بررسي ميزان و علل مرگ و مير مادران در اثر عوارض مستقيم ناشي از حاملگي و زايمان در استان آذربايجان غربي در فاصله سال هاي 1376-1374

CAUSES AND RATES OF MATERNAL MORTALITY DUE TO PURE COMPLICATIONS OF PREGNANCY AND LABOUR IN WEST AZARBAIJAN (1374 - 1376)

Introduction : Based on the recent data of WHO & Unicef, annually maternal mortality rate was 585000 cases per year, with 99% of them had been happened in developing countries. Pulmonary emboli, pregnancy hypertension, hemorrhage and infection were etiological factors for mortality. Methods : This descriptive and cross sectional study evaluated causes and rates of maternal mortality in West Azarbaijan from 1374 to 1376. Results : During 3 years research, maternal mortality rate was 38.5 cases per 100000 living births. The most causes of maternal mortality were order to hemorrhage (54.6%), pregnancy hypertension (21.2%), infection (6.6%), pulmonary emboli (3.3%). Indirect causes 3.3% and unknown causes were 12%. 58.5% of dead mothers have been cared in their pregnancy term, 36.9% of them had missed care and 4.6% of them were unknown from this regard. 73.3% of pregnancy term cares have been performed by health workers, 15.8% by midwives and 15.6% by physicians. 85.5% of labours were done in vaginal method and 14.5% in cesarean. According to statments of relatives, one of them was a diabetic, two of them had diseases and two of them had heart diseases. Conclusion : According to a great gap between maternal mortality rate of West Azarbaijan (38.5 cases per 100000 living births) and global standard index (3.3-5 cases , per 100000 living births), and seriuos measure for removing this problem is necessary.