Obstetric deaths in Bangladesh, 1996-1997. |
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Authors: | M H Rahman H H Akhter M-E-E Khan Chowdhury H R Yusuf R W Rochat |
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Affiliation: | Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT), Dhaka, Bangladesh. |
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Abstract: | OBJECTIVES: The purpose of this study was to measure and to describe obstetric deaths in Bangladesh. METHODS: We reviewed hospital records and interviewed health workers in clinic sites and field workers who cared for pregnant women. RESULTS: We obtained case reports of 28998 deaths of women aged 10-50, of which 8562 (29.5%) were maternal deaths. Most (7086, 82.8%) of these deaths were due to obstetric causes. The most common causes of direct obstetric death were eclampsia (34.3%), hemorrhage (27.9%), and obstructed and/or prolonged labor (11.3%). National direct obstetric death rate was estimated to be 16.9 per 100,000 women. CONCLUSIONS: Efforts to reduce fertility in Bangladesh have led to an estimated 49% reduction in the maternal mortality rate per 1000 women during the past 18 years. Variations in maternal mortality suggest the need to develop local strategies to improve obstetric care. |
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Keywords: | Maternal mortality Obstetric death Contraception Bangladesh |
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