Pejman Aghdak - General Practitioner, MPH, Head of Family Health and Population Group, Health vice Chancellery of Isfahan Medical University, Isfahan University of Medical Sciences, Isfahan, Iran
Shahla Shahidi - MSc, Department of Maternal Health, Health vice Chancellery of Isfahan Medical University, Isfahan University of Medical Sciences, Isfahan, Iran
Nadia Rahimi - BSc, Department of Maternal Health, School of Midwifery, Health vice Chancellery of Isfahan Medical University, Isfahan University of Medical Sciences, Isfahan, Iran
Maryam Montazeri - MSc, Department of Maternal Health, Health Vice Chancellery of Isfahan Medical University, Isfahan University of Medical Sciences, Isfahan, Iran

BACKGROUND: The findings of incidence or prevalence studies can help managers and policy makers evaluate the degree of changes and its relation with the performed interventions. This study aimed to determine the frequency of hypertensive disorders during pregnancy in maternal deaths that occurred during ۲۰۰۶-۱۰ in Isfahan Province, Iran.    METHODS: This descriptive, cross-sectional study assessed all maternal deaths that occurred during ۲۰۰۶-۱۰ in Isfahan. Data was collected by reviewing available documents using a checklist whose validity has been approved by experts. Data was analyzed by descriptive statistics and chi-square and Fisher's exact tests in SPSS۱۲.    RESULTS: In total, ۵۸ women who had died due to complications of pregnancy and childbirth were studied. The mean age of the subjects was ۳۰.۲ ± ۶.۵ years (range: ۱۷-۴۵ years). From ۲۲.۴% of maternal deaths which were due to gestational hypertension, ۹۲.۳% were preeclampsia and eclampsia. One case of chronic hypertension (۷.۷%) was also observed. Other types of hypertension in pregnancy were not detected. The first direct cause of maternal death was hypertension disorders. Underlying diseases (۳۶.۲%) and bleeding (۱۸.۹%) were the other major causes of death.    CONCLUSION: The number of deaths caused by blood pressure disorders, as a direct and important factor in maternal deaths, reduced during the ۵-year course of study. In order to improve pregnancy outcomes, measures should be taken for early detection and diagnosis of these disorders.

Hypertension, Pregnancy, Maternal Mortality Rate, Preeclampsia, Eclampsia