OBJECTIVES: To assess postpartum care at an international level, we reviewed published literature on postpartum maternal deaths. METHODS: Meta-analysis was used to summarize the literature reviewed. Postpartum deaths in developing countries were compared with those in the United States. RESULTS: In both developing countries and the United States, > 60% of maternal deaths occurred in the postpartum period; 45% of postpartum deaths occurred within 1 day of delivery, > 65% within 1 week, > 80% within 2 weeks. In developing countries, 80% of postpartum deaths caused by obstetric factors occurred within 1 week. CONCLUSIONS: The first 24 h postpartum and the first postpartum week is the high risk of postpartum deaths, and the risk remains significant until the second week after delivery. In developing countries, hemorrhage, pregnancy-induced hypertension complications, and obstetric infection are commonest causes of postpartum deaths. We suggest primary prevention, early detection, and secondary prevention of postpartum deaths.
OBJECTIVES: To assess postpartum care at an international level, we reviewed published literature on postpartum maternal deaths. METHODS: Meta-analysis was used to summarize the literature reviewed. Postpartum deaths in developing countries were compared with those in the United States. RESULTS: In both developing countries and the United States, > 60% of maternal deaths occurred in the postpartum period; 45% of postpartum deaths occurred within 1 day of delivery, > 65% within 1 week, > 80% within 2 weeks. In developing countries, 80% of postpartum deaths caused by obstetric factors occurred within 1 week. CONCLUSIONS: The first 24 h postpartum and the first postpartum week is the high risk of postpartum deaths, and the risk remains significant until the second week after delivery. In developing countries, hemorrhage, pregnancy-induced hypertension complications, and obstetric infection are commonest causes of postpartum deaths. We suggest primary prevention, early detection, and secondary prevention of postpartum deaths.
Authors: Sarah K Nabukera; Kim Witte; Charles Muchunguzi; Francis Bajunirwe; Vincent K Batwala; Edgar M Mulogo; Celeste Farr; Souleymane Barry; Hamisu M Salihu Journal: J Community Health Date: 2006-04
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Authors: Matthew F Chersich; Nicole Kley; Stanley M F Luchters; Carol Njeru; Elodie Yard; Mary J Othigo; Marleen Temmerman Journal: BMC Pregnancy Childbirth Date: 2009-11-05 Impact factor: 3.007
Authors: Andrea B Pembe; David P Urassa; Anders Carlstedt; Gunilla Lindmark; Lennarth Nyström; Elisabeth Darj Journal: BMC Pregnancy Childbirth Date: 2009-03-26 Impact factor: 3.007