Document Detail


Estimating maternal mortality in rural areas of Mexico: the application of an indirect demographic method.
MedLine Citation:
PMID:  7805997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To measure maternal mortality levels in rural areas of Mexico. METHODS: In a cross-sectional study, a census of 13,378 households was carried out in the municipalities of Yecapixtla and Tlaltizapan, Morelos, Mexico. Information on 10,443 subjects from 12 to 49 years old was included in the analysis. An indirect method of measuring maternal mortality--the sisterhood method--was used to estimate maternal mortality. Information about the number of sisters of the interviewees who died due to maternal causes was collected in the census. With this information, estimates of maternal mortality related to a period of 10-12 years before the application of the census were obtained. An innovation to the original method was the calculation of a confidence interval for the estimated maternal mortality rate (MMR). RESULTS: The MMR in this region was 18.68/10,000 live births (95% CI 15.79-21.58/10,000 live births). The average risk of dying due to maternal causes was 1 in 87 for women between 12 and 49 years of age. CONCLUSIONS: The sisterhood method was effective for estimating maternal mortality in a small region, with no previous information about this indicator. The method proved to be useful for identifying a priority region for the implementation of maternal mortality reduction programs. Furthermore, the method was particularly convenient since it was applied as part of a multipurpose survey.
Authors:
B Hernández; J Chirinos; M Romero; A Langer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  46     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-01-30     Completed Date:  1995-01-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  285-9     Citation Subset:  IM    
Affiliation:
Center for Public Health Research, National Institute of Public Health, Cuernavaca, Mexico.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Birth Rate
Cause of Death
Child
Confidence Intervals
Cross-Sectional Studies
Family Characteristics*
Female
Health Priorities
Health Surveys
Humans
Maternal Age
Maternal Mortality*
Maternal Welfare
Mexico / epidemiology
Middle Aged
Nuclear Family
Population Surveillance / methods*
Reproducibility of Results
Risk Factors
Rural Population*

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


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