temperature variability and birth outcomes in the Andean region," Economics & Human Biology, Elsevier, vol. 24(C), pages 111-124.
    10. Nickel, Sigrun & Püttmann, Vitus & Schulz, Nicole, 2018. "Trends im berufsbegleitenden und dualen Studium: Vergleichende Analysen zur Lernsituation von Studierenden und Studiengangsgestaltung," Study / edition der Hans-Böckler-Stiftung, Hans-Böckler-Stiftung, Düsseldorf, volume 127, number 396.
    11. Srinivas Goli & Moradhvaj & Anu Rammohan & Shruti & Jalandhar Pradhan, 2016. "High Spending on Maternity Care in India: What Are the Factors Explaining It?," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-17, June.
    12. Sameh El-Saharty & Naoko Ohno & Intissar Sarker & Federica Secci & Somil Nagpal, 2014. "Bhutan: Maternal and Reproductive Health at a Glance," Health, Nutrition and Population (HNP) Knowledge Briefs 93556, The World Bank.
    13. Amorim, Pedro & Curcio, Eduardo & Almada-Lobo, Bernardo & Barbosa-Póvoa, Ana P.F.D. & Grossmann, Ignacio E., 2016. "Supplier selection in the processed food industry under uncertainty," European Journal of Operational Research, Elsevier, vol. 252(3), pages 801-814.
    14. Yi Yao & Joan Schmit & Julie Shi, 2019. "Promoting sustainability for micro health insurance: a risk-adjusted subsidy approach for maternal healthcare service," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 44(3), pages 382-409, July.
    15. Henock Yebyo & Mussie Alemayehu & Alemayehu Kahsay, 2015. "Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-14, April.
    16. Theodora-Ismene Gizelis & Xun Cao, 2021. "A security dividend: Peacekeeping and maternal health outcomes and access," Journal of Peace Research, Peace Research Institute Oslo, vol. 58(2), pages 263-278, March.
    17. Modupe AYOADE, 2016. "The location of public maternal health care facilities and maternal mortality in Ibadan metropolis, Nigeria," International Journal of Social Sciences, International Institute of Social and Economic Sciences, vol. 5(4), pages 1-18, November.
    18. Heman D. Lohano, "undated". "Weather Variability, Agricultural Revenues and Internal Migration: Evidence from Pakistan," Working papers 99, The South Asian Network for Development and Environmental Economics.
    19. Zohra S. Lassi & Sophie G. E. Kedzior & Wajeeha Tariq & Yamna Jadoon & Jai K. Das & Zulfiqar A. Bhutta, 2021. "Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low‐ and middle‐income countries: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    20. Ionescu, Felicia & Simpson, Nicole, 2016. "Default risk and private student loans: Implications for higher education policies," Journal of Economic Dynamics and Control, Elsevier, vol. 64(C), pages 119-147.

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ibn:gjhsjl:v:9:y:2017:i:3:p:138. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Canadian Center of Science and Education (email available below). General contact details of provider: https://edirc.repec.org/data/cepflch.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.