OBJECTIVE: To analyze the trend in maternal mortality ratio (MMR), characteristics and causes of maternal deaths, and factors influencing the MMR in China between 1996 and 2005. METHODS: Data used in this study are based on the nationwide maternal mortality surveillance system. Trend in MMR and cause-specific mortality were analyzed using the Cochran-Armitage trend test. RESULTS: From 1996 to 2005, MMR was higher in rural areas than in urban areas; and highest in remote areas followed by inner lands and coastal regions. The overall MMR in China decreased from 64.1 per 100000 live births in 1996 to 47.6 per 100000 live births in 2005. MMR in rural areas, remote areas, and coastal regions showed a decreasing trend. The leading causes of maternal death were obstetric hemorrhage, pregnancy-induced hypertension, and amniotic fluid embolism. The mortality ratio of obstetric hemorrhage in rural areas and remote areas reduced significantly (P<0.001). CONCLUSION: The MMR in China displayed regional differences. Declines in rural areas and remote areas resulted from well-targeted programs by the Chinese government. Future interventions are recommended to target causes of maternal death. Copyright 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
OBJECTIVE: To analyze the trend in maternal mortality ratio (MMR), characteristics and causes of maternal deaths, and factors influencing the MMR in China between 1996 and 2005. METHODS: Data used in this study are based on the nationwide maternal mortality surveillance system. Trend in MMR and cause-specific mortality were analyzed using the Cochran-Armitage trend test. RESULTS: From 1996 to 2005, MMR was higher in rural areas than in urban areas; and highest in remote areas followed by inner lands and coastal regions. The overall MMR in China decreased from 64.1 per 100000 live births in 1996 to 47.6 per 100000 live births in 2005. MMR in rural areas, remote areas, and coastal regions showed a decreasing trend. The leading causes of maternal death were obstetric hemorrhage, pregnancy-induced hypertension, and amniotic fluid embolism. The mortality ratio of obstetric hemorrhage in rural areas and remote areas reduced significantly (P<0.001). CONCLUSION: The MMR in China displayed regional differences. Declines in rural areas and remote areas resulted from well-targeted programs by the Chinese government. Future interventions are recommended to target causes of maternal death. Copyright 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Authors: Xiong Lili; He Jian; Zeng Mengjun; Wu Yinglan; Xie Donghua; Wang Aihua; Kong Fanjuan; Wang Hua; Liu Zhiyu Journal: PLoS One Date: 2018-11-26 Impact factor: 3.240
Authors: Kunchok Gyaltsen Gongque Jianzan; Lhusham Gyal Li Xianjia; Jessica D Gipson; Tsering Kyi Cai Rangji; Anne R Pebley Journal: Reprod Health Matters Date: 2014-11
Authors: Kunchok Gyaltsen; Jessica D Gipson; Lhusham Gyal; Tsering Kyi; Andrew L Hicks; Anne R Pebley Journal: BMC Pregnancy Childbirth Date: 2015-09-22 Impact factor: 3.007