. PowerPoint Presentation PDF Strategies to improve maternal and child health PPTX PowerPoint Presentation . Primary, secondary, and tertiary interventions to reduce ... Maternal Morbidity in Massachusetts, Massachusetts Perinatal Quality Collaborative, Powerpoint Podium Presentation, March 29, 2016. . (MDG) aims to reduce the maternal mortality ratio by 75% between 1990 and 2015. Secondary Prevention of Maternal Death - Introduction to ... Maternal Mortality 1. • National rate of maternal suicide will be reported using the Pregnancy Mortality Surveillance System (PMSS) 4/4/2019 2 Section Header Slide Title Section Header Slide Subtitle Suicide Rates-Nebraska and USA . 1. Maternal Mortality -Causes, Risk Factors and Prevention ... Sleep 2014;37:843-849. Infant mortality rate is an important marker to measure the health and wellbeing of a population (Centre for disease control and prevention, 2014). The Maternal Mortality Prevention Program and Review Committee identifies a separate mission that Pre-eclampsia/Eclampsia can be prevented and managed by: Recording and monitoring of BP and urine protein examination of all labouring women. Common themes and opportunities across HHS to address maternal health, morbidity and mortality. • The same upstream determinants and causal pathways leading to maternal mortality impact maternal morbidity and subsequent birth outcomes. The most common causes of pregnancy -related death were hemorrhage, cardiomyopathy, and cardiovascular disease. Although this figure will not be reached globally, child mortality has nevertheless been reduced by 53% over . The Centers for Disease Control and Prevention (CDC) uses International Classification of Disease codes and whether a woman is hospitalized to group examples of severe maternal morbidity (SMM). A National Problem After decades of decline, the maternal mortality rate in the United States has increased over the last 10 years. 2 Health officials report the rate of maternal mortality as how many women die for every 100,000 live births. 2. 1991. Summarizes available data on the levels and trends of maternal mortality and morbidity and their main determinants. infant and maternal mortality rates, and improve overall health and well-being. In the review, the committee identifies provider, patient, and community level contributors to the maternal death. The Texas Medical Association hosted the Maternal Mortality and Morbidity Forum in September 2017. Most efforts so far have been tertiary interventions, such as regio … Some SMM examples include heart attack, heart failure, eclampsia , sepsis/blood infection, and hysterectomy. These include: vaccination, breastfeeding, vitamin A supplementation, and All Neonatal (NN)-21.9% Pneumonia-25.5% Diarrhoea-19.7% Malaria-12.4% Malnutrition- 57 Between 1990 and 2010, maternal mortality worldwide dropped by . Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards . preventable risk factors 3. Maternal & Newborn Health WITH reference to INDIA & RAJASTHAN Dr. KANUPRIYA CHATURVEDI Post natal care for mothers Percentage of women having at least one postnatal care within two days of delivery Only 37% of women received postnatal check-ups within the recommended period of two days of delivery Source: NFHS Only one in four children in India are breastfed within 1 hour of birth Initiation . Education … Almost all of these deaths occur in developing countries. Source: Postpartum hemorrhage is the most common obstetrical complication of childbirth [].While maternal mortality in the United States attributable to hemorrhage has been decreasing, with a reported rate of 11.2% between 2011 and 2015, the incidence of hemorrhage have continued to increase [].Globally, these rates are even higher, especially in lower resource countries, but have . Giving injMgSO₄ in all mothers having Severe pre-eclampsia and . Direct Maternal Deaths 2017-19. 5. HHS: CONFRONTING THE RISE IN MATERNAL MORTALITY. Investigating Maternal Mortality in Texas 2017 briefing on DSHS MCH Epidemiology investigation of maternal deaths occurring in 2012-2015. 3 If a woman needs breathing assistance . 18 Nutrition and Micronutrients in P regnancy References (continued) Mahomed K et al. Large-scale food fortification for prevention of MN deficiencies. Latest global estimates suggest that direct (obstetric) infections are the third most common cause of maternal mortality, representing about 10.7% of deaths, almost all occurring in low- and middle-income countries . Repeated Recommendations. 7. 2008—13 from CDC WONDER, Centers for Disease Control and Prevention. Patient education on practices that reduce infections may be helpful in decreasing rates of sepsis. MATERNAL MORTALITY Introduction Definition Determinants Prevention 2. Pre-eclampsia/Eclampsia is the Second Leading Cause of Maternal Mortality - Globally and in India. Maternal mortality is higher in rural areas and poorer and less-educated communities. Report from Maternal Mortality Review Committees: A View Into Their Critical Role 8 Introduction to Maternal Mortality Review Committees There are two national sources for trends and information on maternal deaths using vital statistics data (Table 1). morbidity and mortality, with an estimated 50,000 - 60,000 preeclampsia-related deaths per year worldwide. 