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Before the invention of the intravenous drip, it was a significant cause of maternal fatality, with women dying from dehydration as late as 1939.
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The MMR estimate is also uncertain due to under-reporting; where 80 90% of women deliver at home maternal fatalities may go undetected especially where mortality is highest, in remote rural areas.
The UN has set a target for maternal case fatality rate of less than 1%.
Overall, the maternal case fatality rates in this sample are high.
Over the study period there were 33 reported cases of AFE associated with five maternal deaths (case fatality rate of 15%%).
In Takayasu arteritis (TA), severe aortic valvular disease and aortic aneurysm are risk factors for maternal morbidity and fatality; therefore, pregnancy is discouraged in these patients [ 39].
Additionally, the national referral hospital appeared to have a disproportionately higher case fatality (236 maternal deaths for 6,775 deliveries) compared to the obstetric specialist hospital (25 maternal deaths for 18,943 deliveries).
Table 3 shows the incidence/prevalence ratio and case fatality for maternal near misses that was estimated from the studies.
Conversely, in other studies where recommendations were implemented and evaluated, reductions in maternal mortality, the case fatality rate [ 50, 51], the incidence of uterine rupture, obstetric hemorrhage and the number of women with severe maternal complications were observed [ 52, 53].
Data on the incidence or prevalence of maternal near misses and case fatality was extracted.
That bias may reduce the strength of the association between studied maternal characteristics and PPH case fatality.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com