The study of factors , causes and maternal deaths situation , Mae

Abstract

The objective of this study: factors, causes and maternal deaths situation, Mae Hong Son province were 1) to study the situation of maternal mortality in Mae Hong Son 2) to assess factors associated with maternal deaths due to pregnancy and childbirth. The population were all the maternal death in 2011–2015. This research is a retrospective descriptive study, reported the maternal deaths data and the evaluation criteria of the hospital delivery room (Department of Health, Ministry of Public Health. The instrument of this study were 1) Record Report Form ก-1 (maternal mortality and infant mortality, perinatal data) 2) Record reported form on maternal and child health (mothernal and child health situation, Mae Hong Son province) 3) evaluation the quality of delivery room. The retrospective data collection from  (1) the maternal mortality and infant mortality (ก-1) (2) The Maternal and Child Health report, Mae Hong Son (3) The result of the delivery room quality in 7 hospitals and used the cross evaluation technical during April - June 2016.

The result of this study found that since the year 2011 – 2015; there had mothers die from pregnancy and childbirth including 7 cases or 1.4 case per year and representing a maternal mortality ratio 56.5, 51.15, 24.73, 58.82 and 0 and however, it can see that maternal deaths are likely to decrease in Mae Hong Son. The area that has the highest of maternal death were Muang district and Maesariang District But no evidence at Pai and Maelanoi District. The cause of maternal death were: first; postpartum hemorrhage(57.14%), the minor cause ; infection (28.57%) and the Amniotic fluid embolism (14.28%). In addition to the duration of maternal mortality was delivery period (57.14%), followed during pregnancy period (28.57%). The mostof maternal deaths often living in areas of mountain (71.43 %), followed by the foreign population living in camps and refugees from the area boundaries of Mae Hong Son and the Union of Myanmar (28.57%). However the another factors found that the family communication, Community were very important issue such as the family care, the referral system in the community, as well as the decision to give birth at the hospital is better than at home because it can helping to reduce maternal and childbirth deaths due to the delayed delivery from the difficulty of mountain areas.

The result of the delivery room quality assessment found that every hospital has a blood Bank reserves but it does not meet the minimum criteria prescribed in the province. Community Hospital has the sterile operating rooms and surgical instruments for the cesarean section and hysterectomy. On the other hand in fact the district hospital had no surgery cause there are no specialized doctors. However; a team of rescuers in every hospital can help mothers and babies. For the standard admission record form showed that they was not recording in the same standard while the most hospital provides delivery room quality accurate checklist guideline. Every hospital have the prevention of postpartum hemorrhage treatment by use the regional postpartum hemorrhage guideline, they have the referral system for complications mothers to be safely , use the collecting , analysis and data utilized.