Maternal mortality due to hypertensive disorders in pregnancy, childbirth, and the puerperium between 2012 and 2015 in Turkey: A nation-based study

Journal of the Turkish German Gynecological Association
Bekir Keskinkılıçİrfan Şencan

Abstract

To analyze maternal deaths in Turkey due to hypertensive disorders. In this retrospective study 812 maternal deaths were analyzed. Maternal demographic features, presence of antenatal care, medical and obstetric history, mode of delivery, and use emergency antihypertensive therapy were recorded. The delay model for each case was investigated. Hypertensive disorders accounted for 15.5% (n=126) out of all maternal mortality. They were the third most frequent cause among all causes and the 2nd among direct causes of maternal deaths. Sixty-one (48.4%) cases were in severe preeclampsia or pre-existing hypertensive disorder with increased/superimposed proteinuria, 30.1% were in eclampsia, 9.5% cases were diagnosed as hemolysis, elevated liver enzymes, low platelet count syndrome, and 11.1% in pre-existing hypertension complicating pregnancy, childbirth, and puerperium without increased or superimposed proteinuria. The median age was 32 years, 37.3% women were ≥35 years. All deaths except for 2 cases occurred during the postpartum period. Twenty-three percent of deaths occurred in the first 48 hours postpartum, and 51.6% between 8-42 days. Intracranial hemorrhage was the major final cause of death with a rate of 41.3%. With the except...Continue Reading

Citations

Jun 13, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Cagri GulumserIrfan Sencan
Sep 20, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mekin SezikNese Zayim
Jul 28, 2018·Case Reports in Obstetrics and Gynecology·Atakan TanacanMehmet Sinan Beksac
Mar 23, 2020·Current Hypertension Reports·Zamahlabangane MtshaliThajasvarie Naicker

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Methods Mentioned

BETA
cesarean section
cesarean

Software Mentioned

SPSS
Statistical Package for the Social Sciences
TURKSTAT

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