Trends in maternal mortality due to obstetric hemorrhage in urban and rural China, 1996–2005
-
Xiaohong Li
and
Yanping Wang
Abstract
Objective: To analyze the characteristics and trends of maternal deaths due to obstetric hemorrhage in urban and rural areas during the period of 1996–2005 in China, and to provide evidence for decision-making for further reducing the national maternal mortality ratio (MMR).
Methods: We analyzed national maternal mortality data collected from the Maternal and Child Health Surveillance System of China.
Results: The decline of MMR due to obstetric hemorrhage contributed to 91.98% of the overall MMR decline. The adjusted average annual decline rate (AADR) of MMR due to obstetric hemorrhage was 7.30% in rural areas and 2.07% in urban areas. The maternal deaths due to postpartum hemorrhage accounted for the vast majority of maternal deaths due to hemorrhage, and the adjusted AADR was higher in rural areas (7.45%) than in urban areas (1.56%).
Conclusion: Although the risk of maternal deaths from hemorrhage decreased substantially, the gap between urban and rural areas is obvious. Efforts to lower MMR should focus on obstetric hemorrhage, especially postpartum hemorrhage, in rural areas. It is recommended that policy-makers should focus on improving the accessibility to and quality of obstetric service in rural areas.
©2011 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Publisher's note
- Publisher's Note
- Review articles
- 3D and 4D sonography and magnetic resonance in the assessment of normal and abnormal CNS development: alternative or complementary
- Selective reduction in twins and multiple pregnancies
- Original articles – Obstetrics
- Do uterotrophic drugs increase the risk of fatal hemorrhagic brain stroke?
- Parental factors affecting the weights of the placenta and the offspring
- Trends in maternal mortality due to obstetric hemorrhage in urban and rural China, 1996–2005
- Original articles – Fetus
- Abdominal circumference ratio for the diagnosis of intertwin birth weight discordance
- Predicting survival of periviable fetuses using NICHD fetal heart rate categories
- Prospective risk of stillbirth in monochorionic-diamniotic twin gestations: a population based study
- Original articles – Newborn
- Effect of ibuprofen on bilirubin-albumin binding affinity in premature infants
- Evaluation and clinical application of changes in thyroid hormone and TSH levels in critically ill full-term newborns
- NCI classification of thrombocytopenia in extremely preterm neonates and its association with mortality and morbidity
- Epidemiology of congenital syphilis in a South Bronx population: a follow-up study
- Quantitative ultramicrotest for newborn screening of galactosemia in Cuba
- Expression of soluble Fas in the cerebrospinal fluid of preterm infants with posthemorrhagic hydrocephalus and cystic white matter damage
- Early left ventricular diastolic dysfunction in premature infants born to preeclamptic mothers
- Letter to the Editors
- Perimortem instrumental vaginal delivery
- Human sex ratio at birth and related factors
- Twins are a risk factor for developing severe hypertensive disorders in the puerperium following a normotensive pregnancy
- Congress calendar
- Congress Calendar
