Document Detail


Estimates of maternal mortality worldwide between 1990 and 2005: an assessment of available data.
MedLine Citation:
PMID:  17933645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Maternal mortality, as a largely avoidable cause of death, is an important focus of international development efforts, and a target for Millennium Development Goal (MDG) 5. However, data weaknesses have made monitoring progress problematic. In 2006, a new maternal mortality working group was established to develop improved estimation methods and make new estimates of maternal mortality for 2005, and to analyse trends in maternal mortality since 1990. METHODS: We developed and used a range of methods, depending on the type of data available, to produce comparable country, regional, and global estimates of maternal mortality ratios for 2005 and to assess trends between 1990 and 2005. FINDINGS: We estimate that there were 535,900 maternal deaths in 2005, corresponding to a maternal mortality ratio of 402 (uncertainty bounds 216-654) deaths per 100,000 livebirths. Most maternal deaths in 2005 were concentrated in sub-Saharan Africa (270,500, 50%) and Asia (240,600, 45%). For all countries with data, there was a decrease of 2.5% per year in the maternal mortality ratio between 1990 and 2005 (p<0.0001); however, there was no evidence of a significant reduction in maternal mortality ratios in sub-Saharan Africa in the same period. INTERPRETATION: Although some regions have shown some progress since 1990 in reducing maternal deaths, maternal mortality ratios in sub-Saharan Africa have remained very high, with little evidence of improvement in the past 15 years. To achieve MDG5 targets by 2015 will require sustained and urgent emphasis on improved pregnancy and delivery care throughout the developing world.
Authors:
Kenneth Hill; Kevin Thomas; Carla AbouZahr; Neff Walker; Lale Say; Mie Inoue; Emi Suzuki;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  370     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-15     Completed Date:  2007-10-26     Revised Date:  2008-03-20    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  1311-9     Citation Subset:  AIM; IM    
Affiliation:
Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA. kenneth_hill@harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Data Interpretation, Statistical*
Female
Humans
Maternal Mortality / trends*
Pregnancy
World Health*
Comments/Corrections
Comment In:
Lancet. 2007 Oct 13;370(9595):1291-2   [PMID:  17933633 ]
Lancet. 2008 Mar 8;371(9615):811; author reply 811-2   [PMID:  18328923 ]
Lancet. 2008 Jan 19;371(9608):203-4   [PMID:  18207013 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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