[Maternal mortality in rural areas of China].

Sichuan Da Xue Xue Bao Yi Xue Ban

National Office for Maternal and Child Health Surveillance, West China Second Hospital, Sichuan University, Chengdu 610041, China.

Published: March 2004

AI Article Synopsis

  • * Maternal mortality ratios (MMR) significantly decreased by 28.4%, dropping from 86.4 to 61.9 per 100,000 live births, primarily due to a reduction in deaths from obstetric hemorrhage.
  • * The findings suggest that addressing obstetric hemorrhage and improving hospitalization rates during delivery are crucial for further reducing maternal mortality in these rural areas.

Article Abstract

Objective: To understand with clearness the trend and epidemiological characteristics of maternal mortality, as well as the leading causes of maternal deaths in rural areas of China from 1996 to 2001.

Methods: The data analyzed were those from the population-based epidemiological survey conducted by the national maternal mortality surveillance network which covered a total population of about 35,000,000 in China.

Results: The maternal mortality ratio (MMR) in rural areas of China dropped by 28.4% from 86.4 per 100,000 live births in 1996 to 61.9 in 2001. The leading causes of maternal deaths were obstetric hemorrhage, preeclampsia and embolism of amniotic fluid. The MMR for obstetric hemorrhage decreased from 48.3 per 100,000 live births in 1996 to 33.0 in 2001. The pregnant women mainly gave childbirths and died in their home, accounting for 44.6% and 30.1% respectively in 2001.

Conclusion: The MMR showed a downward trend in rural areas of China during the period from 1996 to 2000, and so also did the MMR for obstetric hemorrhage. Reducing obstetric hemorrhage and increasing the rate of hospitalized delivery are the most important methods for reducing the MMR in rural areas in China.

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