Abstract
Purpose
To determine the incidence of maternal morbidity and to identify its main causes in Jordan.
Methods
A national cohort sample of pregnant women was enrolled before their 22nd week of gestation, and was followed-up throughout the antenatal period, labour and puerperium. A total of 4,501 women were included in the study. A total of 80 physicians were responsible for completing the questionnaire and data sheet.
Results
The overall morbidity rate was 60.8 %. The morbidity rate during the ante natal period was 41.3 %. During labour and delivery, 34.5 % of women suffered from at least one morbid condition. In the puerperium, 18.7 % of women suffered from one or more morbidities. The caesarean sections rate was 27.7 %. The prevalence of anaemia at enrolment and delivery were 20.1 and 26.3 %, respectively. The commonest morbidities of the antenatal period were urinary tract infections at 20.2 % and genital infections at 19.4 %. Parity of >4 was independently related to increased morbidity during the antenatal period and labour but not in the puerperium. There were no maternal mortalities.
Conclusions
Parity of >4 was a significant predictor of antenatal period and intrapartum morbidity. The commonest maternal morbidities were urinary tract infections, vaginal genital infections and anaemia.
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Acknowledgments
This study was funded by the United Nations Population Fund (UNFPA) as part of its cooperation with the Higher Population Council of Jordan.
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Quteitat, A., Shraideh, I., Malek, A.M.A. et al. Maternal morbidity: results of a country-wide review. Arch Gynecol Obstet 286, 1357–1362 (2012). https://doi.org/10.1007/s00404-012-2458-4
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DOI: https://doi.org/10.1007/s00404-012-2458-4