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Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends

Received: 24 July 2019     Accepted: 6 September 2019     Published: 16 January 2020
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Abstract

Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different countries to meet the fifth Millennium Development Goal (MDG 5). As the member states committed to achieving the MDGs, a considerable decline in maternal mortality was noted across the Region. The aim of the present work was to investigate maternal mortality rates in the city of Cordoba between 2008 and 2017. In addition, the study aimed analyzing the causes associated with maternal mortality and determining the sociodemographic profile of maternal deaths from direct and indirect causes in the 2015-2017. Methods: A descriptive, retrospective study was performed. Secondary data sources obtained from official publications were searched, especially those produced by the Mother-Child Bureau, the Department of Provincial Statistics, and the Municipal Epidemiology Center. Results: During the period from 2008 to 2017, a declining MMR trend was observed in the city of Cordoba, with a 26.8% decline from 31.2‰ in 2008 to 22.9‰ in 2017. Analysis of the causes of maternal death showed that in 2015-2017 most corresponded to direct causes (56%), followed by indirect causes (38%) and abortion (6%). These data agree with the latest report by the Ministry of Health in Argentina (57% of direct causes). Cordoba city has experienced a substantial decline in MMR, and that maternal deaths account for only a small percentage of overall deaths in the city. Conclusions: Nevertheless, maternal deaths occurred in a population that is usually healthy and are mostly avoidable with well-known interventions. Therefore, it is essential to adequately characterize this public health problem, to strengthen public policies targeting the reduction of maternal mortality and severe maternal morbidity, as well as the optimal care of women during pregnancy and childbirth.

Published in Science Journal of Public Health (Volume 8, Issue 1)
DOI 10.11648/j.sjph.20200801.11
Page(s) 1-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Maternal Mortality, Determinants, Causes, Cordoba City, Avoidable Maternal Deaths

References
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  • APA Style

    Mary Eugenia Peisino, Rudolph Gomez Ponce de León, Marie Jo Demaría, Alice Díaz, Gabriel Acevedo. (2020). Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends. Science Journal of Public Health, 8(1), 1-7. https://doi.org/10.11648/j.sjph.20200801.11

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    ACS Style

    Mary Eugenia Peisino; Rudolph Gomez Ponce de León; Marie Jo Demaría; Alice Díaz; Gabriel Acevedo. Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends. Sci. J. Public Health 2020, 8(1), 1-7. doi: 10.11648/j.sjph.20200801.11

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    AMA Style

    Mary Eugenia Peisino, Rudolph Gomez Ponce de León, Marie Jo Demaría, Alice Díaz, Gabriel Acevedo. Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends. Sci J Public Health. 2020;8(1):1-7. doi: 10.11648/j.sjph.20200801.11

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  • @article{10.11648/j.sjph.20200801.11,
      author = {Mary Eugenia Peisino and Rudolph Gomez Ponce de León and Marie Jo Demaría and Alice Díaz and Gabriel Acevedo},
      title = {Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends},
      journal = {Science Journal of Public Health},
      volume = {8},
      number = {1},
      pages = {1-7},
      doi = {10.11648/j.sjph.20200801.11},
      url = {https://doi.org/10.11648/j.sjph.20200801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20200801.11},
      abstract = {Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different countries to meet the fifth Millennium Development Goal (MDG 5). As the member states committed to achieving the MDGs, a considerable decline in maternal mortality was noted across the Region. The aim of the present work was to investigate maternal mortality rates in the city of Cordoba between 2008 and 2017. In addition, the study aimed analyzing the causes associated with maternal mortality and determining the sociodemographic profile of maternal deaths from direct and indirect causes in the 2015-2017. Methods: A descriptive, retrospective study was performed. Secondary data sources obtained from official publications were searched, especially those produced by the Mother-Child Bureau, the Department of Provincial Statistics, and the Municipal Epidemiology Center. Results: During the period from 2008 to 2017, a declining MMR trend was observed in the city of Cordoba, with a 26.8% decline from 31.2‰ in 2008 to 22.9‰ in 2017. Analysis of the causes of maternal death showed that in 2015-2017 most corresponded to direct causes (56%), followed by indirect causes (38%) and abortion (6%). These data agree with the latest report by the Ministry of Health in Argentina (57% of direct causes). Cordoba city has experienced a substantial decline in MMR, and that maternal deaths account for only a small percentage of overall deaths in the city. Conclusions: Nevertheless, maternal deaths occurred in a population that is usually healthy and are mostly avoidable with well-known interventions. Therefore, it is essential to adequately characterize this public health problem, to strengthen public policies targeting the reduction of maternal mortality and severe maternal morbidity, as well as the optimal care of women during pregnancy and childbirth.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Maternal Mortality in Cordoba City, Argentina: Causes, Determinants and Trends
    AU  - Mary Eugenia Peisino
    AU  - Rudolph Gomez Ponce de León
    AU  - Marie Jo Demaría
    AU  - Alice Díaz
    AU  - Gabriel Acevedo
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    PY  - 2020
    N1  - https://doi.org/10.11648/j.sjph.20200801.11
    DO  - 10.11648/j.sjph.20200801.11
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    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 1
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    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20200801.11
    AB  - Background: The improvement of maternal health and reduction of maternal mortality have been a priority on the global community’s agenda. In this sense, the “plan of action to accelerate the reduction of maternal mortality and severe maternal morbidity” has focused on improving women’s health and attempted to contribute to the efforts of different countries to meet the fifth Millennium Development Goal (MDG 5). As the member states committed to achieving the MDGs, a considerable decline in maternal mortality was noted across the Region. The aim of the present work was to investigate maternal mortality rates in the city of Cordoba between 2008 and 2017. In addition, the study aimed analyzing the causes associated with maternal mortality and determining the sociodemographic profile of maternal deaths from direct and indirect causes in the 2015-2017. Methods: A descriptive, retrospective study was performed. Secondary data sources obtained from official publications were searched, especially those produced by the Mother-Child Bureau, the Department of Provincial Statistics, and the Municipal Epidemiology Center. Results: During the period from 2008 to 2017, a declining MMR trend was observed in the city of Cordoba, with a 26.8% decline from 31.2‰ in 2008 to 22.9‰ in 2017. Analysis of the causes of maternal death showed that in 2015-2017 most corresponded to direct causes (56%), followed by indirect causes (38%) and abortion (6%). These data agree with the latest report by the Ministry of Health in Argentina (57% of direct causes). Cordoba city has experienced a substantial decline in MMR, and that maternal deaths account for only a small percentage of overall deaths in the city. Conclusions: Nevertheless, maternal deaths occurred in a population that is usually healthy and are mostly avoidable with well-known interventions. Therefore, it is essential to adequately characterize this public health problem, to strengthen public policies targeting the reduction of maternal mortality and severe maternal morbidity, as well as the optimal care of women during pregnancy and childbirth.
    VL  - 8
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    ER  - 

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Author Information
  • School of Public Health, National University of Córdoba, Córdoba, Argentina

  • Latin American Center for Perinatology, Women's Health and Reproductive Health (CLAP SMR), Pan American Health Organization/World Health Organization, Montevideo, Uruguay

  • School of Public Health, National University of Córdoba, Córdoba, Argentina

  • School of Public Health, National University of Córdoba, Córdoba, Argentina

  • School of Public Health, National University of Córdoba, Córdoba, Argentina

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