MyMedR

Fulltext Study of maternal deaths in Kerian (1976 - 1980)

Yadav H

Med J Malaysia, 1982 Jun;37(2):165-9.

Maternal deaths in Kerian district during a 5 year period (1976-1980) is described. There were 35 maternal deaths in all and Malays constituted the majority 32 (91.4 percent). Most of the women were of low socio-economic status and only 20 percent had some formal education. The women were mainly multigravida and majority of them 20 (57.2 percent) were between 31-40 years of age. The main cause of death being PPH and PPH with retained placenta. Most of them died at home and were attended to by TBAs. The need to identify, train and utilise TBAs has been realised as they delivered about 41.4 percent of the deliveries in Kerian in 1976.

Matched MeSH terms: Maternal Mortality*

Maternal deaths

LLEWELLYN-JONES D

Med J Malaya, 1958 Sep;13(1):103-8.

PMID: 13589379

Matched MeSH terms: Maternal Mortality*

The prevention of maternal death

LLEWELLYN-JONES D

Med J Malaya, 1957 Jun;11(4):291-9.

PMID: 13482565

Matched MeSH terms: Maternal Mortality*

Prolapse and presentation of the umbilical cord

LLEWELLYN-JONES D

Med J Malaya, 1958 Sep;13(1):70-3.

PMID: 13589373

Matched MeSH terms: Maternal Mortality*

Shared commitment to women's health abroad and at home

Sebelius K

Lancet, 2013 May 18;381(9879):1689.

PMID: 23683615 DOI: 10.1016/S0140-6736(13)60905-8

Matched MeSH terms: Maternal Mortality*

Fulltext Metasynthesis: Experiences of Women with Severe Maternal Morbidity and Their Perception of the Quality of Health Care

Norhayati MN, Surianti S, Nik Hazlina NH

PLoS One, 2015;10(7):e0130452.

PMID: 26132107 DOI: 10.1371/journal.pone.0130452

To explore the experiences of women with severe maternal morbidity and their perception of the quality of health care.

Matched MeSH terms: Maternal Mortality*

Fulltext Anaesthetic related maternal deaths in Malaysia--a review

Dalina AM, Inbasegaran K

Med J Malaysia, 1996 Mar;51(1):52-63.

PMID: 10967980

The anaesthetic hazards for the obstetric patient are well known. Based on results of the first two reports on the confidential enquiry into maternal deaths in Malaysia for 1991 and 1992, ten cases of anaesthetic related deaths were analysed. There were 3 in 1991 and 7 in 1992 accounting for 1.34% and 2.8% of maternal deaths respectively. It was estimated that the crude mortality rate for the obstetric patient was 11.4 per 100,000 operative deliveries or a four-fold risk compared to the general surgical patient. One case resulted from administration of intravenous sedation while the rest involved general anaesthesia, seven of which were done under emergency conditions. Inadequate airway management and ventilation in the perioperative period, including during interhospital transfer was the single most important factor causing the majority of these deaths. The use of regional anaesthesia for Caesarean sections is strongly advocated. Substandard care was also present in all cases. Other issues pertinent to improvement of obstetric anaesthetic services are also discussed which include the quality of anaesthetic manpower, upgrading of infrastructure, facilities and staffing of operating and recovery areas, the use of regional anaesthesia, expanding the role of the anaesthetist and the quality of the anaesthetic services in general.

Matched MeSH terms: Maternal Mortality*

The problem of postpartum haemorrhage in the Malaysia-Singapore region

Sinnathuray TA

Med J Malaya, 1972 Sep;27(1):57-62.

PMID: 4264827

Matched MeSH terms: Maternal Mortality*

Maternal mortality amongst the rural Malays

Yusof K

Med J Malaysia, 1974 Mar;28(3):149-53.

PMID: 4278186

Matched MeSH terms: Maternal Mortality*

Hazards of childbirth in West Malaysia

Lourdenadin S

Med J Malaya, 1969 Jun;23(4):239-43.

PMID: 4242166

Matched MeSH terms: Maternal Mortality*

Maternal mortality from septic abortions in University Hospital, Kuala Lumpur from March 1968 to February 1974

Ng KH, Sinnathuray TA

Med J Malaysia, 1975 Sep;30(1):52-54.

PMID: 1207533

Matched MeSH terms: Maternal Mortality*

Modifications in food selection observed by Malay women during pregnancy and after confinement

MILLIS J

Med J Malaya, 1958 Dec;13(2):139-44.

PMID: 13632211

Matched MeSH terms: Maternal Mortality*

Maternal mortality in Cambodia, Thailand, Malaysia and Sri Lanka: a systematic review of local and national policy and practice initiatives

McArthur A, Lockwood C

JBI Libr Syst Rev, 2010 1 1;8(16 Suppl):1-10.

PMID: 27820572

Matched MeSH terms: Maternal Mortality*

Maternal mortality among South Indian estate women

Reed JG

Journal of the Malaya Branch of the British Medical Association, 1940;4:13-32.

Matched MeSH terms: Maternal Mortality

Venous thromboembolism and pregnancy: A review of the literature

Abdelhafez MM, Ahmed KA, Daud MN, Eldiasty AM, Amri MF, Jeffree MS, et al.

Afr J Reprod Health, 2023 May;27(5):81-94.

