高级检索
当前位置: 首页 > 详情页

Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.

文献详情

资源类型:
Pubmed体系:
作者:
机构: [1]Institute for Health Metrics and Evaluation, Seattle, WA, USA [2]Pediatric Anesthesiology and Pain Medicine, Seattle Children's Hospital, School of Medicine, Seattle, WA, USA. [2]Institute for Health Metrics and Evaluation, Seattle, WA, USA. [3]Hacettepe University Institute of Population Studies, Ankara, Turkey. [4]Faculty of Medicine, Cairo University, Cairo, Egypt. [5]School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia. [6]University College London, London, UK. [7]Ministry of Health, Gaborone, Botswana. [8]Public Health Promotion Alliance, Osogbp, Nigeria. [9]University of Melbourne, Melbourne, VIC, Australia. [10]Association Ivoirienne Pour Le Bien Etre Familial, Abidjan, Côte d'Ivoire. [11]University of Extremadura, Cáceres, Spain. [12]Institution of Public Health Sciences, Stockholm, Sweden. [13]Makerere University, Kampala, Uganda. [14]Ministry of Health, Muscat, Oman. [15]Debre Markos University, Debre Markos, Amhara, Ethiopia. [16]University of Washington, Seattle, WA, USA. [17]National Guard Health Affairs, Riyadh, Saudi Arabia. [18]University of Oxford, Oxford, UK. [19]School of Public Health, University of Lorraine, Nancy, France. [20]Ministry of Health, Belmopan, Cayo, Belize. [21]Saudi Ministry of Health, Riyadh, Saudi Arabia. [22]Charité Universitätsmedizin Berlin, Berlin, Germany. [23]Spanish Observatory on Drugs, Government Delegation for the National Plan on Drugs, Madrid, Spain [25]Ministry of Health, Social Services and Equality, Madrid, Spain. [24]Universidad de Cartagena, Cartagena de Indias, Colombia. [25]Albany State University, Albany, GA, USA. [26]Department of Epidemiology, University of Groningen, Groningen, Netherlands [29]College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. [27]Kurdistan Environmental Health Research Centre, Kurdistan University of Medical Sciences, Sanandaj, Kurdistan, Iran. [28]Ministry of Public Health, Beirut, Lebanon. [29]College of Public Health, University of the Philippines Manila, Manila, Philippines. [30]UN Population Fund, Kabul, Afghanistan. [31]Uppsala University, Uppsala, Sweden. [32]Institute of Microbiology and Immunology, School of Medicine, University of Belgrade, Belgrade, Serbia. [33]Median, Windsor, ON, Canada. [34]Ministry of Health, Amman, Jordan. [35]Field Epidemiology and Laboratory Training Program, Islamabad, Pakistan. [36]Mashhad University of Medical Sciences, Mashhad, Iran. [37]Ministry Of Health, Wellness, Human Services and Gender Relations, Sans Souci, Castries, Saint Lucia. [38]Public Health Agency of Canada, Toronto, ON, Canada. [39]Sri Ramachandra University, Chennai, India. [40]School of Health Sciences, University of Canterbury, Christchurch, New Zealand. [41]Stanford University, Stanford, CA, USA. [42]Oxford University, Ho Chi Minh City, Vietnam. [43]College of Public Health and Tropical Medicine, Jazan, Saudi Arabia. [44]Madawalabu University, Bale Goba, Oromia, Ethiopia. [45]Yale University, New Haven, CT, USA. [46]King's College London, London, UK. [47]Addis Ababa University, Debre Zeit, Ethiopia. [48]Aga Khan University Medical Centre, Karachi, Pakistan. [49]University of Missouri-Kansas City, Kansas City, MO, USA. [50]General Directorate of Health Research, Ankara, Turkey. [51]World Bank, Washington, DC, USA. [52]University of Arizona, Tucson, AZ, USA. [53]Universidad Autonoma Metropolitana, Mexico City, Mexico. [54]Colombian National Health Observatory, Instituto Nacional de Salud, Bogota, Colombia. [55]Universidad Diego Portales, Santiago, Chile. [56]Division of Pharmacoepidemiology and Pharmacovigilance, Spanish Medicines and Healthcare Products Agency, Madrid, Spain. [57]National Taiwan University, Taipei, Taiwan. [58]National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA. [59]Cyprus University of Technology, Limassol, Cyprus. [60]Cedars-Sinai Medical Centre, Los Angeles, CA, USA. [61]University of Salerno, Baronissi, Italy. [62]Centre for International Child Health, Melbourne, VIC, Australia. [63]Mayo Clinic, Rochester, MN, USA. [64]Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. [65]National School of Public Health (ENSP/Fiocruz), Rio de Janeiro, Brazil. [66]Institute for Health Metrics and