In this study, a significantly higher proportion of MNMs (over 50%) developed on arrival to the hospital, while around 91% of MDs developed during hospitalization.
On the other hand, the high proportion of MNMs on arrival could reflect less of a delay in reaching the hospital or in deciding to seek care.
However, a significantly higher rate of admission to the COCU was demonstrated among the MNMs group.
Major determinants, including demographic, obstetrics characteristics (antenatal care, final mode of delivery or abortion, gestational age, and vital status of the infant), underlying and associated causes of MNMs and MDs, are similar.
(11) Three different methods have been used to identify MNM cases.
(16,17) In depth study of the MNM cases will play a vital role in identifying any deficiencies as well as strengths in the provision of obstetrical services in the Kurdistan region and will be useful in correcting and strengthening the obstetrical care, hence further reducing MMR.
The objective of this study, therefore, was to determine the major determinants of MNM and mortality events in Erbil city by comparative analysis.
The mean best estimate gestational age in completed weeks (obstetric/neonatal) was 31.5 [+ or -] 10.4 weeks (range 6-42 weeks) for MNM cases and 34.6 [+ or -] 6.3 weeks (range 22-40 weeks) for cases of MD (p = 0.999).
The proportions of preeclampsia were 29.5% and 36.3%, while those of severe PPH were 30.9% and 27.2% in MNM and MD cases, respectively.
There were significant differences between cases of MNM and MD in developing hepatic dysfunction (p = 0.046) and multiple/unspecified dysfunctions (p = 0.003) only.
Over half (53.0%) of MNM cases developed on arrival to the hospital, compared with 9.0% of MD cases (p = 0.003).
Because NM cases are likely to have characteristics in common with cases of MD, a thorough investigation of the determinants and factors that result in MNM can provide more information and highlight areas that need better management.