The change in the epidemiological profile of maternal mortality in Chile will hinder the fulfillment of the Millennium 5th goal
The change in the epidemiological profile of maternal mortality in Chile will hinder the fulfillment of the Millennium 5th goal
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DOI：
10.4067/s0034-98872012001000003
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发表时间：
2012-10-01
期刊：
影响因子：
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通讯作者：
Carvajal C, Jorge A
中科院分区：
文献类型：
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作者：
Donoso S, Enrique;Carvajal C, Jorge A
背景：妇女在怀孕、分娩或产褥期死亡仍然是全世界一个严重的公共卫生问题。智利致力于实现千年发展目标的第五个目标，即在2015年将孕产妇死亡率降至9.9/10万活产。目的：分析2000-2009年智利孕产妇死亡率的趋势。材料和方法：使用从智利国家统计局年鉴中获得的原始数据进行描述性人口分析。评估了产妇死亡率、死亡原因和死亡母亲的年龄。产妇死亡原因是根据《国际疾病分类》第十次修订版进行分类的。采用Pearson相关分析进行趋势研究。结果：在研究期间，产妇死亡率和生育率无明显变化。产妇死亡的五大原因是并发疾病、高血压、流产、产科栓塞和产后出血。并发疾病的死亡率呈显著上升趋势（r = 0.656, p = 0.035）。流产相关死亡率有显著下降趋势（r = -0.712, p = 0.023）。40岁及以上妇女的出生率显著增加（r = 0.930, p < 0.001），该组产妇死亡率最高，特别是与并发疾病相关的产妇死亡率最高。结论：40岁以上妇女出生率的增加和产妇死亡率的上升可能会阻碍智利实现千年目标的第五个目标。[Rev Med Chile, 2012; 14: 1253-1262]。
Background: The death of women during pregnancy, childbirth or puerperium, remains a serious public health problem worldwide. Chile is committed to comply with the Millennium 5th Goal of reducing maternal mortality to 9.9/100,000 live births in 2015. Aim: To analyze trends in maternal mortality in Chile during 2000-2009. Material and Methods: A descriptive population analysis using raw data obtained from the yearbooks of the National Institute of Statistics of Chile. Maternal mortality, causes of death and age of the dead mothers were evaluated. The causes of maternal death were classified according to the tenth revision of International Classification of Diseases. Trend studies were performed using Pearson correlation analysis. Results: In the studied period there were no significant changes in maternal mortality and fertility. The five major causes of maternal death were concurrent diseases, hypertension, abortion, obstetric embolism and postpartum hemorrhage. Mortality associated with concurrent illness showed a significant upward trend (r = 0.656, p = 0.035). Abortion associated mortality had a significant downward trend (r = -0.712, p = 0.023). The group of women 40 years and older significantly increased its birth rate (r = 0.930, p < 0.001), this group showed the highest maternal mortality, especially in association with concurrent diseases. Conclusions: The increased birth rate occurring in women over 40 years old and its larger maternal mortality rate, probably will hinder the fulfillment of the Millennium 5th goal in Chile. (Rev Med Chile 2012; 140: 1253-1262).