Evaluation, Seattle, WA, USA [70]Public Health Foundation of India, New Delhi, India. [67]Public Health Foundation of India, New Delhi, India. [68]Public Health England, London, UK. [69]School of Medicine, Atlanta, GA, USA. [70]University of New South Wales, Sydney, NSW, Australia. [71]Griffith University, Brisbane, QLD, Australia. [72]University of Auckland, Auckland, New Zealand. [73]Africa Medical and Research Foundation in Ethiopia, Addis Ababa, Ethiopia. [74]Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. [75]University of Peradeniya, Peradeniya, Sri Lanka. [76]Harvard School of Public Health, Boston, MA, USA. [77]University of Cape Town, Cape Town, South Africa. [78]Sydney School of Public Health, NSW, Australia. [79]The Institute of Social and Economic Studies of Population at the Russian Academy of Sciences, Moscow, Russia. [80]Endocrinology and Metabolism Research Centre, Tehran University of Medical Sciences, Tehran, Iran. [81]Non-Communicable Diseases Research Centre, Tehran University of Medical Sciences, Tehran, Iran. [82]Departamento de Saúde Pública, ARS Norte IP, Porto, Portugal. [83]Karolinska Institutet, Stockholm, Sweden. [84]Public Health Department, Unidade Local de Saúde de Matosinhos, Porto, Portugal. [85]Federal University of Minas Gerais, Belo Horizonte, Brazil. [86]School of Medicine, Stanford, CA, USA. [87]National Centre for Disease Control and Public Health of Georgia, Tbilisi, Georgia. [88]Clinique Coopérative de Parakou, Parakou, Borgou, Benin. [89]Public Health Unit of Primary Health Care Group of Almada-Seixal, Almada, Setúbal, Portugal. [90]Division of Human Nutrition, Wageningen University, Wageningen, Netherlands. [91]Monash University, Melbourne, VIC, Australia. [92]University Hospital of Dijon, Dijon, France. [93]Heller School for Social Policy and Management, Waltham, MA, USA. [94]Ministry of Labour, Health and Social Affairs, Tbilisi, Georgia. [95]University of Massachusetts Medical School, Worcester, MA, USA. [96]National Institute of Public Health, Cuernavaca, Mexico. [97]Department of Diabetes Research, National Centre for Global Health and Medicine, Tokyo, Japan. [98]University of Queensland, Brisbane, QLD, Australia. [99]Saint James School of Medicine, Kralendijk, Bonaire, Netherlands. [100]Kanawha Charleston Health Department, Charleston, WV, USA. [101]Fortis Escorts Hospital, Jaipur, India. [102]Arabian Gulf University, Manama, Bahrain. [103]Wayne County Department of Health and Human Services, Detroit, MI, USA. [104]School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia. [105]Parnassia Psychiatric Institute, The Hague, Netherlands. [106]Albert Einstein College of Medicine, Bronx, NY, USA. [107]School of Population Health, QLD, Australia [112]Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia. [108]Birzeit University, Birzeit, Ramallah, Palestine. [109]Brandeis University, Waltham, MA, USA. [110]National Institute for Health Development, Tallinn, Estonia. [111]Graduate School of Medicine, Tokyo, Japan. [112]George Mason University, Fairfax, VA, USA. [113]Ochsner Medical Centre, New Orleans, LA, USA. [114]Graduate School of Public Health, Yonsei University, Seoul, South Korea. [115]Postgraduate Institute of Medical Education and Research, Chandigarh, India. [116]Tianjin Centres for Diseases Control and Prevention, Tianjin, China. [117]Department of Ophthalmology, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany. [118]National Institute of Public Health, Copenhagen, Denmark. [119]Vanderbilt University, Nashville, TN, USA. [120]Fudan University, Shanghai, China. [121]University of Balamand, Beirut, Lebanon. [122]Helmholtz Centre for Infection Research, Braunschweig, Germany. [123]Malaria and Other Parasitic Diseases Division, Kigali, Rwanda. [124]Oklahoma State University, Tulsa, OK, USA. [125]School of Public Health, Tokyo, Japan. [126]University of California San Francisco, San Francisco, CA, USA. [127]University of São Paulo, São Paulo, Brazil. [128]South African Medical Research Council, Cape Town, South Africa. [129]Jordan University of Science and Technology, Al-Ramtha, Jordan. [130]Supreme Council of Health, Doha, Qatar. [131]Health Services Academy, Islamabad, Pakistan. [132]Institute of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea. [133]Department