Guatemala: maternal mortality in Guatemala: assessing the gap, beginning to bridge it.
World Health Stat Q
; 48(1): 28-33, 1995.
Article
em En
| MEDLINE
| ID: mdl-7571707
ABSTRACT
PIP: Guatemala vital statistics data on maternal mortality from official sources is variable. Generally about 5% of all deaths among women 10-49 years old are attributed to maternal mortality. This analysis of birth and death certificates for 1986 reveals a J-shaped curve for the maternal mortality ratio by age. The indigenous population had higher rates in all departments. The highest maternal mortality ratio (MMR) in 22 departments was in the department of Alta Verapaz (214.2/100,000 live births). The lowest MMR was found in Progreso department. The MMR in 1986 was calculated as 132.5/100,000 live births for Guatemala, or 1 pregnant woman's death every day. Among 8 health regions, the northern health region had the highest MMR (213.3/100,000). The metropolitan region had the lowest MMR (84.9/100,000). Hospital deliveries ranged from 4.7% for the northwest region to 70.7% for the metropolitan region. MMR was found to decrease by about 1/100,000 for every increase in the percentage of hospital-based deliveries, with the exception of the indigenous population, where MMR increased for every 1% increase in hospital-based deliveries. MMR was higher in hospitals for most regions. Births without medical assistance in 6 out of 8 regions had higher MMRs. For example in the northern region MMR for births without assistance was 3539.8/100,000. 5.5% of Guatemalan women had no assistance with deliveries (98 deaths out of 17,532 live births). Physician-attended deliveries had a MMR of 91.5/100,000, and traditional birth attendant-deliveries had a MMR of 96.6/100,000. In 1986 a UN assessment team found registrations reasonably completed, and estimates of registration were determined to be about 90%. Problems in recording may be due to the absence of any reference to a pregnancy on the death certificate, or the absence of the final cause or autopsy findings on the death certificate.
Palavras-chave
Americas; Central America; Death Records; Delivery Of Health Care; Demographic Factors; Developing Countries; Guatemala; Health; Health Services; Latin America; Maternal Health Services; Maternal Mortality; Maternal-child Health Services; Mortality; North America; Population; Population Dynamics; Population Statistics; Primary Health Care; Research Methodology; Vital Statistics
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Materna
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Middle aged
/
Pregnancy
País/Região como assunto:
America central
/
Guatemala
Idioma:
En
Revista:
World Health Stat Q
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
Guatemala
País de publicação:
Suíça