Maternal Deaths And The Value of Prenatal and Postnatal Care


The ability to give life is probably the most incredible capability given to humankind. However, along with this marvellous power of giving life is death.

Many women and even infants around the world lose their life during pregnancy and following childbirth. These deaths are called maternal deaths. Prenatal care and postnatal care in Singapore have been effective ways to reduce maternal deaths in the country. Continue reading this article to know more about maternal mortality.

Maternal Mortality

Maternal mortality, as defined by the World Health Organization, is the “annual number of female deaths related to or aggravated by the pregnancy during pregnancy itself, childbirth, and within 42 days of termination of pregnancy.”

In layman’s terms, it is the death of a female during pregnancy, childbirth, and after delivery.

There are at least 295,000 women around the world who succumbed to death during and following pregnancy and childbirth in 2017, according to the World Health Organization.

In Singapore, there were eight maternal deaths per 100,000 live births in 2017. It was a significant decline compared to the 2015 data that recorded nine maternal deaths per 100,000 live births.

The Causes Of Maternal Deaths

The woman’s body undergoes a lot of changes during pregnancy and after childbirth. Changes like thedivarication of recti, weight gain, and even temporary hormone imbalances are entirely normal. Yet, many health conditions and even life-threatening complications occur during and after pregnancy and childbirth.

Here are the five major causes of maternal deaths in the world:


Haemorrhage or bleeding is one of the most leading causes of maternal deaths around the world.

Postpartum haemorrhage or PPH is the massive and heavy bleeding of a woman after giving birth. Bleeding is normal after childbirth, especially for a natural delivery.

Postpartum haemorrhage happens when the uterus contracts to remove the placenta after childbirth. The stronger the contraction, the less chance of bleeding. However, if the contraction is weak, there is less pressure on the blood vessels, causing them to bleed.

Blood loss due to bleeding could plummet blood pressure that could easily lead to death.

The symptoms of postpartum haemorrhage include heavy bleeding, drop in blood pressure, blurred vision, nausea, and pale skin. Contact yourpostnatal care provider in Singapore if you notice signs of postpartum haemorrhage.

On the other hand, subchorionic bleeding is the pooling of blood between the amniotic membrane and the uterine wall. It usually occurs in the first and second trimesters of the pregnancy.

Similar to other pregnancy complications, like urinary incontinence in Singapore, subchorionic bleeding is not as lethal as postpartum haemorrhage. However, chronic cases of subchorionic bleeding could lead to miscarriage and molar pregnancy.

Spotting or vaginal bleeding, pelvic pain, and cramps are symptoms of subchorionic bleeding. Consult your postnatal care provider in Singaporeto diagnose the primary cause of vaginal bleeding.

Eclampsia and Preeclampsia

Preeclampsia is pregnancy-related hypertension or a sudden spike in blood pressure.

Several factors affect the development of preeclampsia during pregnancy.

Experts believe that the development and function problem of the blood vessels in the placenta causes preeclampsia. This condition restricts the blood flow into the placenta. Preeclampsia may result in preterm birth, placental abruption, and HELLP (hemolysis, elevated liver enzymes and low platelet count) syndrome.

Its symptoms include excess protein in the urine, headaches, temporary vision loss, and nausea. Preeclampsia can also happen after childbirth. Visit your postnatal care provider in Singaporeif you notice these signs.

On the other hand, eclampsia is seizures due to the severe complication or advanced stage of preeclampsia. The symptoms of eclampsia are the same as preeclampsia, except for seizure and fainting.

More thanpost partum belly, mothers should worry about the development of eclampsia and preeclampsia.


Abortion Complication

Abortion is illegal in many countries. The lack of access to medical and surgical abortion leads women to opt for unsafe abortion. There are lots of deadly complications related to unsafe abortion.

Among these complications are pelvic infection, incomplete abortion, bleeding, blood clots, torn cervix, and perforation of the uterus wall.

Bacterial growth in the cervix and vagina increases the risk of pelvic infection in women who undergo an unsafe abortion.

On the other hand, incomplete abortion occurs when fetal parts remain in the uterus. Incomplete abortion may lead to infection and bleeding.

Women may also experience severe cramping due to blood clots after the abortion. Similar to the diastasis recti or the separation of the recti muscles, most of these complications are treatable.

Maternal Sepsis

Sepsis is a life-threatening condition due to the body’s extreme response to infection that could lead to damage and injury of organs and tissues. Sepsis commonly starts in the lungs, skin, gastrointestinal tract, and urinary tract. If left untreated, sepsis could result in organ failure and death.

Moreover, sepsis that occurs during pregnancy and after child delivery is called maternal sepsis or postpartum sepsis.

Several factors affect the development of maternal sepsis. It includes miscarriage, abortion, obstructed labour, ruptured membrane, vaginal infection, and surgery related to cesarean section.

Fever, abdominal pain, foul-smelling vaginal discharge, and bleeding are the symptoms of sepsis. Consult your prenatal and postnatal care provider in Singapore if you notice these symptoms.

Uterine Rupture

Uterine rupture is a life-threatening pregnancy complication for both mother and the baby. Uterine rupture occurs when the baby slips out of the ruptured uterus through the torn, going to the abdomen. It is common in women who underwent cesarean delivery.

The uterine rupture could lead to heavy bleeding of the mother and suffocation of the baby.

Vaginal bleeding, contraction pain, abdominal pain, and bulging under the pubic bone are among the symptoms of uterine rupture.

How To Reduce The Risk of Maternal Death?

Maternal death and its causes are preventable. Like the other less severe pregnancy complications, like the divarication of recti andurinary incontinence in Singapore, these health conditions are treatable. Here’s how you can prevent them.



Access to prenatal care and postnatal care, family planning, and motherhood strategies can help prevent maternal deaths and reduce the maternal mortality rate. We avoid losing lives by taking care of the mother and baby’s health.

Orchard Clinic

Are you having problems with your weak recti muscles? Orchard Clinic provides treatment fordivarication of recti, post partum belly, urinary incontinence and other pregnancy complications in Singapore.