Reclasificación de las causas de muerte obstétrica en México

Un estudio transversal repetido

Translated title of the contribution: Reclassifying causes of obstetric death in Mexico: A repeated cross-sectional study

Margaret C. Hogan, Biani Saavedra-Avendano, Blair Darney, Luis M. Torres-Palacios, Ana L. Rhenals-Osorio, Bertha L. Vázquez Sierra, Patricia N. Soliz-Sánchez, Emmanuela Gakidou, Rafael Lozano

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To describe causes of maternal mortality in Mexico over eight years, with particular attention to indirect obstetric deaths and socioeconomic disparities. Methods: We conducted a repeated cross-sectional study using the 2006-2013 Búsqueda intencionada y reclasificación de muertes maternas (BIRMM) data set. We used frequencies to describe new cases, cause distributions and the reclassification of maternal mortality cases by the BIRMM process. We used statistical tests to analyse differences in sociodemographic characteristics between direct and indirect deaths and differences in the proportion of overall direct and indirect deaths, by year and by municipality poverty level. Findings: A total of 9043 maternal deaths were subjected to the review process. There was a 13% increase (from 7829 to 9043) in overall identified maternal deaths and a threefold increase in the proportion of maternal deaths classified as late maternal deaths (from 2.1% to 6.9%). Over the study period direct obstetric deaths declined, while there was no change in deaths from indirect obstetric causes. Direct deaths were concentrated in women who lived in the poorest municipalities. When compared to those dying of direct causes, women dying of indirect causes had fewer pregnancies and were slightly younger, better educated and more likely to live in wealthier municipalities. Conclusion: The BIRMM is one approach to correct maternal death statistics in settings with poor resources. The approach could help the health system to rethink its strategy to reduce maternal deaths from indirect obstetric causes, including prevention of unwanted pregnancies and improvement of antenatal and post-obstetric care.

Original languageSpanish
Pages (from-to)362-369B
JournalBulletin of the World Health Organization
Volume94
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

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Maternal Death
Mexico
Obstetrics
Cause of Death
Cross-Sectional Studies
Maternal Mortality
Unwanted Pregnancies
Poverty
Pregnancy
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Hogan, M. C., Saavedra-Avendano, B., Darney, B., Torres-Palacios, L. M., Rhenals-Osorio, A. L., Vázquez Sierra, B. L., ... Lozano, R. (2016). Reclasificación de las causas de muerte obstétrica en México: Un estudio transversal repetido. Bulletin of the World Health Organization, 94(5), 362-369B. https://doi.org/10.2471/BLT.15.163360

Reclasificación de las causas de muerte obstétrica en México : Un estudio transversal repetido. / Hogan, Margaret C.; Saavedra-Avendano, Biani; Darney, Blair; Torres-Palacios, Luis M.; Rhenals-Osorio, Ana L.; Vázquez Sierra, Bertha L.; Soliz-Sánchez, Patricia N.; Gakidou, Emmanuela; Lozano, Rafael.

In: Bulletin of the World Health Organization, Vol. 94, No. 5, 01.05.2016, p. 362-369B.

Research output: Contribution to journalArticle

Hogan, MC, Saavedra-Avendano, B, Darney, B, Torres-Palacios, LM, Rhenals-Osorio, AL, Vázquez Sierra, BL, Soliz-Sánchez, PN, Gakidou, E & Lozano, R 2016, 'Reclasificación de las causas de muerte obstétrica en México: Un estudio transversal repetido', Bulletin of the World Health Organization, vol. 94, no. 5, pp. 362-369B. https://doi.org/10.2471/BLT.15.163360
Hogan MC, Saavedra-Avendano B, Darney B, Torres-Palacios LM, Rhenals-Osorio AL, Vázquez Sierra BL et al. Reclasificación de las causas de muerte obstétrica en México: Un estudio transversal repetido. Bulletin of the World Health Organization. 2016 May 1;94(5):362-369B. https://doi.org/10.2471/BLT.15.163360
Hogan, Margaret C. ; Saavedra-Avendano, Biani ; Darney, Blair ; Torres-Palacios, Luis M. ; Rhenals-Osorio, Ana L. ; Vázquez Sierra, Bertha L. ; Soliz-Sánchez, Patricia N. ; Gakidou, Emmanuela ; Lozano, Rafael. / Reclasificación de las causas de muerte obstétrica en México : Un estudio transversal repetido. In: Bulletin of the World Health Organization. 2016 ; Vol. 94, No. 5. pp. 362-369B.
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