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Articolul urmator |
900 7 |
Ultima descărcare din IBN: 2022-10-08 19:51 |
Căutarea după subiecte similare conform CZU |
618.5:314.42(478) (2) |
Științe medicale. Medicină (11142) |
Demografie. Studiul populației (816) |
SM ISO690:2012 DONDIUC, Iurie, UŞANLÎ, Alina, GUŢU, Eugen. Evaluarea mortalităţii materne în Republica Moldova în anul 2015. In: Buletin de Perinatologie, 2016, nr. 4(72), pp. 16-22. ISSN 1810-5289. |
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Buletin de Perinatologie | |||||||
Numărul 4(72) / 2016 / ISSN 1810-5289 | |||||||
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CZU: 618.5:314.42(478) | |||||||
Pag. 16-22 | |||||||
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Introduction: Maternal mortality is an important demographic indicator, reflecting the interaction between several key factors: social, economic, environmental, medical and organizational circumstances [4,3]. Thus, it reflects not only the state of somatic and reproductive health of women, quality obstetrics and obstetrical activity of institutions, but also the efficiency of the health system as a whole. In the Republic of Moldova, this problem continues to be actual and maternal mortality rate remains unacceptably high due to the ongoing crisis. [2] Purpose: To estimate maternal deaths recorded in 2015 and identify the risk factors, structure and some clinical aspects. Materials and Methods: Prospective analysis of 12 cases of maternal mortality in the Republic of Moldova was carried out for 2015. The collection of materials was conducted using questionnaires. Processing of the data were performed using the application package software SPSS 20 and Microsoft Excel 2010. Results: The analysis of the age structure revealed that in most cases maternal deaths occurred at the age of 30-39 (75%) years. By assessing social status – 66,7% proved to be unemployed and 83.3% of the cases occurred in the rural areas. Maternal mortality cases at home, remains considerably high – 25% (3). An overall important factor is the prevalence of multiparas’ mortality (41.6%). Every second woman during pregnancy had complications with 2-3 pathologies. Four patients had problems during childbirth and that was the reason for caesarean section in a matter of urgency in 33.3% of cases. The direct causes of maternal mortality amounted to 33.3%, while indirect causes – 66.7% of cases. Conclusion: Maternal mortality in the Republic of Moldova remains high and does not tend to have a steady decline in the last decade. The vast majority of the dead women were residents of rural areas with poor socio-economic status. There is also a high maternal mortality rate for cases occurred outside medical institutions (25%). The study shows that 50% of deaths in 2015 were preventable, 41.7% – conditionally preventable and only in 1 case, unavoidable. |
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Cuvinte-cheie Maternal mortality, structure, causes, prevalence, prediction |
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