Women age as a risk factor for maternal, fetal, neonatal and infant mortality

1. CAUSES

1.1. Postpartum hemorrhage

1.2. Cardiovascular events

1.3. Maternal obesity

1.4. Advanced maternal age

1.5. Use of assisted reproductive technology

1.6. Increased incidence of type II diabetes and hypertension

2. IMPROVING MATERNAL OUTCOMES

2.1. 4 R’s

2.1.1. Readiness of the medical unit

2.1.2. Recognition of high risk patients

2.1.3. Standardized team response to the emergency

2.1.4. Reporting with a post-event debrief to assess for systems issues

3. SUMMARY

3.1. decreased maternal mortality worldwide

3.2. As healthcare providers, we are responsible for facilitating quality improvement in our hospitals

3.3. Education, increase in the number of skilled providers

3.4. Not all maternal deaths are preventable

4. WHAT IS MATERNAL DEATH?

4.1. The maternal mortality ratio (MMR) is the annual number of maternal deaths per 100 000 pregnant women

4.1.1. includes all pregnancy related mortality up to 365 days after miscarriage, termination, ectopic, intrauterine demise, or viable birth

5. RECOMMENDATIONS

5.1. Populations at high risk for maternal mortality need sexual health education and access to reliable forms of contraception.

5.2. Obstetrical hemorrhage protocol and then practicing it as a training drill in a team approach will markedly increase patient safety

5.3. With targeted interventions, education, and increases in health care resources, we can aim for a further reduction in the global MMR

5.4. Midwifery education