of Preventive Cardiology, Department of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Centre, Suita, Japan. [134]Centre for Community Empowerment, Health Policy and Humanities, National Institute of Health Research and Development, Jakarta, Indonesia. [135]University of Montreal, Montreal, QC, Canada. [136]Rajrajeshwari Medical College and Hospital, Bangalore, India. [137]Arkansas State University, Jonesboro, AR, USA. [138]International Institute for Population Sciences, Mumbai, India. [139]Indian Institute of Public Health, Public Health Foundation of India, Gurgaon, India. [140]Boston Medical Centre, Boston, MA, USA. [141]Fourth View Consulting, Tallinn, Estonia. [142]Australian Research Centre for Population Oral Health (ARCPOH), School of Dentistry, University of Adelaide, Adelaide, SA, Australia. [143]Institute of Health Policy and Development Studies, National Institutes of Health, Manila, Philippines. [144]International Agency for the Prevention of Blindness and Vision 2020, Weston, FL, USA. [145]Korea University, Seoul, South Korea. [146]University of Sydney, NSW, Australia. [147]University at Albany, Rensselaer, NY, USA. [148]National Centre for Birth Defects Monitoring of China, Chengdu, China. [149]National Centre for Chronic and Non-Communicable Disease Control and Prevention, Beijing, China. [150]Genentech, South San Francisco, CA, USA. [151]National Office for Maternal and Child Health Surveillance, West China Second University Hospital, Sichuan University, Chengdu, China. [152]Chinese Centre for Disease Control and Prevention, Beijing, China. [153]College of Public Health, Taipei, Taiwan. [154]Wayne State University, Miami, FL, USA. [155]University of the East Ramon Magsaysay Memorial Medical Centre, Quezon City, Philippines. [156]National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA. [157]Ministry of Health Singapore, Singapore, Singapore. [158]Northern Region Health Administration, Porto, Portugal. [159]Xpharmconsult, Kumasi, Ghana. [160]Department of Public Health, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia. [161]University of Zambia, Lusaka, Zambia. [162]Queen Mary University of London, London, UK. [163]University of York, York, UK. [164]Janakpuri Super Specialty Hospital, New Delhi, India. [165]UN Population Fund, Lima, Peru. [166]Pacific Institute for Research and Evaluation, Calverton, MD, USA. [167]University of Ottawa, Ottawa, ON, Canada. [168]University of Papua New Guinea, Port Moresby, Papua New Guinea. [169]Institute for Maternal and Child Health Istituto di Ricovero e Cura a Carattere Scientifico Burlo Garofolo, Trieste, Italy. [170]Bureau of International Health Cooperation, Manila City, Philippines. [171]University of North Texas, Denton, TX, USA. [172]Institute for Health Metrics and Evaluation, Seattle, WA, USA [178]Iran University of Medical Sciences, Department of Community Medicine, Tehran, Iran. [173]National Centre for Child Health and Development, Setagaya, Tokyo, Japan. [174]Philipps-University Marburg, Marburg, Germany. [175]Tokyo Medical and Dental University, Tokyo, Japan. [176]International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh. [177]University of KwaZulu-Natal, Durban, South Africa. [178]Ministry of Health Fiji, Suva, Fiji. [179]Suraj Eye Institute, Nagpur, India. [180]School of Public Health, State University of New York, New York, NY, USA. [181]Faculty of Medicine, Fez, Morocco. [182]National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ, USA. [183]Norwegian Centre for Addiction Research (SERAF), University of Oslo, Oslo, Norway. [184]Kenya Medical Research Institute Wellcome Trust Programme, Kilifi, Kenya. [185]Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. [186]Aga Khan University, Karachi, Pakistan. [187]University of Bergen, Bergen, Norway. [188]Kyung Hee Unversity, Seoul, South Korea. [189]Teikyo University School of Medicine, Tokyo, Japan. [190]Centre for Healthy Start Initiative, Lagos, Nigeria. [191]Emory University, Atlanta, GA, USA. [192]Lira District Local Government, Lira Municipal Council, Lira, Uganda. [193]Toxicology Unit, Faculty of Pharmacy, University of Port Harcourt, Port Harcourt, Nigeria. [194]Christian Medical College Ludhiana, Ludhiana, India. [195]Sungkyunkwan University School of