![]() ![]() From 1996 to 2006, the MCHSS covered 176 surveillance districts/counties representing approximately 80 million people with an annual number of live births ranged from 493,662 to 622,856. The process of the establishment of the NMMSS and the methods of data collection have been described in detail elsewhere. The NMMSS is part of the National Maternal and Child Health Surveillance System (MCHSS) and was established by the Chinese Ministry of Health in 1989. This study was designed as a population based study using data collected as part of the National Maternal Mortality Surveillance System (NMMSS). The aim of this present study was to analyse the MMR, demographic and pregnancy related details in women who suffered a fatal AFE in China between Januand September 30 2013. However, there has been little attention focused on AFE as a contributor to maternal mortality in developing nations.Īs countries continue to work towards reducing their maternal mortality, conditions such as AFE are likely to become more prominent as other more preventable causes decline in frequency. In contrast to developing nations, in well-resourced countries such as Australia, New Zealand and the United Kingdom AFE is a leading cause of maternal mortality. ![]() AFE is a poorly understood condition whose management requires prompt and timely access to providers with training in maternal resuscitation as well as resources to manage the potential cardiovascular, respiratory and haematological compromise. It often presents as the sudden onset of cardiovascular collapse, respiratory compromise and disseminated intravascular coagulation. Īmniotic fluid embolism (AFE) is a rare complication of pregnancy with a comparatively high mortality. The majority of the decrease in maternal mortality can be explained by a reduction in more potentially preventable causes of mortality such as haemorrhage, hypertensive disorders of pregnancy and sepsis. This has been supported by widespread media campaigns, subsidies to promote hospital based birth, infrastructure improvements as well as increased training for staff involved in the care of pregnant women. This has been in large part secondary to the transition to women giving birth in a hospital environment. Ĭhina has had well documented success in reducing their maternal mortality in line with MDG5. Throughout the world there are significant differences in the MMR secondary to a number of factors including the underlying socioeconomic state of the population, geographical location, access to contraception and access to skilled birth attendants. Currently, approximately 290,000 women die each year from pregnancy related complications. aims to reduce the maternal mortality ratio (MMR) by three quarters for the time period 1990–2015. Millennium Development Goal 5 (MDG5) aims to improve maternal health and more specifically, Target 5.A. In September 2000 the United Nations Millennium Declaration committed world leaders to improving the health and wellbeing of member states by the year 2015 through a number of specific Development Goals. Active surveillance is recommended to assess case fatality rates, risk factors and other lessons specific to this population. Maternal mortality secondary to AFE has decreased in China, however at a slower rate than mortality secondary to other conditions. The most prominent presenting features included premonitory symptoms (29 %), acute fetal compromise (28 %), maternal haemorrhage (16 %) and shortness of breath (15 %). The mean age of women who died was 30.1 years and the onset of the AFE occurred prior to delivery in 39 %. Over the same period the proportion of maternal deaths secondary to AFE increased from 6.8 to 12.5 %. Over the 17 year period the maternal mortality ratio for AFE decreased from 4.4 per 100,000 births (95 % confidence interval (CI):2.72–6.12) to 1.9 per 100,000 births (95 % CI:1.35–2.54). Data were collected onto a standardised form from women whose cause of death was listed as being secondary to AFE. MethodsĪ retrospective population based study using data collected as part of the National Maternal Mortality Surveillance System between 19. To analyse the maternal mortality ratio, demographic and pregnancy related details in women who suffered a fatal amniotic fluid embolism (AFE) in China. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |