Discussion
Maternal deaths due to PPH are commonly
found during the first seven days after birth of the
newborn(3). The majority of these deaths, accounting
for 88%, occur within 1-4 hours of delivery(24). Thus,
immediate management is necessary to prevent PPH.
AMTSL has been proven to reduce the incidence of
PPH. However, the management needs well-trained
attendances and good facility of delivery suites.
Therefore, in developing countries where resources
and facilities are not readily available, the appropriate
intervention of PPH may be delayed(12-14). The report
reveals a high number of maternal deaths of 500,000
per year, 35% of which were caused by PPH(25,26). To
achieve the Millennium Development Goals (MDG)within 2015 launched by WHO, vigorous management
to decrease maternal mortality ratio (MMR) as 5.5%
every year is attempted(27). However, MMR decreases
as low as less than 1% per year. In 1990, the average of
MMR was 430/100,000 of live birth and in 2005, its
average was 400/100,000 of live births(27).
DiscussionMaternal deaths due to PPH are commonlyfound during the first seven days after birth of thenewborn(3). The majority of these deaths, accountingfor 88%, occur within 1-4 hours of delivery(24). Thus,immediate management is necessary to prevent PPH.AMTSL has been proven to reduce the incidence ofPPH. However, the management needs well-trainedattendances and good facility of delivery suites.Therefore, in developing countries where resourcesand facilities are not readily available, the appropriateintervention of PPH may be delayed(12-14). The reportreveals a high number of maternal deaths of 500,000per year, 35% of which were caused by PPH(25,26). Toachieve the Millennium Development Goals (MDG)within 2015 launched by WHO, vigorous managementto decrease maternal mortality ratio (MMR) as 5.5%every year is attempted(27). However, MMR decreasesas low as less than 1% per year. In 1990, the average ofMMR was 430/100,000 of live birth and in 2005, itsaverage was 400/100,000 of live births(27).
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