The etiology of maternal mortality in developing countries: what do verbal autopsies tell us?
OBJECTIVE: To reassess the practical value of verbal autopsy data, which, in the absence of more definitive information, have been used to describe the causes of maternal mortality and to identify priorities in programmes intended to save women's lives in developing countries. METHODS: We reana...
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| Format: | Article |
| Language: | English |
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The World Health Organization
2001-01-01
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| Series: | Bulletin of the World Health Organization |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000900004 |
| _version_ | 1797282240173965312 |
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| author | Sloan Nancy L. Langer A. Hernandez B. Romero M. Winikoff B. |
| author_facet | Sloan Nancy L. Langer A. Hernandez B. Romero M. Winikoff B. |
| author_sort | Sloan Nancy L. |
| collection | DOAJ |
| description | OBJECTIVE: To reassess the practical value of verbal autopsy data, which, in the absence of more definitive information, have been used to describe the causes of maternal mortality and to identify priorities in programmes intended to save women's lives in developing countries. METHODS: We reanalysed verbal autopsy data from a study of 145 maternal deaths that occurred in Guerrero, Querétaro and San Luis Potosí, Mexico, in 1995, taking into account other causes of death and the WHO classification system. The results were also compared with information given on imperfect death certificates. FINDINGS: The reclassification showed wide variations in the attribution of maternal deaths to single specific medical causes. CONCLUSION: The verbal autopsy methodology has inherent limitations as a means of obtaining histories of medical events. At best it may reconfirm the knowledge that mortality among poor women with little access to medical care is higher than that among wealthier women who have better access to such care. |
| first_indexed | 2024-03-07T17:10:02Z |
| format | Article |
| id | doaj.art-ac78d05342824155897684de1a933609 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:10:02Z |
| publishDate | 2001-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-ac78d05342824155897684de1a9336092024-03-03T01:23:57ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862001-01-01799805810The etiology of maternal mortality in developing countries: what do verbal autopsies tell us?Sloan Nancy L.Langer A.Hernandez B.Romero M.Winikoff B.OBJECTIVE: To reassess the practical value of verbal autopsy data, which, in the absence of more definitive information, have been used to describe the causes of maternal mortality and to identify priorities in programmes intended to save women's lives in developing countries. METHODS: We reanalysed verbal autopsy data from a study of 145 maternal deaths that occurred in Guerrero, Querétaro and San Luis Potosí, Mexico, in 1995, taking into account other causes of death and the WHO classification system. The results were also compared with information given on imperfect death certificates. FINDINGS: The reclassification showed wide variations in the attribution of maternal deaths to single specific medical causes. CONCLUSION: The verbal autopsy methodology has inherent limitations as a means of obtaining histories of medical events. At best it may reconfirm the knowledge that mortality among poor women with little access to medical care is higher than that among wealthier women who have better access to such care.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000900004Maternal mortalityCause of deathDeath certificatesAutopsy/methodsInterviewsMexico |
| spellingShingle | Sloan Nancy L. Langer A. Hernandez B. Romero M. Winikoff B. The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? Bulletin of the World Health Organization Maternal mortality Cause of death Death certificates Autopsy/methods Interviews Mexico |
| title | The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? |
| title_full | The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? |
| title_fullStr | The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? |
| title_full_unstemmed | The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? |
| title_short | The etiology of maternal mortality in developing countries: what do verbal autopsies tell us? |
| title_sort | etiology of maternal mortality in developing countries what do verbal autopsies tell us |
| topic | Maternal mortality Cause of death Death certificates Autopsy/methods Interviews Mexico |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000900004 |
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