Medicine, Suwon, South Korea. [196]Universidad de Cartagena, Cartagena, Colombia. [197]University of Calgary, Calgary, AB, Canada. [198]All India Institute of Medical Sciences (AIIMS), New Delhi, India. [199]WHO, Waigani, Papua New Guinea. [200]London School of Hygiene &amp [207]Tropical Medicine, London, UK. [201]3B's Research Group in Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, and ICVS/3B's PT Government Associate Laboratory, Braga Portugal. [202]Flinders University, Adelaide, SA, Australia. [203]Centre for Applied Biostatistics, Sahlgrenska Academy, University of Gothenburg, Sweden. [204]McMaster University, Hamilton, ON, Canada. [205]Erasmus Medical Center, Department of Public Health, Rotterdam, Netherlands. [206]University of Liverpool, Liverpool, UK. [207]University of British Columbia, Vancouver, BC, Canada. [208]College of Pharmacy, Chicago, IL, USA. [209]Contech International, Lahore, Pakistan. [210]Sina Trauma and Surgery Research Centre, Tehran University of Medical Sciences, Tehran, Iran. [211]Hamad Medical Corporation, Doha, Qatar. [212]University of Missouri, Columbia, MO, USA. [213]Department of Public Health, University of the Punjab, Lahore, Pakistan. [214]Walden University, Minneapolis, MN, USA. [215]Bhaba Atomic Research Center Hospital, Mumbai, India. [216]MS Research Centre, Tehran University of Medical Sciences, Tehran, Iran. [217]Harvard University, Boston, MA, USA. [218]Marshall University, Huntington, WV, USA. [219]Ministry of Health, Kigali, Rwanda. [220]Federal University of Santa Catarina, Florianópolis, Brazil. [221]University of Alabama at Birmingham, Birmingham, AL, USA. [222]Stellenbosch University, Cape Town, South Africa. [223]Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. [224]University of Tokyo, Tokyo, Japan. [225]Health Canada, Ottawa, ON, Canada. [226]Heriot-Watt University, Edinburgh, UK. [227]Reykjavik University, Reykjavik, Iceland. [228]University of Pennsylvania, Philadelphia, PA, USA. [229]Instituto Nacional de Epidemiología Dr Juan H Jara, Mar del Plata, Buenos Aires, Argentina. [230]Norwegian Institute of Public Health, Oslo, Norway. [231]Hatter Institute for Cardiovascular Research in Africa, Faculty of Health Sciences, Cape Town, South Africa. [232]Federal Research Institute for Health Organisation and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia. [233]Department of Clinical Neurological Sciences, Western University, London, ON, Canada. [234]University Tunku Abdul Rahman, Kajang, Malaysia. [235]Hellenic Centre for Disease Control and Prevention (KEELPNO) Greece, Athens, Greece. [236]Department of Criminology, Law and Society (and Sociology), University of California Irvine, Irvine, CA, USA. [237]University of Illinois, Chicago, IL, USA. [238]Ministry of Public Health, Yaounde, Cameroon. [239]National Institute of Occupational Health and Poison Control, Beijing, China. [240]Memorial University, St John's, NL, Canada. [241]Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA [249]Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia. [242]The Earth Institute, Columbia University, New York, NY, USA. [243]Department of Neurology, Seattle, WA, USA. [244]Cincinnati Children's Hospital Medical Centre, Cincinnati, OH, USA. [245]Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. [246]Department of Medicine, University of Crete, Heraklion, Greece. [247]Department of Veterans Affairs, Washington, DC, USA. [248]Department of Internal Medicine, Federal Teaching Hospital Abakaliki, Abakaliki, Nigeria. [249]Ministry of Health, Ankara, Turkey. [250]The Kirby Institute, Sydney, NSW, Australia. [251]National Institute for Public Health and the Environment, Bilthoven, Netherlands. [252]UKK Institute for Health Promotion Research, Tampere, Finland. [253]Neuroscience Centre, Raffles Hospital, Singapore. [254]University of Bologna, Bologna, Italy. [255]Higher School of Economics, Moscow, Russia. [256]Uniformed Services University of Health Sciences, Bethesda, MD, USA. [257]Shandong University Affiliated Jinan Central Hospital, Jinan, China. [258]Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden. [259]University of Melbourne, Melbourne, VIC, Australia [268]Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia. [260]University of Miami, Miami, FL, USA. [261]Institute