MPDR-guide-Handouts-29-april.doc - MATERNAL PERINATAL DEATH REVIEW Training Handouts Hand out 1 Definition of terms Maternal Deaths/Mortality Maternal

MPDR-guide-Handouts-29-april.doc - MATERNAL PERINATAL DEATH...

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MATERNAL PERINATAL DEATH REVIEW Training Handouts. Hand out 1: Definition of terms Maternal Deaths/Mortality: Maternal mortality is defined as the death of a woman while pregnant or within 42 days of termination of the pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management, but excluding accidental or incidental causes. Maternal Morbidity Maternal morbidity is the loss of normal physical or socio-economic function of a mother due to a pregnancy related conditions. This may be temporary or permanent. Maternal Mortality Rate Is the number of maternal deaths per 100,000 live births Maternal Mortality ratio Is the number of maternal deaths to the number of live births in a given year Direct obstetric deaths Deaths resulting from obstetric complications of the pregnant state (pregnancy, labour and puerperium), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect Obstetric deaths Deaths resulting from previous existing disease, or disease that developed during pregnancy and which was not due to direct obstetric causes, but which were aggravated by the physiologic effects of pregnancy. Live birth Is the complete expulsion or extraction from its mother of a fetus/baby of 1000 grams or 28 weeks gestation, which after such separation, shows any evidence of life or breathes, beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each fetus/ baby of such a
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birth is considered live born. The legal requirements for notification perinatal deaths vary between and even within countries. Perinatal Period This commences at 28 completed weeks of gestation and ends at seven completed days after birth. Perinatal Deaths: Perinatal deaths are the deaths that occur around the time of Birth. It includes both still births and early neonatal death up to 7 completed days after birth Perinatal mortality rates Is the number of still births and deaths within one week of birth per 1000 total live and still births, calculated as, PMR = Number of stillbirths and deaths within one week of birth x 1,000 Total births (live and still births) Early neonatal deaths: These are deaths occurring during the first seven days of life Stillbirth: This is death prior to the complete expulsion or extraction from its mother of a fetus/baby of 1000 grams or 28 weeks gestation; the death is indicated by the fact that after such separation the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles Near Miss Refers to mothers and/ or babies who have had complications but narrowly escape death Confidential Inquiry In Confidential inquiry, the review is carried out by a group of appointed Independent assessors
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  • Winter '15
  • Gerardo Dominguez

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