فریبا حیدری - کارشناس مادر و کودک ، مرکز بهداشت استان، حوزه معاونت بهداشتی، دانشگاه علوم پزشکی کرمان، کرمان، ایران
بتول دامادی - کارشناس مادران، مرکز بهداشت استان، حوزه معاونت بهداشتی، دانشگاه علوم پزشکی کرمان، کرمان، ایران
نوذر نخعی - استاد پزشکی اجتماعی، مرکز تحقیقات علوم اعصاب، دانشگاه علوم پزشکی کرمان، کرمان، ایران
منیژه دادبخش - دانشجوی کارشناسی ارشد، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران
فرزانه ذوالعلی - استادیار، مرکز منطقه ای آموزش نظام مراقبت HIV/AIDS، دانشگاه علوم پزشکی کرمان، کرمان، ایران

Introduction: Maternal mortality ratio is a sensitive indicator of the development status of countries .This study was performed to determine factors associated with maternal mortality during ۲۰۰۶-۲۰۱۱, in Kerman province, Iran. Method: This cross-sectional study was conducted using existing data of the maternal surveillance system of Kerman University of Medical Sciences during ۲۰۰۶-۲۰۱۱. Background and health related data, such as age, area of residence, type of delivery, birth attendant, period of death, place of death, place of delivery, and cause of death, were extracted. Data were analyzed using descriptive statistics and Poisson regression analysis by STATA software. Results: Average rate of maternal mortality ratio was ۳۱.۴ per ۱۰۰,۰۰۰ live births (۸۴ cases). Eclampsia was the most prevalent cause of maternal death (۲۱.۴%), ۱۷.۹% of deaths were caused by hemorrhage, and ۱۷.۹% were due to underlying systemic disease. The risk of maternal death was significantly higher when birth was attended by unskilled personnel (۹۵% confidence interval, IRR = ۱.۹۲۹ (۲.۷۵۸-۱.۳۴۹)), and in those with cesarean delivery (۹۵% confidence interval, IRR = ۱.۴۱۴ (۱.۰۸۴-۱.۸۴۳)), and in births occurring at hospital (۹۵% confidence interval, IRR = ۱.۳۸۷ (۱.۰۰۹-۱.۹۰۷). Discussion and Conclusion: According to the findings, the most important factors associated with maternal mortality were place of delivery, type of delivery, and birth attendant. The findings highlight the high vulnerability of pregnant women and preventive measures.

Maternal, Mortality, Kerman, Iran, مرگ, مادران, کرمان, ایران