COURSE OF INFECTIOUS AND PARASITIC DISEASES IN PREGNANT WOMEN AND THEIR IMPACT ON MATERNAL MORTALITY

Maternal mortality remains a major global health concern, with infectious and parasitic diseases representing a significant proportion of indirect causes. This study aimed to analyze the course of these diseases in pregnant women and evaluate their contribution to maternal mortality. A retrospective clinical study was conducted at a tertiary maternity hospital over the period 2018–2024, including 60 maternal mortality cases associated with infectious and parasitic conditions. The findings showed that viral infections, particularly hepatitis, were the leading causes of maternal death, followed by pneumonia, parasitic diseases, and sepsis. Most deaths occurred during the third trimester, and severe disease progression was strongly associated with poor outcomes. A key problem identified was the delay in diagnosis and inadequate treatment, which significantly increased mortality risk. The study concludes that early detection, timely intervention, and standardized treatment protocols are essential for reducing maternal mortality related to infectious and parasitic diseases. Strengthening preventive strategies and improving clinical management can significantly enhance maternal outcomes.孕产妇死亡率仍是全球主要公共卫生关切问题，其中感染性与寄生虫病是间接死因的重要组成部分。 本研究旨在分析妊娠女性感染此类疾病的病程，并评估其对孕产妇死亡率的贡献。本研究为一项回顾性临床研究，于2018至2024年间在某三级妇产医院开展，纳入了60例与感染性及寄生虫病相关的孕产妇死亡病例。 研究结果显示，病毒感染（尤以肝炎为主）是孕产妇死亡的首要诱因，其次为肺炎、寄生虫病与脓毒症。多数死亡病例发生于妊娠晚期，病情严重进展与不良妊娠结局显著相关。本研究识别出的关键问题为诊断延迟与治疗不足，二者显著升高了死亡风险。 本研究结论指出，早期筛查、及时干预及标准化治疗方案对于降低感染性与寄生虫病相关的孕产妇死亡率至关重要。强化预防策略、优化临床管理，可显著改善孕产妇妊娠结局。