El cambio del perfil epidemiológico de la mortalidad materna en Chile dificultará el cumplimiento del 5° objetivo del Milenio / The change in the epidemiological profile of maternal mortality in Chile will hinder the fulfillment of the Millennium 5th goal
Rev. méd. Chile
; 140(10): 1253-1262, oct. 2012. tab
Article
in Spanish
| LILACS
| ID: lil-668697
Responsible library:
CL1.1
ABSTRACT
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 andMethods:
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.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Adolescent Pregnancy
/
Safe Abortion Services
/
Target 3.8 Achieve universal access to health
/
Target 3.1: Reduce maternal mortality
/
Target 3.7: Universal access to health services related to reproductive and sexual health
/
Obstetric Labor Complications
/
Abortion
/
Postpartum Hemorrhage
/
Hypertension, Pregnancy-Induced
Database:
LILACS
Main subject:
Pregnancy Complications
/
Maternal Mortality
/
Global Health
Limits:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2012
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL