الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Mortality data are extremely useful in determining the health status of a community. Health, disease and death patterns are affected by age and sex different¬ ials as well as other population characteristics such as religion, occupation, residence, marital status and other variables. The aim of the present work is to compare between \ ! recorded causes and actual causes of maternal deaths. -15-49 in Alexandria also to evaluate the mortality registration system, and to compare. the recorded and the actual causes of maternal mortality. To accomplish such an aim mortality data of all deaths in the age group 15-49 for the year 1985 were collected from (6) health offices in Alexandria. The sample taken totalled 158 deaths. This was followed by home visit for the members of the sample taken. Da.ta. were collected by a transfer sheet,a q.uestionnaire form. The ~uestionnaire was designed so as to obtain information on the knowl~dge, attitude and practice of the MHOS and also relatives of the deceased in homes visited to arrive at the actual cause of death. The main results of the work could be summarized as follows: 1. Medical health officers had different opinions on the importance of the registration system as calculation of vital rates 33.33, detection of infectious diseases and for legal purposes 66.67. 2. Records were filled by in, and confidentially kept the clerks under the medical officers’ health supervision. . 3. Data recorded were mainly incomplete for occupation marital status and also the cause of death (direct or underlying). 4. Deaths that happen at home were more likely to be reported on the same day of the event 19.62,rather than the second day 9.49. Also place of death was uncorrectly recorded in 10.2 of cases by either health offices orhome visits. 5. Members of~the family tend to report deaths on the same day of the event 25.94 rather than the second day 13.92. 6. The commonest underlying cause of death in recorded data was rheumatic hyper¬ heart disease 16.46, tensive heart disease 6.96 and ischaemic heart disease 6.33. 7. Heart failure was the commonest direct cause of death in 29.75, intracranial recorded data haemorrhage 4.43 then asphyxia 3.80. 8. There were differences in all age groups between recorded data and home visits data in addition to appearance of a new group (50+) in home visits data which was not planned to be included in the studied sample. The mean age in recorded data was 33.89+10.23 year, - ¬ while the in home visits data mean age was 34.26+10.59 year. 9. Cross classification of recordinng the marital status showed that 3.5 of the studied group were uncorrectly recorded by either the health offices or home visits. la. Cross classification of recording the occupation showed that 20.2 of the studied group were had wrong occupation. 11. The majority of the .deceased females were not pregnant at time of death 79.05 while 20.95 were pregnant. 12. More that half of the deceased pregnant mothers were in labour 58.06 and 41.94 were not in labour. 13. The commonest cause of death of the deceased ,4 pregnant mothers not in labour was abortion 38.47, antepartum haemorrhage 30.77 and then toxaemia 15.38. While the commonest cause of death of those . in labour was infection 38.89, postpartum haemorrhage 27.78 then toxaemia 16.67. 14. Deceased mothers in. labour were more likely to be ., attended by daya in 50.0 of delivereies,midwife in 37.5 and physician in 12.5 for cases delivered at home, while all cases delivered in hospitals were attended by physician. 15. The main causes of death in recorded data were circulatory 30.38, injuries 16.45, malignant neoplasms 13.92 then maternal mortality 11.39. While the main causes of death in home visits data were circulatory 26.38 maternal mortality 2 0 . 9 5 .1 injuries 16.89 then malignant neoplasms 14.86. 16. Puerperal infections topped the list of recorded maternal deaths 44.44, haemorrhage 33.33,toxaemia 16.67 then abortion 5.56. While haemorrhage topped the list of home visits maternal deaths 29.03, infection 22.58, abortion 16.13. 17. More than half of cases of haemorhage 55.56 were due to postpartum haemorrhage and 44.44 were due to antepartum haemorrhage. Also 66.67 of cases of :~aemorrhage ’ have not received any form of re’susci tation. 18. More than three-fourth of cases of postpartum haemorrhage 80.0 were delivered at home annd 60.0 . of them were delivered by dayas. 19. More tha were delivered by caesarean section in hospitals and by physicians. 20. Maternal deaths were incraesed with increase age where 3.22 were younger than 20 years,while 25.8 were older than 40 years. 21. Less than one-third of maternal deaths 29.02 were, para three and 19.35 were of parity five or more. 22. One-fourth of maternal deaths 25.81 were of one¬ year interval and 9.68 were of less than one year interval. 23. Less than half of maternal deaths 48.39 were of low education, housewives and 64.52 61.29 were were living in separate appartments. 24. Less than half of the deceased pregnant 48.39 were using antenatal care mainly those lived in Middle Alexandria 26.67. 25. The deceased pregnant mothers used antenatal care through MCH hospitals 40.0, centers 33.33 or private clinics 26.67. 26. All cases of toxaemia, 80.0 of cases of abortion, .22.22 of haemorrhage and 57.14 of infection were not used antenatal care.