{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T17:00:09Z","timestamp":1700672409675},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,6,15]],"date-time":"2007-06-15T00:00:00Z","timestamp":1181865600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> To investigate the causes of maternal mortality in the Dakahlia Governorate in Egypt.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> A confidential enquiry for each case of maternal mortality during the years 2004\u20132005 was carried out.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> One hundred and seventy\u2010nine maternal deaths were reported, giving a maternal mortality rate (MMR) of 71.3\/100\u2003000 live births. 140 (78.2%) women died due to direct obstetric causes, 24 (13.4%) due to indirect causes and 15 (8.4%) due to accidental or unexplained causes. 44 (24.6%) women died during or following delivery by cesarean section and 91 (50.8%) during labor or within 24\u2003h following delivery. Complications during cesarean delivery, postpartum hemorrhage and hypertensive disorders were the leading causes of maternal mortality. Death due to substandard care was encountered in 85% of cases. Obstetricians were responsible for 51% of causes of avoidable maternal death.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Maternal mortality in Dakahlia, although declining, is still relatively high. To further reduce maternal mortality, deliveries should be conducted at well\u2010equipped hospitals.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2007.00525.x","type":"journal-article","created":{"date-parts":[[2007,6,16]],"date-time":"2007-06-16T13:54:21Z","timestamp":1182002061000},"page":"283-287","source":"Crossref","is-referenced-by-count":4,"title":["Why do mothers die in Dakahlia, Egypt?"],"prefix":"10.1111","volume":"33","author":[{"given":"El\u2010Said","family":"Abdel\u2010Hady","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdel\u2010Maguid","family":"Mashaly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lotfy S.","family":"Sherief","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"Al\u2010Gohary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed K.","family":"Farag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fouad","family":"El\u2010Khoeriby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,6,15]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"National Maternal Mortality Study.","author":"Egyptian Ministry of Health and Population, Directorate of Maternal and Child Health Care.","year":"2000"},{"key":"e_1_2_6_3_2","first-page":"462","article-title":"National maternal mortality ratio in Egypt halved between 1992\u20131993 and 2000","volume":"83","author":"Campbell O","year":"2005","journal-title":"Bull World Health Organ"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-005-3348-1"},{"key":"e_1_2_6_5_2","volume-title":"Making Motherhood Safer in Egypt.","author":"Khalil K","year":"2004"},{"key":"e_1_2_6_6_2","unstructured":"United Nations.Implementation of the United Nations Millennium Declaration. 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