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Maternal mortality in Egypt.

Egypt is one of few developing nations that has estimated national maternal mortality. A recent evaluation of vital statistics in Egypt found that registration of deaths of females in reproductive ages is virtually complete nationwide but accurate classification of deaths by cause especially for maternal deaths is more difficult. This paper examines maternal mortality in the rural Egyptian delta governorate of Manoufia and determines its importance as a cause of death in married women of reproductive age (15-49). The maternal mortality ratio was 190/100000 live births and the maternal mortality rate was 45/100000 women of reproductive age. Menoufias maternal mortality ratio is 20 times that of the US suggesting that many maternal deaths could be prevented either by avoiding high-risk pregnancies through appropriate management of pregnancies and deliveries or through appropriate referral and management of complicated deliveries. If all women 30 years old or more or who already had 3 or more children voluntarily stopped having children then nearly 67% of maternal deaths could be averted. Because these groups are already the target of family planning programs this approach may have the greatest lasting impact on maternal mortality. Another approach is to train traditional birth attendants to better recognize and refer high-risk patients and to deal appropriately with the most frequent emergencies.