scholarly journals Maternal Mortality Trends in Spain During the 2000-2018 Period: The Role of Maternal Origin

Author(s):  
Santiago García-Tizón Larroca ◽  
Juan Arevalo Serrano ◽  
Maria Ruiz Minaya ◽  
Pilar Paya Martinez ◽  
Ricardo Perez Fernandez Pacheco ◽  
...  

Abstract Backround: The available literature indicates that there are significant differences in maternal mortality according to maternal origin in high income countries. The aim of this study was to examine the trend in the maternal mortality rate and its most common causes in Spain in recent years and to analyse its relationship with maternal origin.Methods: This was a cross-sectional study of all live births as well as those resulting in maternal death in Spain during the period between 2000 and 2018. A descriptive analysis of the maternal mortality rate by cause, region of birth, maternal age, marital status, human development index and continent of maternal origin was performed. The risk of maternal death was calculated using univariate and multivariate logistic regression analyses, with adjustment for certain variables included in the descriptive analysis.Results: There was a total of 293 maternal deaths and 8,439,324 live births during the study period. The most common cause of maternal death was hypertensive disorders of pregnancy. The average maternal death rate was 3.47 per 100,000 live births. The risk of suffering from this complication was higher for immigrant women from less developed countries; therefore, a decrease of 0.01 in the maternal human development index score significantly increased the risk of this complication by 2.4%.Conclusions: The results of this study indicate that there are inequalities in maternal mortality according to maternal origin in Spain. The human development index of the country of maternal origin could be a useful tool when estimating the risk of this complication, taking into account the origin of the pregnant woman.

2017 ◽  
Vol 2 (1) ◽  
pp. 77
Author(s):  
Habib Shulton

Abstract This research background by violations of human rights (Human Rights) in Indonesia, particularly women's rights violations in the health sector. Yet the fulfillment of the right to health for women is clearly reflected from ranking Human Development Index (HDI) and Gender-Related Development Index (GDI). One indication is the high maternal mortality rate (MMR) and infant mortality rate increased. In Indonesia, maternal mortality rate is very high in comparison with other countries, even higher than those of developing countries in Southeast Asia. Omission of the right to health is a human rights violation. Therefore, the new law required an effort of political justice and protection of the rights women's health in Indonesia. Moreover Indonesia country is "state of law", the concept of the rule of law is the protection of human rights. In addition, the legal protection of human rights politics in the health sector comes as the commitment of Indonesia in the international program MDG.s. Keywords: politics of law, women's health, rights and justice. Abstrak Penelitian ini dilatar belakangi oleh pelanggaran terhadap hak-hak asasi manusia (HAM) kaum perempuan di Indonesia khususnya pelanggaran terhadap hak-hak di bidang kesehatan. Belum terpenuhinya hak kesehatan bagi perempuan tercermin dengan jelas dari peringkat Human Development Index (HDI) dan Gender Related Developmen Index (GDI). Salah satu indikasinya adalah tingginya angka kematian ibu (AKI) serta meningkatnya angka kematian bayi. Di Indonesia, tingkat AKI sangat tinggi di bandingkan dengan negara-negara lain, bahkan lebih tinggi dibandingkan dengan negara-negara berkembang di Asia Tenggara. Pembiaran terhadap hak-hak kesehatan merupakan sebuah pelanggaran HAM. Oleh karena itu, diperlukan politik hukum baru sebagai upaya keadilan dan perlindungan hak-hak kesehatan perempan di Indonesia. Apalagi negara Indonesa adalah “negara hukum”, konsep negara hukum adalah adanya perlindungan terhadap HAM. Selain itu, politik hukum perlindungan HAM di bidang kesehatan ini sebagai upaya komitmen Indonesia dalam program Internasional yakni MDG.s. Kata Kunci: politik hukum, kesehatan perempuan, HAM dan keadilan


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025287 ◽  
Author(s):  
Tania Siahanidou ◽  
Nick Dessypris ◽  
Antonis Analitis ◽  
Constantinos Mihas ◽  
Evangelos Evangelou ◽  
...  

