No Woman Should Die Giving Life: A Case Series Study of Maternal Mortality in Bera, Pahang

Shiz Yee Gan, MBChB, Azima Ramle, Kee Fong Tiew, Norfarahah Othman, Sharifah Amirah Syed Ab Hamid, MFamMed, Azuwa Haji Arif: No Woman Should Die Giving Life: A Case Series Study of Maternal Mortality in Bera, Pahang. 2019, (Type: POSTER PRESENTATION; Organisation: Pejabat Kesihatan Daerah Bera, Pahang, Malaysia, Klinik Kesihatan Triang, Bera, Pahang, Malaysia).

Abstract

INTRODUCTION: No woman should die giving life. Bera district has fortunately been introduced as one of the most successful districts in achievement of reduction in maternal deaths with zero case reported since 2010, but the concern raises when there were two maternal deaths in year 2018. Hence the need to investigate the roots more precisely and to plan specific strategies accordingly. METHODS: This research is a case series study. The required data were collected by referring to the medical files of the expired mothers and interviewing the related staff and family of the deceased. The causes of maternal death were determined based on clinical, non-clinical remedial factors and patient factors. RESULTS: The underlying disease status of the deceased mothers (uncontrolled Type-2 Diabetes Mellitus and Systemic Lupus Erythematosus flare) were identified as the main contributing factors of maternal deaths in this study, followed by healthcare services-related issues (lack of a follow-up system and inadequate supervision on the implementation of preconception clinics at primary healthcare setting) and sociofamilial aspects (patient’s lack of compliance with treatment for their underlying co-morbids). DISCUSSION: Preconception care is recognized to improve and optimize a woman’s health status prior to conception. This study revealed that lack of emphasis on preconception care was the most important root of defect leading to the repeatedly and potentially avoidable maternal deaths in Bera district. CONCLUSION: A comprehensive and specific plan of actions focusing on preconception services including health promotion and identification of high-risk clients is of main priority of intervention.

    BibTeX (Download)

    @proceedings{APCPH-2019-221,
    title = {No Woman Should Die Giving Life: A Case Series Study of Maternal Mortality in Bera, Pahang},
    author = {Shiz Yee Gan and MBChB and Azima Ramle and Kee Fong Tiew and Norfarahah Othman and Sharifah Amirah Syed Ab Hamid and MFamMed and Azuwa Haji Arif},
    year  = {2019},
    date = {2019-07-22},
    urldate = {2019-07-22},
    journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
    issue = {6},
    abstract = {INTRODUCTION: No woman should die giving life. Bera district has fortunately been introduced as one of the most successful districts in achievement of reduction in maternal deaths with zero case reported since 2010, but the concern raises when there were two maternal deaths in year 2018. Hence the need to investigate the roots more precisely and to plan specific strategies accordingly. METHODS: This research is a case series study. The required data were collected by referring to the medical files of the expired mothers and interviewing the related staff and family of the deceased. The causes of maternal death were determined based on clinical, non-clinical remedial factors and patient factors. RESULTS: The underlying disease status of the deceased mothers (uncontrolled Type-2 Diabetes Mellitus and Systemic Lupus Erythematosus flare) were identified as the main contributing factors of maternal deaths in this study, followed by healthcare services-related issues (lack of a follow-up system and inadequate supervision on the implementation of preconception clinics at primary healthcare setting) and sociofamilial aspects (patient’s lack of compliance with treatment for their underlying co-morbids). DISCUSSION: Preconception care is recognized to improve and optimize a woman’s health status prior to conception. This study revealed that lack of emphasis on preconception care was the most important root of defect leading to the repeatedly and potentially avoidable maternal deaths in Bera district. CONCLUSION: A comprehensive and specific plan of actions focusing on preconception services including health promotion and identification of high-risk clients is of main priority of intervention.},
    note = {Type: POSTER PRESENTATION; Organisation: Pejabat Kesihatan Daerah Bera, Pahang, Malaysia, Klinik Kesihatan Triang, Bera, Pahang, Malaysia},
    keywords = {bera, Maternal mortality, preconception},
    pubstate = {published},
    tppubtype = {proceedings}
    }