Scoping maternal care through the lens of maternal deaths: A retrospective analysis of maternal mortality in Georgia

Introduction - Reduction of the maternal mortality ratio (MMR) to 12 per 100,000 live births by 2030 is a priority target in Georgia. This study aims to assess and classify MM in Georgia by direct and indirect causes of death from 2014 to 2017, using data from the national surveillance system and in accordance with internationally approved criteria. Material and methods - In this secondary study, MM data was retrieved from the Maternal and Children’s Health Coordinating Committee and validated with data from the Vital Registry System and the Georgian Birth Registry. The study sample comprised 61 eligible MM cases. Relevant information was transferred to case-report forms to review and classify MM cases by direct and indirect causes of maternal death. Results - The MMR during the study period was 26.7 per 100,000 live births. The proportion of direct causes of maternal death exceeded that of indirect causes, at 62% and 38%, respectively. The leading direct cause of maternal death was haemorrhage, while infection was the most frequent indirect cause. 52.5% of MM cases had no pre-existing medical condition, 62.3% had frequent adherence to antenatal care, and 52.5% had emergency caesarean sections. Conclusion - In Georgia, direct causes of maternal death exceed indirect causes in MM cases, with haemorrhage and infections, respectively, being most common. These findings are important to ensure optimal and continuous care and to accelerate progress in the reduction of MM in the country

The phenotypical features and risk factors for progression of endometrial stromal tumors

Endometrial stromal sarcomas are mesenchymal tumors and constitute 0,2-1% of all the malignant uterine pathologies and 6-20% of uterine sarcomas. Commonly they arise in 42-53 year old women. Unlike epithelial tumors, that are having better prognosis, uterine sarcomas are known to have bad prognosis. The recurrence rate and the risk of distant metastasis is high. Local recurrence can be even seen 20-30 years after primary diagnosis and therapy. Radical surgery stands as the primary therapeutic method, often with adjuvant radio- and chemotherapy. Due to the low incidence of endometrial stromal sarcomas, only few things are known about the risk factors of bad outcome and its optimal management.</jats:p

Scoping maternal care through the lens of maternal deaths: A retrospective analysis of maternal mortality in Georgia

Introduction - Reduction of the maternal mortality ratio (MMR) to 12 per 100,000 live births by 2030 is a priority target in Georgia. This study aims to assess and classify MM in Georgia by direct and indirect causes of death from 2014 to 2017, using data from the national surveillance system and in accordance with internationally approved criteria. Material and methods - In this secondary study, MM data was retrieved from the Maternal and Children’s Health Coordinating Committee and validated with data from the Vital Registry System and the Georgian Birth Registry. The study sample comprised 61 eligible MM cases. Relevant information was transferred to case-report forms to review and classify MM cases by direct and indirect causes of maternal death. Results - The MMR during the study period was 26.7 per 100,000 live births. The proportion of direct causes of maternal death exceeded that of indirect causes, at 62% and 38%, respectively. The leading direct cause of maternal death was haemorrhage, while infection was the most frequent indirect cause. 52.5% of MM cases had no pre-existing medical condition, 62.3% had frequent adherence to antenatal care, and 52.5% had emergency caesarean sections. Conclusion - In Georgia, direct causes of maternal death exceed indirect causes in MM cases, with haemorrhage and infections, respectively, being most common. These findings are important to ensure optimal and continuous care and to accelerate progress in the reduction of MM in the country