ObjectiveTo study trends of infant mortality rate (IMR) and neonatal mortality rate in Greece during the period 2004–2016 and explore the role of sociodemographic factors in the years of crisis.DesignNationwide individual data for live births and infant (0–11 months) deaths provided by the Hellenic Statistical Authority were examined using Poisson, joinpoint regression and interrupted time series (ITS) analyses.SettingGreece.ParticipantsAll infant deaths (n=4862) over the 13-year period, of which 87.2% were born to Greek mothers, and respective live births.Main outcome measuresEvolution of IMR (0–364 days), early (<7 days) neonatal mortality rate (ENMR), late (7–27 days) neonatal mortality rate (LNMR) and post neonatal (28–364 days) mortality rate (PNMR) trends, by maternal nationality, place of residence and Human Development Index (HDI).ResultsBy Poisson regression, overall, during the study period, among infants of Greek mothers, IMR and PNMR declined significantly (−0.9%; 95% CI −1.7% to −0.1% and −1.6%; −3.0% to −0.2% annually, respectively), although differentially by place of residence (IMRurban: −2.1%; −2.9% to −1.3%, IMRrural: +10.6%; 7.6% to 13.6%). By contrast, among infants of non-Greek mothers, the low starting IMR/ENMR/LNMR/PNMR increased significantly (max ENMR:+12.5%; 8.6% to 16.5%) leading to a non-significant time–trend pattern overall in Greece. The inverse associations of HDI with IMR, ENMR and PNMR were restricted to Greek mothers’ infants. Joinpoint regression analyses among Greek mothers’ infants indicated non-significant increasing trends of IMR and ENMR following the crisis (+9.3%, 2012–2016, p=0.07 and +10.2%, 2011–2016, p=0.06, respectively). By contrast, the high (+17.1%; 8.1% to 26.9%, p=0.002) IMR increases among non-Greek infants were restricted to 2004–2011 and equalised to those of Greek mothers’ infants thereafter. ITS analyses in preset years (2008, 2010, 2012) identified significantly increasing trends in IMR, LNMR and PNMR after 2012, and in ENMR after 2010, among Greek mothers’ infants.ConclusionsHDI and rural residence were significantly associated with IMR. The strongly decreasing IMR trends among Greek-mothers’ infants were stagnated after a lag time of ~4 years of crisis approximating the previously sharply increasing trends among non-Greeks.


2019 ◽  
Vol 10 (01) ◽  
pp. 21237-21244
Author(s):  
Ni Putu Suriyati ◽  
I Ketut Widnyana ◽  
I Made Sukerta

The Maternal Mortality Rate (MMR) is an indicator of the success of development in the health sector, it is stated in the third goal which one of the indicators for the third goal is to reduce maternal mortality. Based on Indonesia's demographic health survey (IDHS, 2012), the maternal mortality rate in Indonesia is 359 per 100,000 live births (BPS, 2012). Thus the need for hard work to achieve the SDGs goal is 70 per 100,000 live births (Ministry of Health, 2015). Of the 9 Kabupatens / Cities in Bali Province, Tabanan has the highest maternal mortality rate from the other districts. This study aims to determine the implementation of P4K in Tabanan district, to find out what factors influence the implementation of P4K in Tabanan Regency and how the strategies in implementing P4K in Tabanan Regency. The research locations are Pusuan I Health Center, Pupuan II Health Center, Marga II Health Center and Tabanan III Health Center. Data collection techniques in this study were in-depth interviews, document studies, and Focus Group Discussion (FGD). Then the data were analyzed by qualitative descriptive analysis, and SWOT analysis. According to the results obtained, the implementation of P4K in Tabanan district entered the sufficient category of 4 implementation variables according to George Edward III, communication variables and attitudinal and commitment variables of program implementers included in the category enough while the availability variables included in the good category, and bureaucratic structure variables entering into a very good category. The results of internal factor evaluation (IFE) and external factor evaluation (EFE) matrix analysis are in quadrant II which proves that an agency is strong but faces a big threat so that the ST strategy is suitable to be applied by using force to deal with threats.