PMID: 37584933 DOI: 10.29063/ajrh2023/v27i5.8

This review aims to provide the mother carers with the most recent evidence-based guidelines in the context of managing of pregnancy-associated VTE, where an extensive search through the medical journals addressing the topic including the medical database such as Pubmed, Medline, Sience direct,Embase and others using the title and key-words in order to gather the most concerned as well as the up-to-date publications concerned with the problem under research, the search resulted in recognising pregnancy as a significant risk factor for the development of VTE, both during the prenatal and postnatal periods, with an estimated increased likelihood risk of five and sixty times, respectively and concluded that venous thromboembolism (VTE) is one of the leading causes of maternal mortality hence, all pregnant women should be assessed for the risk of developing the condition as early as possible (when scheduling a booking antenatal appointment) or even in the pre-pregnancy clinic.

Matched MeSH terms: Maternal Mortality

Fulltext Perioperative mortality review in relation to pregnancy-related deaths

Achanna KS, Zaleha AM, Sachchithanantham, Farouk AM

Med J Malaysia, 2006 Aug;61(3):312-9.

PMID: 17240582 MyJurnal

Pregnancy-related deaths in four published perioperative mortality review reports were analysed. The aim is to look at the quality of surgical and anaesthetic services along with the perioperative care provided. The audit identified shortfalls in the logistic and support services and recommended remedial strategies. The review was conducted by a committee consisting of practising anaesthetists, surgeons and obstetricians who analysed the questionnaires collectively. A consensus was reached to categorise the death. There were 280 pregnancy-related deaths. Post-partum haemorrhage accounted for 31.8%, followed by hypertensive disorders of pregnancy (20.0% obstetric embolism (16.1%), sepsis (10.7%) and associated medical conditions (21.4%). In brief, there were comings in preoperative, intra-operative and post-operative care in some of the cases. Increased consultant input, clinical audit, improvements in monitoring and expansion of critical care facilities were the integral issues recommended.

Matched MeSH terms: Maternal Mortality*

Maternal mortality rate in the Obstetric Unit of University Kebangsaan Malaysia: 1981-1990

Abdullah A, Mahmood JH, Adeeb N

J Obstet Gynaecol (Tokyo 1995), 1995 Jun;21(3):299-303.

PMID: 8590370

This paper analyses maternal mortality as seen in the Obstetric Unit of the University Kebangsaan Malaysia. During the 10 year study period, the maternal mortality rate was 74/100,000 total births. Women who were non-booked, aged above 40 years, gradmultiparous and of India ethnicity were at the highest risk of maternal death. The commonest causes of death were hemorrhage, hypertension, embolism and sepsis. Post-mortem examinations were performed in only 8.2% of women who died.

Matched MeSH terms: Maternal Mortality*

Maternal mortality in the government hospitals, West Malaysia 1967-1969

Ariffin Bin Marzuki, Thambu JA

Med J Malaysia, 1973 Mar;27(3):203-6.

PMID: 4268925

Matched MeSH terms: Maternal Mortality*

Fulltext Severe maternal morbidity and its associated factors: A cross-sectional study in Morang district, Nepal

Rajbanshi S, Norhayati MN, Nik Hazlina NH

PLoS One, 2021;16(12):e0261033.

PMID: 34971558 DOI: 10.1371/journal.pone.0261033

BACKGROUND: Understanding maternal morbidity and its determinants can help identify opportunities to prevent obstetric complications and improvements for maternal health. This study was conducted to determine the prevalence of severe maternal morbidity (SMM) and the associated factors.

METHODS: A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal, from January to March 2020. All women who met the inclusion criteria of age ≥18 years of age, Morang residents of Nepalese nationality, had received routine antenatal care, and given birth at Koshi Hospital were recruited consecutively. The World Health Organization criteria were used to identify the women with SMM. A multiple logistic regression analysis was performed. Overall, 346 women were recruited.

FINDINGS: The prevalence of SMM was 6.6%. Among the SMM cases, the most frequently occurring SMM conditions were hypertensive disorders (12, 56.5%), hemorrhagic disorders (6, 26.1%), and severe management indicators (8, 34.8%). Women with no or primary education (adjusted odds ratio: 0.10, 95% confidence interval: 0.01, 0.76) decreased the odds of SMM compared to secondary education.

CONCLUSION: The approximately 7% prevalence of SMM correlated with global studies. Maternal education was significantly associated with SMM. If referral hospitals were aware of the expected prevalence of potentially life-threatening maternal conditions, they could plan to avert future reproductive complications.

Matched MeSH terms: Maternal Mortality*

Fulltext Maternal Mortality Review: A case of pulmonary haemorrhage due to ruptured lung haemangioma secondary to Ghon's focus invasion

Paranthaman V, Subashini A

Med J Malaysia, 2014 Feb;69(1):35-6.

PMID: 24814628

Haemangioma can be present in the lung but rarely causes complications unless there is a bleed. Ghon's focus is a result of post primary tuberculosis. It is a caseating granuloma which invades the surrounding tissue. It is usually benign and may resolve spontaneously without causing complications or active tuberculosis. This case illustrates an unfortunate patient who had a pre-existing haemangioma in the lung which was in close proximity of a Ghon's focus that had invaded on to the haemangioma leading to haemorrhage causing death. This study seeks to highlight the importance of conducting a full post mortem in cases of maternal mortality.

Matched MeSH terms: Maternal Mortality

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