Thursday, April 11, 2013
Daily Times
WHO declares anaemia the most prevalent maternal complication
ISLAMABAD: The World Health Organisation’s (WHO’s) multi-country survey on maternal and newborn health on Wednesday claimed that anaemia, postpartum haemorrhage and pre-eclampsia were the most prevalent maternal complications.
Sharing the results of the WHO survey at the report dissemination ceremony, the head of the Department, Mother and Child Health (MCH) Centre of the Pakistan Institute of Medical Sciences (PIMS), Prof Dr Syeda Batool Mazhar, informed the participants that severe maternal illness occurred at the rate of 12 per 1,000 live births ratio.
She said that severe anaemia occurred in 50.0 percent, postpartum haemorrhage in 48.5 percent and pre-eclampsia in 9.1 percent of the women with severe maternal outcomes.
Prof Dr Syeda Batool Mazhar said cardiovascular, respiratory and haematologic dysfunctions were the most prevalent among women in Pakistan with severe maternal outcomes, with rates ranging from 34.1 percent to 59.1 percent.
She said that the overall caesarean section rate was 34.5 percent, while the prevalence of low birth weight and pre-term births were 10.9 percent and 11.2 percent, respectively.
Pre-term births, foetal and neonatal deaths occurred at increased rates in women with severe maternal outcomes as compared to all women.
She said there were 94 maternal near-miss mortality cases and 38 maternal deaths, giving a maternal mortality ratio of 299 per 100,000 births. Proportion of maternal deaths assisted without ICU admission was 44.7 percent.
She said that the prevention of postpartum haemorrhage by any uterotonic was 98.2 percent. Among target population, 80.9 percent of women had prophylactic antibiotic during caesarean section, 93.3 percent received magnesium sulfate for eclampsia and 57.7 percent of the women who had a pre-term delivery after three hours of hospital stay received corticosteroids for fetal lung maturation.
Prof Batool said that implementing the systematic identification of near-miss cases, mapping the use of critical interventions and analysing the corresponding indicators are just the initial step for using the maternal near miss concept as a tool to improve maternal and newborn’s health.
She said these findings would be a good starter for a more comprehensive dialogue with governments, professional and civil societies, health systems or facilities for promoting best practices, improving quality of care and achieving better health for mothers and children.
She said that the survey was conducted simultaneously in 357 health facilities from 29 countries and a total of 314,623 women were included in this study.
She said this project is the result of an international collaborative effort carried out by a large group of institutions and researchers members of the WHO Multi-country Survey on Maternal and Newborn Health Research Group.
She said that from Pakistan, 16 facilities took part in the study from Punjab, Sindh and the federal capital, including the Rawalpindi Medical College allied hospitals, PIMS, FGSH (Polyclinic), Services Hospital Lahore, Civil Hospital Karachi, Civil Hospital Jaccobabad, Nishtar Hospital Multan, Bahawalpur Victoria Hospital, DHQ Hospital Toba Tek Singh, THQ Hospital Murid ke, Sheikh Zayed Hospital Lahore, Sobhraj Hospital Karachi, Korangi Hospital Karachi, Qatar Hospital Karachi, Taluka Hospital Rohri and Civil Hospital Badin.
She said the survey was aimed at determining the occurrence and management of maternal and neonatal conditions highly associated with maternal and neonatal mortality in a network of health facilities. Ministry of Capital Administration and Development Director General (Health) Prof Iftikhar Ahmed Khan said awareness had to be created amongst masses that women’s health was pivotal for smooth running of household. He said that healthy mothers would bring forth healthy children.
PIMS Administrator Prof Mohammad Iqbal Memon said that the hospital had contributed to mother and newborn health at all levels.
He added that training courses for doctors, nurses, LHV’s, CMW and master trainers working in periphery were being held from time to time. app
Sharing the results of the WHO survey at the report dissemination ceremony, the head of the Department, Mother and Child Health (MCH) Centre of the Pakistan Institute of Medical Sciences (PIMS), Prof Dr Syeda Batool Mazhar, informed the participants that severe maternal illness occurred at the rate of 12 per 1,000 live births ratio.
She said that severe anaemia occurred in 50.0 percent, postpartum haemorrhage in 48.5 percent and pre-eclampsia in 9.1 percent of the women with severe maternal outcomes.
Prof Dr Syeda Batool Mazhar said cardiovascular, respiratory and haematologic dysfunctions were the most prevalent among women in Pakistan with severe maternal outcomes, with rates ranging from 34.1 percent to 59.1 percent.
She said that the overall caesarean section rate was 34.5 percent, while the prevalence of low birth weight and pre-term births were 10.9 percent and 11.2 percent, respectively.
Pre-term births, foetal and neonatal deaths occurred at increased rates in women with severe maternal outcomes as compared to all women.
She said there were 94 maternal near-miss mortality cases and 38 maternal deaths, giving a maternal mortality ratio of 299 per 100,000 births. Proportion of maternal deaths assisted without ICU admission was 44.7 percent.
She said that the prevention of postpartum haemorrhage by any uterotonic was 98.2 percent. Among target population, 80.9 percent of women had prophylactic antibiotic during caesarean section, 93.3 percent received magnesium sulfate for eclampsia and 57.7 percent of the women who had a pre-term delivery after three hours of hospital stay received corticosteroids for fetal lung maturation.
Prof Batool said that implementing the systematic identification of near-miss cases, mapping the use of critical interventions and analysing the corresponding indicators are just the initial step for using the maternal near miss concept as a tool to improve maternal and newborn’s health.
She said these findings would be a good starter for a more comprehensive dialogue with governments, professional and civil societies, health systems or facilities for promoting best practices, improving quality of care and achieving better health for mothers and children.
She said that the survey was conducted simultaneously in 357 health facilities from 29 countries and a total of 314,623 women were included in this study.
She said this project is the result of an international collaborative effort carried out by a large group of institutions and researchers members of the WHO Multi-country Survey on Maternal and Newborn Health Research Group.
She said that from Pakistan, 16 facilities took part in the study from Punjab, Sindh and the federal capital, including the Rawalpindi Medical College allied hospitals, PIMS, FGSH (Polyclinic), Services Hospital Lahore, Civil Hospital Karachi, Civil Hospital Jaccobabad, Nishtar Hospital Multan, Bahawalpur Victoria Hospital, DHQ Hospital Toba Tek Singh, THQ Hospital Murid ke, Sheikh Zayed Hospital Lahore, Sobhraj Hospital Karachi, Korangi Hospital Karachi, Qatar Hospital Karachi, Taluka Hospital Rohri and Civil Hospital Badin.
She said the survey was aimed at determining the occurrence and management of maternal and neonatal conditions highly associated with maternal and neonatal mortality in a network of health facilities. Ministry of Capital Administration and Development Director General (Health) Prof Iftikhar Ahmed Khan said awareness had to be created amongst masses that women’s health was pivotal for smooth running of household. He said that healthy mothers would bring forth healthy children.
PIMS Administrator Prof Mohammad Iqbal Memon said that the hospital had contributed to mother and newborn health at all levels.
He added that training courses for doctors, nurses, LHV’s, CMW and master trainers working in periphery were being held from time to time. app
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