Document Detail

Seasonal variations in maternal mortality in Maputo, Mozambique: the role of malaria.
MedLine Citation:
PMID:  17207149     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the impact of malaria on maternal death through the analysis of the seasonal variations of crude and malaria-specific maternal mortality rates. METHODS: All maternal deaths and live births occurring at Maputo Central Hospital, located in an urban area, between January 2001 and December 2003, were retrospectively recorded. Clinical diagnoses of the causes of death and period of the year were analysed. RESULTS: Two hundred and seventy-eight deaths were recorded. The overall crude maternal mortality rate was 995/100 000 live births. Malaria was the most frequent cause of maternal death, accounting for 23%. Crude and malaria-specific maternal mortality rates showed a similar pattern of seasonal variation, with peaks at the beginning and the end of the malaria transmission season. The malaria-specific maternal mortality rate was significantly higher during the rainy seasons (rate ratio 1.919; 95% CI 1.061, 3.470; P = 0.031). CONCLUSIONS: Malaria may contribute to maternal mortality in highly endemic countries in sub-Saharan Africa, at least in urban areas. Efforts to improve malaria control in pregnancy may have an impact on maternal mortality in sub-Saharan Africa.
Cleofé Romagosa; Jaume Ordi; Francisco Saute; Llorenç Quintó; Fernanda Machungo; Mamudo R Ismail; Carla Carrilho; Nafissa Osman; Pedro L Alonso; Clara Menendez
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  12     ISSN:  1360-2276     ISO Abbreviation:  Trop. Med. Int. Health     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-08     Completed Date:  2007-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  62-7     Citation Subset:  IM    
Department of Pathology, Hospital Clínic, University of Barcelona-Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
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MeSH Terms
Cause of Death
Endemic Diseases
Malaria / mortality*
Maternal Mortality
Mozambique / epidemiology
Pregnancy Complications / mortality*
Pregnancy Complications, Parasitic / mortality
Retrospective Studies

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