1 PPH is the leading cause of maternal mortality in low-income countries, and the primary cause of nearly one quarter of all maternal . Obesity and Maternal Death Louis, et al. In Latin America and the Caribbean, Community and Local Strategies to address Maternal Mortality Rates. Emerging Issues in Maternal, Infant, and Child Health. PPH is commonly defined as a blood loss of 500 ml or more within 24 hours after birth, while severe PPH is defined as a blood loss of 1000 ml or more . Causes of infant death: preterm delivery, infection, asphyxia. Prevention and management of thromboembolism. Maternal mortality has dramatically increased in the United States since the 1980s by over 150%. Eleni Z. Tsigas, Chief Executive Officer, Preeclampsia Foundation, ["Maternal Mortality Beyond the Numbers" ]; William M. Callaghan, MD MPH, Chief, Maternal and Infant Health Branch, Division of Reproduction Health, Centers for Disease Control and Prevention, ["Accounting for Maternal Deaths: Action Requires Better Data" ]; Lisa M . Causes of maternal death 2017-19. and maternal deaths will contribute to an average annual reduction in under-five mortality of two deaths per 1,000 live births in 251 U.S. Government priority countries.2 Challenges Globally, child mortality has declined by half since 1990; each day 18,000 more children and 650 more mothers will survive than in 1990. Most maternal deaths are due to causes . Sub-Saharan Africa had the highest maternal mortality ratio (MMR) in 2015, an estimated 546 maternal deaths per 100,000 live births; the MMR for high-income countries (HICs) was an estimated 17 maternal . Abstract: Biomedical interventions for major causes of morbidity and mortality in pregnancy and childbirth are discussed in this chapter, in the context of people's right to access good quality, respectful, and timely care. Risk factors for pre-eclampsia among Zimbabwean women: maternal arm circumference and other anthropometric measures of obesity. Preventable maternal mortality occurs where there is a failure to give effect to the rights of women to health, equality and non-discrimination. The UNFPA said in a separate study that in 2000, the record worsened to 200 maternal deaths for every 100,000 live births. Maternal infection is an important cause of maternal mortality and severe morbidity. Almost all of these deaths occur in developing countries. Mathematical modeling indicates (1) maternal mortality continues to decline in most countries, (2) women face the highest risk of death in the regions of Oceania and Sub-Saharan Africa, and (3) deaths due to direct causes—such as hemorrhage and hypertension—represent the main . Causes of infant death: preterm delivery, infection, asphyxia. Homicide rate among women in the perinatal period was 16% higher than in non-pregnant, non-postpartum women (P<0.05) Perinatal: 3.62 deaths per 100,000 live births. Obstructive sleep apnea and severe maternal-infant morbidity/mortality in the United States, 1998-2009. Paediatr Perinat Epidemiol 12: 253-262. 885‐893. . • Infant mental health is impacted by the loss of a parent. Reduction of maternal mortality by 75% between 1990 and 2015 is the first target of the fifth United Nations Millennium Development Goal (MDG). Medical Research Council Vitamin Study Research Group. Download PowerPoint slides of Infant Mortality Rate the State Infant Mortality Rate for. Interventions before pregnancy can increase the health and well-being of adolescents, adult women and men, and improve subsequent pregnancy and child health . 2,4 • For every preeclampsia- related death that occurs in the United States, there are probably 50 -100 other women who experience "near miss" significant maternal morbidity that stops short of Maternal Mortality in Texas, American Journal of Perinatology, 2017 — commentary on maternal mortality in response to 2016 article in Obstetrics & Gynecology; Investigating Maternal Mortality in Texas, 2017 — briefing on DSHS MCH Epidemiology investigation of maternal deaths occurring in 2012-2015 focused on informing and driving prevention. Lisa Hollier, MD, Professor of Obstetrics and Gynecology. Interventions 1 . Latest global estimates suggest that direct (obstetric) infections are the third most common cause of maternal mortality, representing about 10.7% of deaths, almost all occurring in low- and middle-income countries . 15 June 2017: Postpartum haemorrhage (PPH) is defined as a blood loss of 500 ml or more within 24 hours after birth. Interventions to reduce the morbidity and mortality of preterm birth can be primary (directed to all women), secondary (aimed at eliminating or reducing existing risk), or tertiary (intended to improve outcomes for preterm infants). If prevention is an option, why is it not more common? Maternal calcium supplementation in low intake populations . Prevention of Maternal Mortality in Nigeria: Public Health to the Rescue. Interventions In Kenya, maternal mortality remains high at 488 maternal deaths per 100,000 live births.1 While this is below the Sub-Saharan average of 640 deaths per 100,000, Kenya experiences a very slow progression in maternal health. According to the Centers for Disease Control and Prevention (CDC), between 800 and 900 women in Trends of maternal mortality in Mexico SALUD (1980 to 2008) Mexico is classified as Group A by WHO ( with good maternal death registration and good attribution of cause of death) Millennium Goal in 2015: MMR 22.3 (567 deaths) Source: Hogan M y cols. Non-pregnant, non-postpartum: 3.12 deaths per 100,000 population. Maternal mortality in the United States. as "any health condition attributed to and/or aggravated by pregnancy and childbirth that has a negative impact on the woman's wellbeing." 1. SOME FACTS 85 % women will deliver normally 10-15 % women will develop complications 3-5 % women will need surgical interventions (blood/Cesarean etc.) among women, the leading cause of maternal mortality. Recommendatoi ns to reduce maternal mortalitei s are generated based on these reviews. 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