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Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq

BACKGROUND: Complications during pregnancy and childbirth are a leading cause of death and disability among women in developing countries. The target for mortality reduction is important, yet accurate data of maternal mortality remains challenging as reporting errors including misclassification of c...

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Autores principales: Ghalib Yassin, Batool Ali, Hassan AL-Safi, Aliaa Makki, AL-Saneed, Enaam Hasson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400346/
https://www.ncbi.nlm.nih.gov/pubmed/36034240
http://dx.doi.org/10.4103/ijcm.ijcm_571_21
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author Ghalib Yassin, Batool Ali
Hassan AL-Safi, Aliaa Makki
AL-Saneed, Enaam Hasson
author_facet Ghalib Yassin, Batool Ali
Hassan AL-Safi, Aliaa Makki
AL-Saneed, Enaam Hasson
author_sort Ghalib Yassin, Batool Ali
collection PubMed
description BACKGROUND: Complications during pregnancy and childbirth are a leading cause of death and disability among women in developing countries. The target for mortality reduction is important, yet accurate data of maternal mortality remains challenging as reporting errors including misclassification of cause of death continue to pose a major challenge. OBJECTIVES: This study aimed to identify if there is any discrepancy between clinical and autopsy causes of maternal death. METHODS: A review of all maternal deaths records that had two sources for registered cause of death; one made by the obstetrician depending on clinical setting and the other by forensic medicine after autopsy and search for any discrepancies between the two sources. RESULTS: A total of 468 maternal death reports were reviewed; the discrepancies were more with the second commonest cause of maternal death in Iraq which is pulmonary embolism. The review revealed that 10.1% of those clinically died because of pulmonary embolism turned to be dead from other causes; 8.7% of them from postpartum hemorrhage, and the rest from sepsis and other indirect causes. CONCLUSION: There is a substantial discrepancy between clinical and autopsy causes of maternal death which necessitates asking for autopsy in cases of maternal mortality of uncertain cause. The use of maternal death review within 3–6 weeks of death as a tool to identify causes of maternal deaths is recommended.
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spelling pubmed-94003462022-08-25 Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq Ghalib Yassin, Batool Ali Hassan AL-Safi, Aliaa Makki AL-Saneed, Enaam Hasson Indian J Community Med Original Article BACKGROUND: Complications during pregnancy and childbirth are a leading cause of death and disability among women in developing countries. The target for mortality reduction is important, yet accurate data of maternal mortality remains challenging as reporting errors including misclassification of cause of death continue to pose a major challenge. OBJECTIVES: This study aimed to identify if there is any discrepancy between clinical and autopsy causes of maternal death. METHODS: A review of all maternal deaths records that had two sources for registered cause of death; one made by the obstetrician depending on clinical setting and the other by forensic medicine after autopsy and search for any discrepancies between the two sources. RESULTS: A total of 468 maternal death reports were reviewed; the discrepancies were more with the second commonest cause of maternal death in Iraq which is pulmonary embolism. The review revealed that 10.1% of those clinically died because of pulmonary embolism turned to be dead from other causes; 8.7% of them from postpartum hemorrhage, and the rest from sepsis and other indirect causes. CONCLUSION: There is a substantial discrepancy between clinical and autopsy causes of maternal death which necessitates asking for autopsy in cases of maternal mortality of uncertain cause. The use of maternal death review within 3–6 weeks of death as a tool to identify causes of maternal deaths is recommended. Wolters Kluwer - Medknow 2022 2022-07-11 /pmc/articles/PMC9400346/ /pubmed/36034240 http://dx.doi.org/10.4103/ijcm.ijcm_571_21 Text en Copyright: © 2022 Indian Journal of Community Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ghalib Yassin, Batool Ali
Hassan AL-Safi, Aliaa Makki
AL-Saneed, Enaam Hasson
Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title_full Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title_fullStr Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title_full_unstemmed Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title_short Autopsy versus Clinical Decisions Regarding Causes of Maternal Death in Iraq
title_sort autopsy versus clinical decisions regarding causes of maternal death in iraq
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400346/
https://www.ncbi.nlm.nih.gov/pubmed/36034240
http://dx.doi.org/10.4103/ijcm.ijcm_571_21
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