Document Detail

Maternal deaths among women with pregnancies outside of family planning in Sichuan, China.
MedLine Citation:
PMID:  7986862     Owner:  NLM     Status:  MEDLINE    
To assess the impact of family planning status on maternal mortality, we analyzed data gathered in a community-based, maternal mortality surveillance study conducted by the Sichuan Health Department in the People's Republic of China during 1989-1991. The overall maternal mortality ratio, which included only deaths of pregnant women within family planning guidelines ("planned" pregnancies), was 78.9 per 100,000 livebirths. When the deaths of pregnant women outside of family planning ("unplanned" pregnancies) were included, the maternal mortality ratio doubled to 135.6 per 100,000 livebirths. The leading causes of death for women with "planned" and "unplanned" pregnancies were the same: hemorrhage, postpartum infection, pregnancy-induced hypertension, cardiac diseases, and pulmonary diseases. As among women with "planned" pregnancies, about 40% of maternal deaths among women with "unplanned" pregnancies occurred at home, and 20% occurred en route to a hospital. After controlling for the confounding effects of gravidity and education, the odds ratio of maternal death associated with "unplanned" pregnancy status was 2.6 [95% confidence interval (CI) = 2.0-3.7], which declined to 2.0 (95% CI = 1.4-2.9) with additional control for the effect of prenatal care visits. Our study indicates that women with "unplanned" pregnancies have a higher risk of maternal death, which is only partially attributed to less prenatal care.
H Ni; A M Rossignol
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epidemiology (Cambridge, Mass.)     Volume:  5     ISSN:  1044-3983     ISO Abbreviation:  Epidemiology     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-01-11     Completed Date:  1995-01-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9009644     Medline TA:  Epidemiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  490-4     Citation Subset:  IM; J    
Department of Public Health, College of Health and Human Performance, Oregon State University, Corvallis 97331-6406.
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MeSH Terms
China / epidemiology
Confidence Intervals
Family Planning Services / statistics & numerical data*,  trends
Maternal Age
Maternal Mortality* / trends
Middle Aged
Population Surveillance
Pregnancy Complications / epidemiology*,  etiology
Socioeconomic Factors
Comment In:
Epidemiology. 1994 Sep;5(5):481-3   [PMID:  7986860 ]

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