Maternal Death Situation in Khon Kaen Province from 2017- 2021

Abstract

This Descriptive research aimed to study the maternal mortality situation in Khon Kaen Province by Retrospective review, studying the information from the maternal mortality report form, MCHB meeting minutes in Khon Kaen Province, and also the birth report. The sample consisted of mothers who received treatment and died during pregnancy, childbirth, and within 42 days postpartum in healthcare facilities in Khon Kaen Province from October 2017 - September 2021. The data was collected using a personal data record form, the record of diseases that caused maternal mortality, and the 3-Delays factor analysis record form the researcher conducted by applying the maternal mortality report form (CE). Data were analyzed using descriptive statistics by frequency distribution, percentage, and ratio. The results from October 2017 - September 2021, the ratio revealed 6.29, 19.20, 19.51, 35.00, and 22.81 per hundred thousand live births, respectively. The majority (71.43%) are direct causes. The 3 most common causes include amniotic fluid embolism, followed by pulmonary embolism, and postpartum hemorrhage. The delays associated with maternal death showed that 50% were caused by the 1-Delays, 21.42% didn’t find all 3 delays types, 14.29% were caused by the 1 and 3-Delays, and another 14.29% were caused by only the 3-Delays. Conclusion: The maternal mortality ratio in Khon Kaen during the 5 years time was still higher than the standard. Most delays are due to the lack of health awareness among clients.