Maternal mortality improvement depends on the proper classification used in defining maternal deaths. Since there are several definitions of maternal deaths depending upon the proximate cause of the death, if the death is related to the physiologic changes during pregnancy or not and the timing of the death, some opportunities for improvement may be missed to decrease the overall maternal mortality rate in the USA if the correct definition is not utilized appropriately.
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http://dx.doi.org/10.1080/14767058.2019.1687678 | DOI Listing |
Reprod Health
January 2025
Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Background: Over one-third of the global stillbirth burden occurs in countries affected by conflict or a humanitarian crisis, including Afghanistan. Stillbirth rates in Afghanistan remained high in 2021 at over 26 per 1000 births. Stillbirths have devastating physical, psycho-social and economic impacts on women, families and healthcare providers.
View Article and Find Full Text PDFWomen Birth
January 2025
Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM), Melbourne, Australia; Maternity Services, Royal Women's Hospital, Melbourne, Australia.
Problem: The COVID-19 pandemic affected perinatal outcomes globally, with some regions reporting an increase in stillbirths.
Background: Melbourne, Australia, experienced one of the longest and most stringent pandemic lockdowns.
Aim: To compare stillbirth rates for singleton pregnancies > 20 weeks' gestation before and during the pandemic and examine differences in suboptimal care factors.
Introduction: Ethiopia has made notable progress in reducing maternal and perinatal mortality, yet challenges remain in meeting the 2030 Sustainable Development Goals. Persistent issues such as low service utilization, coupled with poor quality, fragmented care, and ineffective referral systems hinder progress. The "Improve Primary Health Care Service Delivery (IPHCSD)" project, implemented by JSI and Amref Health Africa since April 2022, seeks to address these gaps through a Networks of Care (NoCs) approach.
View Article and Find Full Text PDFPLoS One
January 2025
Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan.
Background: Pakistan has experienced a significant reduction in maternal mortality with a decline of 33 percent between 2006 and 2019. However, the country still grapples with a high number (186 per 100,000 live births) of maternal deaths each year. This study aims to identify socio-demographic and health system related factors associated with maternal mortality.
View Article and Find Full Text PDFPLoS One
January 2025
Center for Clinical Epidemiology, Lady Davis Institute, McGill University, Montreal, Quebec, Canada.
Objective: An upward trend in maternal age has been observed in the United States (US) over the last twenty years. The study objective was to examine the association of maternal age with maternal mortality in the US and examine temporal trends in mortality by maternal age.
Methods: A retrospective population-based analysis in the US between 2000-2019 was conducted using records from the Centers for Disease Control and Prevention's "Mortality Multiple Cause" and "Birth Data" files.
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