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            <front>

                <journal-meta>
                                                                <journal-id>ağrı med j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Ağrı Tıp Fakültesi Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2980-0978</issn>
                                                                                            <publisher>
                    <publisher-name>Ağrı İbrahim Çeçen Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.61845/agrimedical.1447591</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Public Health (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Halk Sağlığı (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>COVID-19 Pandemisinin Anne Ölümü Üzerine Etkisi: Bir İl Örneği</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>The Impact of the COVID-19 Pandemic on Maternal Mortality: an Example from a Province</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-0065-9633</contrib-id>
                                                                <name>
                                    <surname>Özsaydı</surname>
                                    <given-names>Semiha Zeynep</given-names>
                                </name>
                                                                    <aff>Kayseri İl Sağlık Müdürlüğü</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-5719-1475</contrib-id>
                                                                <name>
                                    <surname>Durmuş</surname>
                                    <given-names>Hasan</given-names>
                                </name>
                                                                    <aff>ERCİYES ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-5130-4237</contrib-id>
                                                                <name>
                                    <surname>Tekdemir</surname>
                                    <given-names>Leyla</given-names>
                                </name>
                                                                    <aff>muş il sağlık müdürlüğü</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-1424-8037</contrib-id>
                                                                <name>
                                    <surname>Borlu</surname>
                                    <given-names>Arda</given-names>
                                </name>
                                                                    <aff>ERCİYES ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8350-288X</contrib-id>
                                                                <name>
                                    <surname>Özsaydı</surname>
                                    <given-names>Seçkin</given-names>
                                </name>
                                                                    <aff>kayseri il sağlık müdürlüğü</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-5590-7011</contrib-id>
                                                                <name>
                                    <surname>Çetinkaya</surname>
                                    <given-names>Fevziye</given-names>
                                </name>
                                                                    <aff>ERCİYES ÜNİVERSİTESİ, TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20240630">
                    <day>06</day>
                    <month>30</month>
                    <year>2024</year>
                </pub-date>
                                        <volume>2</volume>
                                        <issue>2</issue>
                                        <fpage>65</fpage>
                                        <lpage>70</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240306">
                        <day>03</day>
                        <month>06</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20240613">
                        <day>06</day>
                        <month>13</month>
                        <year>2024</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2023, Ağrı Tıp Fakültesi Dergisi</copyright-statement>
                    <copyright-year>2023</copyright-year>
                    <copyright-holder>Ağrı Tıp Fakültesi Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Amaç: Bu çalışmanın amacı, COVID-19 pandemisinin Kayseri&#039;deki anne ölümleri üzerindeki etkisini araştırmaktır.Gereç ve Yöntem: Bu tanımlayıcı çalışmada, 2017-2021 yılları arasında Kayseri&#039;de meydana gelen anne ölümleri incelenmiştir. Anne ölüm oranı, her yıl için toplam canlı doğum ve anne ölümü sayıları temel alınarak 100.000 canlı doğum başına düşen anne ölümü olarak Kayseri ve Türkiye için ayrı ayrı hesaplanmıştır. Bu oranlar histogram ve box-plot grafiği kullanılarak görselleştirilmiştir. İstatistiksel analizler SPSS kullanılarak gerçekleştirilmiş ve P&amp;lt;0.05 olması istatistiksel olarak anlamlı kabul edilmiştir. Gruplar arasındaki ortalama farklılıkları değerlendirmek için Student&#039;s t-testi kullanılmıştır.Bulgular: Kayseri için anne ölüm oranı 2017 yılında 100.000 canlı doğumda 18,6 iken 2021 yılında 100.000 canlı doğumda 80&#039;e yükselmiştir. Vakaların %84,6&#039;sında gebelikle ilişkili en az bir risk faktörü mevcut olup, obezite en yaygın risk faktörüdür (%34,4). COVID-19&#039;a bağlı ölümler (%35,0) anne ölümlerinin önde gelen nedenidir. İl sağlık müdürlüğü raporlarına göre, ölümlerin %73,1&#039;i dolaylı ve %38,5&#039;i önlenebilir olarak sınıflandırılmıştır.Sonuç: Kayseri&#039;de 2021 yılında, özellikle COVID-19&#039;un delta varyantının aktif olduğu yıl boyunca, anne ölümlerinde önemli ve olağandışı bir artış olmuştur. Dolaylı anne ölümleri ön planda olup, bunların çoğunun önlenemez olduğu bildirilmiştir.</p></trans-abstract>
                                                                                                                                    <abstract><p>Aim: The aim of this study is to investigate the impact of the COVID-19 pandemic on maternal mortality in Kayseri. Material and Method: In this descriptive study examined maternal deaths that occurred in Kayseri between 2017-2021. The maternal mortality ratio was calculated separately for Kayseri and Turkey as the maternal deaths per 100,000 live births based on the total number of live births and maternal deaths for each year. These ratios were visualized using a histogram and a box-plot graph. The statistical analyses were performed using the SPSS and a P-value of &amp;lt;0.05 was considered statistically significant. The Student&#039;s t-test was used to evaluate the mean differences between groups.Results: The maternal mortality ratio for Kayseri was 18.6 per 100,000 live births in 2017, and it increased to 80 per 100,000 live births in 2021. At least one pregnancy-related risk factor was present in 84.6% of the cases, with obesity being the most common risk factor (34.4%). COVID-19-related deaths (35.0%) were the leading cause of maternal death. According to provincial health department reports, 73.1% of deaths were classified as indirect and 38.5% as preventable.Conclusion: In Kayseri, there was a significant and unusual increase in maternal mortality in 2021, especially during the year when the delta variant of COVID-19 was active. Indirect maternal deaths predominated, and most of these were reported to be unpreventable.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  maternal mortality</kwd>
                                                    <kwd>  coronavirus</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  koronavirüs</kwd>
                                                    <kwd>  anne ölümü</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
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