2020 ◽  
Vol 28 (3) ◽  
pp. 183-189
Author(s):  
İbrahim Batmaz ◽  
Salih Burçin Kavak ◽  
Ebru Çelik Kavak ◽  
Evrim Gül ◽  
Cengiz Şanlı ◽  
...  

Objective: To determine the maternal deaths and the factors affecting them in our city. Methods: The maternal deaths occurred in our city between January 2015 and June 2020 were reviewed retrospectively. The review was conducted by checking “Maternal Death Registry Forms” of the Provincial Directorate of Health. In cases where additional data related with the cause of death were required, the relatives of the cases, associated family practitioner, The Council of Forensic Medicine or local authorities were contacted. The data of the cases including age, gravida, parity, abortion, delivery type, week of gestation during delivery, period of death and maternal deaths due to direct, indirect and incidental causes were recorded. Based on total live births and maternal deaths within 6.5 years, maternal mortality rate was found as the maternal death number per 100,000 live births. Descriptive statistics were used for the statistical analysis of the data. Results: A total of 46.618 live births occurred between 2015 and 2020 in Elazığ. The number of maternal deaths due to direct and indirect causes is 7, and maternal mortality rate was found 15.01/100,000. Hypertensive diseases during pregnancy (n=3, 42.8%), pulmonary embolism (n=1, 14.3%) and cerebral thrombosis (n=1, 14.3%) were among the natural causes of maternal deaths. Indirect cause for maternal death was cardiac diseases (n=2, 28.6%). When they were categorized according to the Three Delays Model, there were 3 death cases in the first delay model and 2 death cases in the third delay model, but there was no maternal death in the second delay model. Conclusion: Maternal death is an significant public health issue which develops due to the generally preventable causes and maintains its importance. The factors contributing to death should be paid attention in order to decrease maternal death rates.


Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.


Author(s):  
I. Bielova ◽  
I. D’yakonova ◽  
L. Taraniuk ◽  
O. Demikhov

Of great importance in today's conditions is the assessment of destructive factors influencing the mortality rate of patients with COVID-19, because this analysis may be necessary to form a roadmap for governments, which aims to prevent and reduce the spread of COVID-19. The aim of the research is to analyze the factors influencing mortality caused by COVID-19, based on data from countries around the world and at the national level. Among such factors, the influence of the environmental component is highlighted. Methodology and scientific approaches: comparative analysis - in establishing the average level of indicators for groups of countries depending on the human development index HDI, as well as for key indicators to characterize the level of environmental "load" at the level of regions of Ukraine, synthesis method - economically justified analysis results average level of indicators for groups of countries depending on the human development index HDI, the method of generalization - in forming the general conclusions of the study, statistical methods (correlations and the method of averages) - in assessing the impact of factors on mortality from COVID-19. The results of the study: the article conducted a study on the analysis of factors influencing mortality caused by COVID-19. Indicators that participate in the analysis of factors influencing mortality from COVID-19 are identified. The main indicators of the standard of living and health of the population used in the world are marked. The average levels of indicators for groups of countries depending on the human development index HDI are calculated and the dependences of these indicators and their impact on the mortality rate on COVID-19 are economically substantiated. In terms of regions of Ukraine, an analysis of the impact of indicators that affect the mortality rate from COVID-19, using some components of the environmental "load". The analysis of the main indicators for the assessment of the consequences of the spread of COVID-19 is carried out and their significance at the regional level is analyzed. The possibility of using the results in further research may relate to the formation of an economic model of factors influencing mortality caused by COVID-19, which will predict different scenarios of destructive factors on mortality from COVID-19 depending on the implementation of measures to combat the spread of the disease among governments countries. The practical significance of the study is that based on the analysis of the results of the study there is the possibility of forming effective management decisions by governments to counter the spread of COVID-19 at the international and national levels. The social consequences include the social effects that result from the results of this analysis through effective health care decision-making by national governments, that may reduce the mortality rate among the population from COVID-19.


