[Maternal mortality: the demographic aspects]

Vie Sante. 1989 Oct:(1):7-8.
[Article in French]

Abstract

PIP: The World Health Organization (WHO) has defined maternal mortality (MM) as a death following a delivery or during the 42 day period following a prolonged or complicated delivery. This definition is ambiguous because it does not take into account the institutional causes (deficiencies) that lead to MM in Sub-Saharan Africa (SSA) nor does it reflect all the reasons leading to MM because of the lack of nationwide health information systems and the lack of accurate statistics. While developed countries can depend on the state to provide accurate statistics, developing countries depend on hospitals, health training centers and special surveys to provide such data which often leads to 25-50% gross underestimations of MM. The most recent WHO data (1989) shows that SSA has the highest MM rates worldwide, ranging from 500- 700/100,000 as compared to Asia with 55-650; Latin America with 110-210 and the developed countries with 10-48. The data for SSA doesn't reflect the true situation in the rural areas where MM rates are over 1000/1000,000. MM is a symptom of poor countries where women contribute to their own deaths through repeated pregnancies, causing significant socioeconomic losses to society. UNICEF (1988) has categorized the demographic factors as high risk for women based on: 1) the age of the mother, and 2) the number of pregnancies. Family planning (FP) reduces MM by preventing illegal abortions; it reduces the number of unwanted pregnancies and increases the earnings of a community by reducing the number of pregnant women. The experience of developed countries demonstrates how women have avoided high-risk and unwanted pregnancies.

Publication types

  • English Abstract

MeSH terms

  • Africa
  • Africa South of the Sahara
  • Biology
  • Demography
  • Developed Countries*
  • Developing Countries
  • Economics
  • Evaluation Studies as Topic*
  • Family Planning Services*
  • Maternal Mortality*
  • Mortality
  • Population
  • Population Characteristics
  • Population Dynamics
  • Poverty*
  • Reproduction
  • Risk Factors*
  • Rural Population*
  • Socioeconomic Factors
  • Women*