[Prevalence of severe maternal morbidity in Tbilisi].
Cross-sectional study was performed in all maternity units of Tbilisi, Georgia, with delivering 18,554 women between 1 January 2004 and 1 January 2005. There were 267 cases of severe obstetric morbidity giving a prevalence of 14,2 per 1000 deliveries (95% CI 12,6-16,0). During the study there were 3 maternal deaths. Disease specific morbidities per 1000 deliveries were: severe pre - eclampsia - 5,0 (95% CI 4,1-6,2); hysterectomy during 24 hours after delivery - 4,5 (95% CI 3,6-5,6); hemorrhage - 2,3 (95% CI 1,7-3,1), sepsis 1,3 (95% CI 0,9-2,0); eclampsia - 0,74 (95% CI 0,44-1,25); uterine rupture - 0,16 (95% CI 0,05-0,47); HELLP-syndrome - 0,11 (95% CI 0,03-0,39). Severe obstetric morbidity and its relation to mortality may be more sensitive measures of pregnancy outcome than mortality alone and allows for an effective audit system of maternal care.
Abuladze
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Asatiani
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D005260:Female; D005846:Georgia (Republic) / Q000453:epidemiology; D006771:Hospitals, Maternity; D006801:Humans; D008428:Maternal Mortality; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000401:mortality*; D015995:Prevalence