Department of Health, National Epidemiology Center, Manila, Philippines.
Int J Gynaecol Obstet. 2012 Nov;119(2):121-4. doi: 10.1016/j.ijgo.2012.05.035. Epub 2012 Aug 24.
To determine the accuracy of reported maternal deaths for 2008 in a province in the Philippines.
A reproductive-age mortality survey (RAMOS) was conducted to identify deaths of women aged 15-49 years from Bukidnon, Philippines, in 2008. Sources included various health and community reporting units. Verbal autopsies were carried out to ascertain maternal deaths.
The survey found 58 pregnancy-related deaths in 2008, of which 52 were maternal deaths. Of the 52, 14 were found in local civil registries but 4 were not classified as maternal deaths. No single reporting unit identified all deaths. Local civil registries provided an estimated maternal mortality ratio (MMR) of 49 per 100000 live births. The present RAMOS estimated an MMR of 209 (95% confidence interval, 191-226) per 100000 live births.
Official reports led people using the data to believe that the MMR in the province was on track for Millennium Development Goal 5 (to reduce MMR by three-quarters by 2015). The present survey showed that local civil registries missed three-quarters of all maternal deaths. All countries engaged in addressing maternal mortality reduction should consider similar approaches to improve data quality.
确定菲律宾某省 2008 年报告孕产妇死亡的准确性。
开展生殖年龄期死亡率调查（RAMOS），以确定 2008 年菲律宾布基农省 15-49 岁妇女的死亡情况。来源包括各种卫生和社区报告单位。通过口头尸检来确定孕产妇死亡。
调查发现 2008 年有 58 例与妊娠相关的死亡，其中 52 例为孕产妇死亡。在这 52 例死亡中，有 14 例在地方民事登记处登记，但有 4 例未被归类为孕产妇死亡。没有任何一个报告单位能够识别所有的死亡。地方民事登记处提供的孕产妇死亡率估计值（MMR）为每 10 万例活产 49 例。本 RAMOS 估计每 10 万例活产 MMR 为 209（95%置信区间，191-226）。
官方报告使人们根据数据认为该省的 MMR 有望实现千年发展目标 5（到 2015 年将 MMR 减少四分之三）。本调查显示，地方民事登记处漏报了四分之三的孕产妇死亡。所有致力于降低孕产妇死亡率的国家都应考虑采取类似方法来提高数据质量。
