Maternal Mortality in Georgia: Incidence, Causes and Level of Underreporting: A National Reproductive Age Mortality Study 2014

Figures & data

Figure 1 Case identification (2014–15) of study eligible maternal deaths Reproductive Age Mortality Study: Georgia, 2014.

Table 1 Distribution of Live Birth by Age Groups and Age-Specific MMRs in Georgia in 2012

Age Groups	Distribution of Birth by Maternal Age	Age-Specific MMRs per 100 000 Live Births
	N (%)	N	Ratio
15–19	5662 (9.9)	0	0.0
20–24	19,571 (34.4)	8	40.9
25–29	16,833 (29.6)	3	17.8
30–34	9734 (17.1)	5	51.4
35–39	4131 (7.2)	4	96.8
40–44	980 (1.7)	3	306.1
45–49	91 (0.2)	0	0.0
Total	57,002 (100)	23

Table 2 Pregnancy Outcome in Pregnancy-Related Deaths in Georgia, 2012

RAMOS Classification	Total	Outcome of Pregnancy
		Induced Abortion	Other Fetal Loss*	Stillbirth	Pregnant	Livebirth
Maternal deaths n (%)	23	2 (8.7)	4 (17.4)	2 (8.7)	3 (13.0)	12 (52.2)
Direct obstetric death	17	1	3	1	3	9
Indirect obstetric death	6	1	1	1	0	3
Coincidental deaths	13	2	1	0	3	7
All Pregnancy-related deaths	36	4	5	2	6	19

Note: *Ectopic pregnancy or miscarriage.

Table 3 Causes of Maternal Deaths in Georgia in 2012 by the Time of Death

	All Maternal Deaths	Early Maternal Deaths (0–42 Days pp)	Late Maternal Deaths (43–365 Days pp)
	N=23 (%)	N=15 (%)	N=8 (%)
Direct Causes
Sepsis	6 (26.1)	5 (33.3)	1 (12.5)
Hemorrhage	3 (13.0)	3 (20.0)	0 (0.0)
Embolism	3 (13.0)	1 (6.7)	2 (25.2)
PIH	2 (8.7)	2 (13.3)	0 (0.0)
Other direct	3 (13.0)	3 (20.0)	0 (0.0)
Indirect causes	6 (26.1)	1 (6.7)	5 (62.5)
Total	23 (100.0)	15 (100.0)	8 (100.0)

Table 4 Death Reported in the RAMOS14 Study and the Official Maternal Mortality Statistics Deaths to Currently or Recently Pregnant Women Aged 15–49

RAMOS Classification	Pregnancy-Related Deaths			Maternal Deaths
	RAMOS	Officially Reported		RAMOS	Officially Reported
	N	N	%	N	N	%
Total	36	36	(100.0%)	23	14	(60.9%)
Early deaths (0–42 days pp)	20	13	(65.0%)	15	13	(86.7%)
Direct obstetric deaths	14	12	(85.7%)	14	12	(85.7%)
Indirect obstetric deaths	1	1	(100.0%)	1	1	(100.0%)
Coincidental deaths	5	0*	†	†	†	†
Late deaths (43–365 days pp)	16	13	(81.3%)	8	1	(12.5%)
Direct obstetric deaths	3	1^‡	(33.3%)	3	1^‡	(33.3%)
Indirect obstetric deaths	5	0	†	5	0	†
Coincidental deaths	8	12*	(150.0%)	†	†	†
Other§	0	10	†	†	†	†

Notes: *Virtually all death certificates of WRA lacked the pregnancy status specified (empty pregnancy check-box); late coincidental deaths identified by data matching include six late maternal deaths classified by RAMOS14. ^†Not applicable. ^‡Reclassified as indirect in RAMOS14. ^§ Pregnancy-related deaths to women aged 15–49 identified by RAMOS14 including 3 maternal deaths.

Figure 2 Maternal Mortality Ratios (MMR) per 100,000 Live Births RAMOS 2008 and RAMOS 2014 and Official Reports of Maternal Deaths in 2012 and 2006.