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Variación estacional de la mortalidad maternal en Maputo, Mozambique: el papel de la malaria
Author(s) -
Romagosa Cleofé,
Ordi Jaume,
Saute Francisco,
Quintó Llorenç,
Machungo Fernanda,
Ismail Mamudo R.,
Carrilho Carla,
Osman Nafissa,
Alonso Pedro L.,
Menendez Clara
Publication year - 2007
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01755.x
Subject(s) - malaria , geography , protozoal disease , socioeconomics , environmental protection , environmental health , medicine , immunology , sociology
Summary Objective To evaluate the impact of malaria on maternal death through the analysis of the seasonal variations of crude and malaria‐specific maternal mortality rates. Methods All maternal deaths and live births occurring at Maputo Central Hospital, located in an urban area, between January 2001 and December 2003, were retrospectively recorded. Clinical diagnoses of the causes of death and period of the year were analysed. Results Two hundred and seventy‐eight deaths were recorded. The overall crude maternal mortality rate was 995/100 000 live births. Malaria was the most frequent cause of maternal death, accounting for 23%. Crude and malaria‐specific maternal mortality rates showed a similar pattern of seasonal variation, with peaks at the beginning and the end of the malaria transmission season. The malaria‐specific maternal mortality rate was significantly higher during the rainy seasons (rate ratio 1.919; 95% CI 1.061, 3.470; P = 0.031). Conclusions Malaria may contribute to maternal mortality in highly endemic countries in sub‐Saharan Africa, at least in urban areas. Efforts to improve malaria control in pregnancy may have an impact on maternal mortality in sub‐Saharan Africa.