OBJECTIVE: To evaluate the impact of malaria on maternal death through the analysis of the seasonal variations of crude and malaria-specific maternal mortality rates. METHODS: All maternal deaths and live births occurring at Maputo Central Hospital, located in an urban area, between January 2001 and December 2003, were retrospectively recorded. Clinical diagnoses of the causes of death and period of the year were analysed. RESULTS: Two hundred and seventy-eight deaths were recorded. The overall crude maternal mortality rate was 995/100 000 live births. Malaria was the most frequent cause of maternal death, accounting for 23%. Crude and malaria-specific maternal mortality rates showed a similar pattern of seasonal variation, with peaks at the beginning and the end of the malaria transmission season. The malaria-specific maternal mortality rate was significantly higher during the rainy seasons (rate ratio 1.919; 95% CI 1.061, 3.470; P = 0.031). CONCLUSIONS: Malaria may contribute to maternal mortality in highly endemic countries in sub-Saharan Africa, at least in urban areas. Efforts to improve malaria control in pregnancy may have an impact on maternal mortality in sub-Saharan Africa.
OBJECTIVE: To evaluate the impact of malaria on maternal death through the analysis of the seasonal variations of crude and malaria-specific maternal mortality rates. METHODS: All maternal deaths and live births occurring at Maputo Central Hospital, located in an urban area, between January 2001 and December 2003, were retrospectively recorded. Clinical diagnoses of the causes of death and period of the year were analysed. RESULTS: Two hundred and seventy-eight deaths were recorded. The overall crude maternal mortality rate was 995/100 000 live births. Malaria was the most frequent cause of maternal death, accounting for 23%. Crude and malaria-specific maternal mortality rates showed a similar pattern of seasonal variation, with peaks at the beginning and the end of the malaria transmission season. The malaria-specific maternal mortality rate was significantly higher during the rainy seasons (rate ratio 1.919; 95% CI 1.061, 3.470; P = 0.031). CONCLUSIONS:Malaria may contribute to maternal mortality in highly endemic countries in sub-Saharan Africa, at least in urban areas. Efforts to improve malaria control in pregnancy may have an impact on maternal mortality in sub-Saharan Africa.
Authors: Archana Shah; Anibal Faundes; M'Imunya Machoki; Vicente Bataglia; Faouzi Amokrane; Allan Donner; Kidza Mugerwa; Guillermo Carroli; Bukola Fawole; Ana Langer; Jean José Wolomby; Alberto Naravaez; Idi Nafiou; Marius Kublickas; Eliette Valladares; Alejandro Velasco; Nelly Zavaleta; Isilda Neves; José Villar Journal: Bull World Health Organ Date: 2008-02 Impact factor: 9.408
Authors: Azucena Bardají; Betuel Sigauque; Sergi Sanz; María Maixenchs; Jaume Ordi; John J Aponte; Samuel Mabunda; Pedro L Alonso; Clara Menéndez Journal: J Infect Dis Date: 2011-01-03 Impact factor: 5.226
Authors: Samin Zamani; Mehri Haeili; Mohammad Javad Nasiri; Abbas Ali Imani Fooladi; Sedigheh Javadpour; Mohammad Mehdi Feizabadi Journal: Int J Bacteriol Date: 2016-10-13