Maternal mortality in Bahrain 1987-2004: an audit of causes of avoidable death.
The aim of this report was to establish the national maternal mortality rate in Bahrain over the period 1987-2004, to identify preventable factors in maternal deaths and to make recommendations for safe motherhood. There were 60 maternal deaths out of 243 232 deliveries giving an average maternal mortality rate of 24.7 per 100 000 total births. The main causes of death were sickle-cell disease (25.0%), hypertension (18.3%), embolism (13.3%), haemorrhage (13.3%), heart disease (11.7%), infection (8.3%) and other (10.0%). In an audit of care, 17 (28.3%) out of 60 deaths were judged to be avoidable, nearly half of which were due to a shortage of intensive care beds. We recommend that a confidential enquiry of maternal deaths be conducted at the national level every 3 to 5 years.
Sandhu
A K
AK
Department of Obstetrics and Gynaecology, Salmaniya Medical Centre, Ministry of Health, Bahrain. sandhuak@batelco.com.bh
Mustafa
F E
FE
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001445:Bahrain / Q000453:epidemiology; D015984:Causality; D002423:Cause of Death / Q000639:trends*; D036861:Delivery, Obstetric / Q000401:mortality; D005260:Female; D017052:Hospital Mortality / Q000639:trends; D006772:Hospitals, Military / Q000458:organization & administration; D006779:Hospitals, Public / Q000458:organization & administration; D006801:Humans; D008423:Maternal Age; D008427:Maternal Health Services / Q000458:organization & administration*; D008428:Maternal Mortality / Q000639:trends*; D008429:Maternal Welfare / Q000706:statistics & numerical data; D008485:Medical Audit; D020380:Needs Assessment / Q000458:organization & administration*; D010349:Patient Compliance; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000401:mortality / Q000517:prevention & control; D011250:Pregnancy Complications, Hematologic / Q000401:mortality / Q000517:prevention & control; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000517:prevention & control