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Maternal

Maternal. Mortality. In. Palestine. By. Hisham. El- Nana. Objectives. Discuss the definition of MMR Discuss the deaths among Palestinian women in reproductive ages- Report 2008 Discuss MMR in Developing countries Reports from Governmental Hospitals in West Bank

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Maternal

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  1. Maternal Mortality In Palestine By Hisham El- Nana

  2. Objectives • Discuss the definition of MMR • Discuss the deaths among Palestinian women in reproductive ages- Report 2008 • Discuss MMR in Developing countries • Reports from Governmental Hospitals in West Bank • National Maternal Mortality Committee chaired by MOH, UNRWA, NGOs, Association OB/ Gyn • Questionnaire for women deaths in reproductive age- 15 – 49 y • Emphasize the importance of obstetric care & protocols

  3. Maternal Mortality Rate The number of maternal deaths per 100 000 of live births Those related to obstetric complications during pregnancy, labour,or puerperium( 6 weeks) Direct causes Those associated with a disorder exacerbated by pregnancy Indirect causes Coincidential( Fortuitous) Unrelated to pregnancy but occur during Late deaths Occur after 42 days from delivery

  4. Maternal Mortality in Developing Countries Everyday, 1500 women die from pregnancy or childbirth related complications. In 2005 there were an estimated 536 000 maternal deaths worldwide. A total 99% of all maternal deaths occur in developing countries The maternal mortality ratio in developing countries is 450 deaths per 100 000 live births versus 9 in developed countries

  5. Maternal Mortality in 2005

  6. Maternal deaths in Developing Countries

  7. Introduction In Palestine 22% of almost 3.5 million population are women of child-bearing age. .Fertility rate in West Bank is 3.3 .Maternal mortality is improperly reported . In joint reports by WHO , UNFPA, UNICEF the MMR in Palestine is 70-80 in 1995 100 in 2000 24 in 2002 . A Review by Dr. Nadim Adily on Palestine RefugeeReported an estimate of MMR is 22.4 between 1995- 2002

  8. Maternal Deaths amog women in reproductive age report 2008 West Bank Total 154 Deaths

  9. Maternal mortality rate in West Bank 2008

  10. Maternal deaths in 5 Govermental Hospital 1998-2008 Hospital Deliveries/ Year Maternal deaths

  11. MMR according to head of dept. 9.2 / 100 000 23 maternal deaths from 250000 deliveries

  12. Amiotic fluid embolism UK West Bank

  13. Places of Maternal deaths 2 % 23 % 75 %

  14. Parity of Maternal deaths

  15. MMR in UK 2003- 2005 Epidemiology In the last reported triennium 295 women died from causes directly or indirectly related to their pregnancy.2 More than two million mothers gave birth in the United Kingdom (UK) between the years 2003-05. 132 died of conditions that could only occur in relation to pregnancy (Direct deaths) 163 died of underlying medical or psychiatric causes e.g. heart disease or severe depression that were worsened by their pregnancy (Indirect deaths) Incidence The mortality rate for Indirect causes of death was 7.71 per 100,000 maternities (compared to 7.76 in 2000-2002).2 The mortality rate for maternal deaths from Direct causes of death was 6.24 per 100,000 maternities (compared to 5.31 in 2000-2002).

  16. MMR in UK 2003- 2005

  17. MMR in UK 2003- 2005

  18. Messages MOH Doctors Protocols

  19. National Maternal Mortality Committe

  20. GOD BLESS

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