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Epidemiological analysis of maternal deaths in Hunan province in China between 2009 and 2014
- Source :
- PLoS ONE, PLoS ONE, Vol 13, Iss 11, p e0207920 (2018)
- Publication Year :
- 2018
-
Abstract
- Background The control of maternal deaths continues to be a significant public health issue and commands an enormous amount of attention, especially under the future family planning policy. Here, we describe the epidemiology and trends of maternal deaths in Hunan province, and give several policy implications. Methods Maternal deaths in Hunan province between 2009 and 2014 were retrospectively reviewed and analyzed. Cochran-Armitage trend test was used to assess the time trends of maternal mortality rates. Binary logistic regression analyses were undertaken to identify the factors that were associated with unavoidable maternal deaths. Results In total, there were 987 maternal deaths, with the overall MMR declining by 45.24%. The most common causes of maternal death during this period were pregnancy complications (28.37%), obstetric hemorrhage (25.33%), and amniotic fluid embolism (15.70%). Obstetric hemorrhage (28.14%) was higher in rural areas, while pregnancy complications were higher (29.27%) in urban areas. In all, 627 (63.5%) deaths were avoidable. The risk factors associated with unavoidable maternal deaths was above 35 years (aOR = 1.80 95%CI: 1.27-2.55), without prenatal examination (aOR = 8.97 95%CI: 1.11-7.78), low household incomes (aOR = 1.15 95%CI: 1.02-1.29), without adopting the new way to deliver (aOR = 5.15 95%CI: 3.20-8.31), and death location (aOR = 1.09 95%CI: 1.02-1.18). The most frequent and important factors associated with avoidable deaths was improper knowledge and skills of the county medical institutions. Conclusions Moderate progress was made in reducing the MMR in Hunan province. The government should aim to improve the basic midwifery skills in rural areas and the obstetric emergency rescue service for critically ill pregnant women in urban areas, and strengthen training to improve knowledge and skills in medical institutions in counties.
- Subjects :
- Rural Population
Urban Population
Maternal Health
lcsh:Medicine
Geographical Locations
0302 clinical medicine
Pregnancy
Epidemiology
Medicine and Health Sciences
030212 general & internal medicine
lcsh:Science
Geographic Areas
Family planning policy
education.field_of_study
030219 obstetrics & reproductive medicine
Multidisciplinary
Geography
Mortality rate
Obstetrics and Gynecology
Maternal death
Female
Research Article
Urban Areas
Adult
medicine.medical_specialty
China
Asia
Death Rates
Population
03 medical and health sciences
Young Adult
Population Metrics
Environmental health
medicine
Humans
education
Retrospective Studies
Population Biology
business.industry
Public health
lcsh:R
Biology and Life Sciences
medicine.disease
Rural Areas
Pregnancy Complications
People and Places
Maternal Death
Earth Sciences
Birth
Women's Health
lcsh:Q
Rural area
business
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 13
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....e01de8b9ad13e40098f23b62f2078e6d