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Maternal deaths associated with hypertension in South Africa: lessons to learn from the Saving Mothers report, 2005-2007.
MedLine Citation:
PMID:  21298203     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
From 2005-2007, there were 622 deaths associated with hypertensive disorders of pregnancy. Eclampsia was the major cause of death (n = 344; 55.3%). There were 173 (28.3%) deaths due to pre-eclampsia, and 38 (6.1%) associated with chronic hypertension. Cerebral complications were the final cause of death in 283 (45.5%), while cardiac failure and respiratory failure were the final causes in 142 (22.8%) and 158 (25.4%), respectively. Major problems were identified in all areas of assessment. Non-attendance for antenatal care (n = 106; 19.4%) and delay in seeking help (n = 106; 19.4%) were major patient-related factors. Communication problems (n = 63; 10.8%) and lack of facilities (n = 50; 8.5%) were health administration issues. Health worker-avoidable factors included problem recognition, delay in referral and management at an inappropriate level of healthcare. Compared to the previous report of 2002-2004, there was a reduction in deaths due to hypertension.
Authors:
J Moodley;
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  22     ISSN:  1995-1892     ISO Abbreviation:  -     Publication Date:    2011 January/February
Date Detail:
Created Date:  2011-2-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  31-35     Citation Subset:  -    
Affiliation:
Women's Health and HIV Research Group, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
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