of Public Health, University of Gondar, Gondar, Ethiopia. [262]Ateneo School of Medicine and Public Health, City of Pasig, Manila, Philippines. [263]Jimma University, Jimma, Ethiopia. [264]Nanjing University School of Medicine, Jinling Hospital, Nanjing, China. [265]University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. [266]Division of Cardiovascular Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan. [267]University of Hong Kong, Hong Kong Special Administrative Region, China. [268]National Centre of Neurology and Psychiatry, Kodaira, Japan. [269]Jackson State University, Jackson, MS, USA. [270]Department of Epidemiology and Biostatistics, Global Health Institute, School of Public Health, Wuhan University, Wuhan, China. [271]TCM Medical Tk, Nusajaya, Johor Bahru, Malaysia. [272]Mansoura Faculty of Medicine, Mansoura, Egypt. [273]Chongqing Medical University, Chongqing, China. [274]Zhongshan Ophthalmic Centre, Sun Yat-sen University, Guangzhou, China. [275]Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. [276]Institute for Health Metrics and Evaluation, Seattle, WA, USA [286]National Institute of Public Health, Cuernavaca, Mexico.
出处:
ISSN:

摘要:
The fifth Millennium Development Goal (MDG 5) established the goal of a 75% reduction in the maternal mortality ratio (MMR; number of maternal deaths per 100,000 livebirths) between 1990 and 2015. We aimed to measure levels and track trends in maternal mortality, the key causes contributing to maternal death, and timing of maternal death with respect to delivery. We used robust statistical methods including the Cause of Death Ensemble model (CODEm) to analyse a database of data for 7065 site-years and estimate the number of maternal deaths from all causes in 188 countries between 1990 and 2013. We estimated the number of pregnancy-related deaths caused by HIV on the basis of a systematic review of the relative risk of dying during pregnancy for HIV-positive women compared with HIV-negative women. We also estimated the fraction of these deaths aggravated by pregnancy on the basis of a systematic review. To estimate the numbers of maternal deaths due to nine different causes, we identified 61 sources from a systematic review and 943 site-years of vital registration data. We also did a systematic review of reports about the timing of maternal death, identifying 142 sources to use in our analysis. We developed estimates for each country for 1990-2013 using Bayesian meta-regression. We estimated 95% uncertainty intervals (UIs) for all values. 292,982 (95% UI 261,017-327,792) maternal deaths occurred in 2013, compared with 376,034 (343,483-407,574) in 1990. The global annual rate of change in the MMR was -0·3% (-1·1 to 0·6) from 1990 to 2003, and -2·7% (-3·9 to -1·5) from 2003 to 2013, with evidence of continued acceleration. MMRs reduced consistently in south, east, and southeast Asia between 1990 and 2013, but maternal deaths increased in much of sub-Saharan Africa during the 1990s. 2070 (1290-2866) maternal deaths were related to HIV in 2013, 0·4% (0·2-0·6) of the global total. MMR was highest in the oldest age groups in both 1990 and 2013. In 2013, most deaths occurred intrapartum or postpartum. Causes varied by region and between 1990 and 2013. We recorded substantial variation in the MMR by country in 2013, from 956·8 (685·1-1262·8) in South Sudan to 2·4 (1·6-3·6) in Iceland. Global rates of change suggest that only 16 countries will achieve the MDG 5 target by 2015. Accelerated reductions since the Millennium Declaration in 2000 coincide with increased development assistance for maternal, newborn, and child health. Setting of targets and associated interventions for after 2015 will need careful consideration of regions that are making slow progress, such as west and central Africa. Bill & Melinda Gates Foundation. Copyright © 2014 Elsevier Ltd. All rights reserved.

基金:
语种:
PubmedID:
中科院(CAS)分区:
出版当年[2014]版:
大类 | 1 区 医学
小类 | 1 区 医学:内科
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 医学:内科
第一作者:
第一作者机构: [1]Institute for Health Metrics and Evaluation, Seattle, WA, USA
通讯作者:
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:46420 今日访问量:0 总访问量:3323 更新日期:2024-11-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 四川省肿瘤医院 技术支持:重庆聚合科技有限公司 地址:成都市人民南路四段55号