2017 ◽  
Vol 4 (1) ◽  
pp. 117
Author(s):  
Riza Firdhania ◽  
Fivien Muslihatinningsih

This research describes the relation between variables of population, inflation, minimum wage, economic growth, and humandevelopment index toward the unemployment rate in Jember. The type of data used in this research was secondary data in theform of ‘time series’ obtained from Jember Department of Labor and Central Bureau of Statistics in the year of 2002-2013.The research method was a kind of statistical descriptive analysis and multiple linear regression analysis. Moreover, theresearcher used partial test (T-test), simultaneous test (F-test), and coefficients determination test (R2) for the hypothesis.Whereas the assumption test was conducted in the use of normality, multicollinearity, heteroscedasticity, and autocorrelationtest. From the result of the data analysis, it confirmed that the population positively and significantly affected theunemployment rate in Jember. The variables of inflation, minimum wage, and human development index negatively andsignificantly affected the unemployment rate in Jember. Whereas the variables of economic growth positively and significantlyaffected unemployment rate in Jember. Finally, the result of the data analysis highlighted the variables of population,inflation, minimum wage,economic growth, and human development index that simultaneously and significantly affectedunemployment rate in Jember.


SOROT ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 25
Author(s):  
Sarpina Sarpina ◽  
Aning Kesuma Putri ◽  
Hadi Suroso

Penelitian ini bertujuan untuk mengetahui tren dan perbandingan IPM dan PDRB di Provinsi Kepulauan Riau dan Bangka Belitung. Data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari berbagai sumber dan publikasi dari Badan Pusat Statistik Provinsi Kepulauan Riau and Bangka Belitung tahun 2014-2018. Analisis deskriptif kuantitatif untuk menjelaskan fenomena indeks pembangunan manusia dan PDRB di kedua provinsi tersebut. Temuan studi menemukan bahwa indeks pembangunan manusia dan produk domestik regional bruto mengalami peningkatan. Kondisi IPM di Provinsi Kepulauan Bangka Belitung dan Kepulauan Riau semakin membaik setiap tahunnya, dengan rata-rata IPM tertinggi selama periode 2014-2018. PDRB Kepualau Riau cenderung tumbuh lebih cepat dibanding Bangka Belitung. PDRB Provinsi Kepulauan Bangka Belitung dan Kepulauan Riau juga cenderung meningkat setiap tahun dengan rata-rata IPM selama periode 2014-2018. Kecenderungan pertumbuhan IPM Bangka Belitung lebih cepat dibandingkan di Kepulauan Riau.This study aims to determine the trend and comparison of HDI and GRDP in the Provinces of Riau Islands and Bangka Belitung. The data used in this study are secondary data obtained from various sources and publications from the Central Bureau of Statistics, Bangka Belitung and Riau Islands Province 2014-2018. A quantitative descriptive analysis to explain the phenomenon of the human development index and GRDP in the two provinces. The findings of the study found that the human development index and gross regional domestic product have increased. The HDI conditions in the Province of Bangka Belitung Islands and Riau Islands are getting better every year, with the highest HDI average during the 2014-2018 period. PDRB Kepualau Riau tends to grow faster than Bangka Belitung. The GRDP of the Bangka Belitung Islands and Riau Islands Provinces also tends to increase every year with an average HDI during the 2014-2018 period. The tendency of Bangka Belitung HDI growth is faster than in the Riau Islandscrisis is statistically significant to affect the gross regional domestic product growth.


EGALITA ◽  
2012 ◽  
Author(s):  
Imamah Imamah

In terms of Indonesian women’s health services are still treated unfairly and still are the number two. It can be seen from the report reporting Indonesia Human  Development Report 2005 on maternal mortality rate (MMR) delivery, which is currently listed at number 307 out of every 100,000 live births. This shows that the government has not seriously and equitable in the provision of health services particularly for women. Maternal mortality can be used as indicators of poor health services received by mothers and children and low access to information owned by mother and child.<br /><br />Keywords: Perempuan, Human Development Report, Angka Kematian Ibu, Indikator dan Kesehatan.<br /><br />


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