Biomaterial Database

Maternal and infant mortality in Mahottari district of Nepal. 2010

R Shah, and M K Maskey

School of Health Sciences, Bharatpur, Chitwan, Nepal. rajani_shah89@yahoo.com

BACKGROUND Reducing maternal mortality by three quarters and under-five mortality by two-thirds between 1990 and 2015 are the targets of UN Millennium Development Goals as well as of the national safe motherhood programme of Nepal. This study was undertaken by Nepal Health Research Council mainly to identify the maternal and infant mortalities in Mahottari district. METHODS A descriptive observational study was carried out of maternal and child death over two year period before the time of survey was carried out in eleven VDCs of Mahottari District and two wards of the Jaleshwor municipality. Data were collected in three stages: first, FCHVs collected the information regarding birth, maternal and infant death, which were cross-checked later. RESULTS Maternal mortality ratio was estimated at 380 per 100,000 live births, and early neonatal mortality rate, neonatal mortality rate and infant mortality rate were found 32, 39 and 52 per 1,000 live births respectively. The highest deaths in infants were among Dalits, whereas it was among Muslims for maternal mortality. All maternal deaths occurred at a distance of more than 2 hours. Male-to-female ratio for infant mortality was 1:3. The major cause of maternal deaths was post-partum haemorrhage, while it was sepsis among infant deaths. CONCLUSIONS Both maternal mortality ratio and infant mortality rate of the district were higher than the national average and appeared commensurate with the socio-economic status and health facilities of the district when compared with another similar Terai district of Bara.

UI	MeSH Term	Description	Entries
D007226	Infant Mortality	Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.	Neonatal Mortality,Mortality, Infant,Postneonatal Mortality,Infant Mortalities,Mortalities, Infant,Mortalities, Neonatal,Mortalities, Postneonatal,Mortality, Neonatal,Mortality, Postneonatal,Neonatal Mortalities,Postneonatal Mortalities
D007231	Infant, Newborn	An infant during the first 28 days after birth.	Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297	Male		Males
D008428	Maternal Mortality	Maternal deaths resulting from complications of pregnancy and childbirth in a given population.	Mortality, Maternal,Maternal Mortalities,Mortalities, Maternal
D009390	Nepal	Country located in southern Asia, between China and India. The capital is Kathmandu.	Federal Democratic Republic of Nepal
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D003625	Data Collection	Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.	Data Collection Methods,Dual Data Collection,Collection Method, Data,Collection Methods, Data,Collection, Data,Collection, Dual Data,Data Collection Method,Method, Data Collection,Methods, Data Collection
D003906	Developing Countries	Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.	LMICs,Less-Developed Countries,Low Income Countries,Low and Middle Income Countries,Lower-Middle-Income Country,Middle Income Countries,Third-World Countries,Under-Developed Countries,Developing Nations,Least Developed Countries,Less-Developed Nations,Third-World Nations,Under-Developed Nations,Countries, Middle Income,Countries, Third-World,Country, Least Developed,Country, Less-Developed,Country, Low Income,Country, Lower-Middle-Income,Country, Middle Income,Country, Third-World,Country, Under-Developed,Developed Country, Least,Developing Country,Developing Nation,Least Developed Country,Less Developed Countries,Less Developed Nations,Less-Developed Country,Less-Developed Nation,Low Income Country,Lower Middle Income Country,Lower-Middle-Income Countries,Middle Income Country,Nation, Less-Developed,Nation, Third-World,Nation, Under-Developed,Third World Countries,Third World Nations,Third-World Country,Third-World Nation,Under Developed Countries,Under Developed Nations,Under-Developed Country,Under-Developed Nation
D005260	Female		Females
D006473	Postpartum Hemorrhage	Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).	Hemorrhage, Postpartum,Delayed Postpartum Hemorrhage,Immediate Postpartum Hemorrhage,Hemorrhage, Delayed Postpartum,Hemorrhage, Immediate Postpartum,Postpartum Hemorrhage, Delayed,Postpartum Hemorrhage, Immediate