ЭХЭМҮТ
Objectives:To determine their population`s characteristics and risk factors for maternal mortality first half year of 2014, Mongolia
Material and method: This study was carried out by qualitative and quantitative methods.
We collected some materials from all medical documents of 12 mother who died during pregnancy, delivery or the puerperium from January 2014 to June 2014, in Mongolia. Data were analyzed in order to determine population`s characteristics, causes of maternal death and related risk factors. Since the actual number of sample is small there were difficulties in estimating variable thus we explained outcome in absolute numbers.
Results: In the first half year of 2014, 40417 cases live births, 262 stillbirths and 12 cases of maternal deaths were registered in Mongolia.
Six (50.0%) women died during pregnancy, 5 women (41.6%) after giving birth, a woman (8.3%) during delivery. 50 percent (n=6) were aged between 20 and 29 years, mean age 30.5±6.9 years.
Concerning to demographic characteristics, 50% (n=6) were married, 58.4% (n=7) had primary education, 66.7 4% (n=8) unemployed. 83.3 % (n=10) of women died in aimag and city hospital,16.7 % (n=2) died at home in Ulaanbaatar. 41.7 % (n=5) of the women who died attended clinic of 3rd stage.
66.7% (n=8) of dead all mothers attended antenatal care, 87.5 % (n=7) attended first antenatal appointment at first trimester (p=0.002), 50% (n=4) of them visited to the doctors for antenatal care 6 or more.
About 50% (6 of 12) of all maternal deaths between January 2014 and June 2014 were due to direct obstetric causes and deaths due to indirect causes accounted for 50% of all deaths.
The leading causes of death were diseases of the circulatory system accounted for 25.0% (n=3) all indirect causes of maternal death, puerperal sepsis and other infection related unsafe abortion 16.7% (n=2), 16.7% eclampsia (n=2) 16.7% embolism (n=2) all direct causes of maternal death.
Conclusion: Even though number of birth increased at first half year of 2014, maternal death decreased compared to half year of 2012 and 2013. Majority of dead mothers are unemployed. The risk of pregnancy complications of mothers older than 40 years are increasing incidence of maternal death. The first antenatal appointment of dead mothers attended early in pregnancy. They visited to the doctors 6 or more. The death of a mother from complications associated with pregnancy extra genital diseases and eclampsia is expressed low quality of antenatal care.
