Document Detail


Maternal mortality in Italy, 1955 to 1984.
MedLine Citation:
PMID:  3407701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1955 and 1984 Italian maternal mortality steadily declined by about 90% (from 133.3 per 100,000 live-births in 1955 to 11.4 in 1984). Maternal mortality rose with age and was about tenfold higher in the highest risk group (greater than or equal to 40 years old) compared with the lowest risk group (less than 20 years old). Deaths in pregnancy with abortive outcomes represented about 8% to 10% of maternal mortality as a whole; these percentages were constant throughout the calendar period considered. Geographically, there was no noticeable reduction in the northern/southern mortality ratio, which was constantly about 0.75.
In Italy, maternal mortality declined from 133.3/100,000 live births in 1955 to 11.4/100,000 live births in 1984, a reduction of approximately 90%. The age-specific maternal mortality rates from 1958-1981 showed that age was a risk factor and that the rates were about 10 times higher for women 40 years of age and older. Abortions represented 8%-10% of maternal deaths and the percentage did not change over the period studied. Additionally, epidemiologists did not see a reduction in maternal deaths due to abortion following the legalization of abortion in 1978. In the period 1958-1978, ectopic pregnancies caused 3%-5% of maternal deaths and the percentage remained constant. The difference in maternal mortality between the more industrialized north and the poor south basically did not change; the south's rates were about 30% higher than the north's rates. Despite a persistent decline of rates in various Italian broad geographic areas, differences in rates between the south and the north brings to the attention of the public health community the need for further improvement in reducing maternal mortality in Italy and even in other developed countries.
Authors:
F Parazzini; C La Vecchia; G Mezzanotte
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  159     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-09-22     Completed Date:  1988-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  421-2     Citation Subset:  AIM; IM; J    
Affiliation:
Instituto di Richerche Farmacologiche, Mario Negri, Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Italy
Maternal Age
Maternal Mortality*
Middle Aged
Pregnancy
Pregnancy Outcome

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