New findings for maternal mortality age patterns: aggregated results for 38 countries.

<h4>Background</h4>With recent results showing a global decline in overall maternal mortality during the last two decades and with the target date for achieving the Millennium Development Goals only four years away, the question of how to continue or even accelerate the decline has becom...

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Autores principales:	Ann K Blanc, William Winfrey, John Ross
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/12351c942dea44578d4918cba8296508
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spelling	oai:doaj.org-article:12351c942dea44578d4918cba82965082021-11-18T07:49:27ZNew findings for maternal mortality age patterns: aggregated results for 38 countries.1932-620310.1371/journal.pone.0059864https://doaj.org/article/12351c942dea44578d4918cba82965082013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23613716/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>With recent results showing a global decline in overall maternal mortality during the last two decades and with the target date for achieving the Millennium Development Goals only four years away, the question of how to continue or even accelerate the decline has become more pressing. By knowing where the risk is highest as well as where the numbers of deaths are greatest, it may be possible to re-direct resources and fine-tune strategies for greater effectiveness in efforts to reduce maternal mortality.<h4>Methods</h4>We aggregate data from 38 Demographic and Health Surveys that included a maternal mortality module and were conducted in 2000 or later to produce maternal mortality ratios, rates, and numbers of deaths by five year age groups, separately by residence, region, and overall mortality level.<h4>Findings</h4>The age pattern of maternal mortality is broadly similar across regions, type of place of residence, and overall level of maternal mortality. A "J" shaped curve, with markedly higher risk after age 30, is evident in all groups. We find that the excess risk among adolescents is of a much lower magnitude than is generally assumed. The oldest age groups appear to be especially resistant to change. We also find evidence of extremely elevated risk among older mothers in countries with high levels of HIV prevalence.<h4>Conclusions</h4>The largest number of deaths occurs in the age groups from 20-34, largely because those are the ages at which women are most likely to give birth so efforts directed at this group would most effectively reduce the number of deaths. Yet equity considerations suggest that efforts also be directed toward those most at risk, i.e., older women and adolescents. Because women are at risk each time they become pregnant, fulfilling the substantial unmet need for contraception is a cross-cutting strategy that can address both effectiveness and equity concerns.Ann K BlancWilliam WinfreyJohn RossPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e59864 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ann K Blanc William Winfrey John Ross New findings for maternal mortality age patterns: aggregated results for 38 countries.
description	<h4>Background</h4>With recent results showing a global decline in overall maternal mortality during the last two decades and with the target date for achieving the Millennium Development Goals only four years away, the question of how to continue or even accelerate the decline has become more pressing. By knowing where the risk is highest as well as where the numbers of deaths are greatest, it may be possible to re-direct resources and fine-tune strategies for greater effectiveness in efforts to reduce maternal mortality.<h4>Methods</h4>We aggregate data from 38 Demographic and Health Surveys that included a maternal mortality module and were conducted in 2000 or later to produce maternal mortality ratios, rates, and numbers of deaths by five year age groups, separately by residence, region, and overall mortality level.<h4>Findings</h4>The age pattern of maternal mortality is broadly similar across regions, type of place of residence, and overall level of maternal mortality. A "J" shaped curve, with markedly higher risk after age 30, is evident in all groups. We find that the excess risk among adolescents is of a much lower magnitude than is generally assumed. The oldest age groups appear to be especially resistant to change. We also find evidence of extremely elevated risk among older mothers in countries with high levels of HIV prevalence.<h4>Conclusions</h4>The largest number of deaths occurs in the age groups from 20-34, largely because those are the ages at which women are most likely to give birth so efforts directed at this group would most effectively reduce the number of deaths. Yet equity considerations suggest that efforts also be directed toward those most at risk, i.e., older women and adolescents. Because women are at risk each time they become pregnant, fulfilling the substantial unmet need for contraception is a cross-cutting strategy that can address both effectiveness and equity concerns.
format	article
author	Ann K Blanc William Winfrey John Ross
author_facet	Ann K Blanc William Winfrey John Ross
author_sort	Ann K Blanc
title	New findings for maternal mortality age patterns: aggregated results for 38 countries.
title_short	New findings for maternal mortality age patterns: aggregated results for 38 countries.
title_full	New findings for maternal mortality age patterns: aggregated results for 38 countries.
title_fullStr	New findings for maternal mortality age patterns: aggregated results for 38 countries.
title_full_unstemmed	New findings for maternal mortality age patterns: aggregated results for 38 countries.
title_sort	new findings for maternal mortality age patterns: aggregated results for 38 countries.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/12351c942dea44578d4918cba8296508
work_keys_str_mv	AT annkblanc newfindingsformaternalmortalityagepatternsaggregatedresultsfor38countries AT williamwinfrey newfindingsformaternalmortalityagepatternsaggregatedresultsfor38countries AT johnross newfindingsformaternalmortalityagepatternsaggregatedresultsfor38countries
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New findings for maternal mortality age patterns: aggregated results for 38 countries.

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