Briozzo Leonel, Gómez Ponce de León Rodolfo, Tomasso Giselle, Faúndes Anibal
Obstetrics and Gynecology Clinic A, Pereira Rossell Hospital, School of Medicine, University of the Republic, Montevideo, Uruguay.
Latin American Center of Perinatology (CLAP), Montevideo, Uruguay.
Int J Gynaecol Obstet. 2016 Aug;134(S1):S20-S23. doi: 10.1016/j.ijgo.2016.06.004.
To evaluate changes in maternal mortality rates in Uruguay over the past 25 years, as well as their distribution by cause, and their temporal relationship with social changes and Human Development Index (HDI) indicators.
Data on maternal mortality obtained directly from the Uruguayan Ministry of Public Health for the 2001 to 2015 period were analyzed together with data from the United Nations Inter-Agency Group for Child Mortality Estimation for the 1990 to 2015 period. The swiftness of the decrease in maternal mortality per five-year period, the variation in the percentage of abortion-related deaths, and the correlation with HDI indicators were evaluated.
Maternal mortality decreased significantly, basically due to a reduction in the number of deaths from unsafe abortion, which was the principal cause of maternal mortality in the 1990s. The reduction in maternal mortality over the past 10 years also coincides with a reduction in poverty and an improvement in the HDI.
A rapid reduction occurred in maternal mortality in Uruguay, particularly in maternal mortality resulting from unsafe abortion. This coincided with the application of a model for reducing the risk and harm of unsafe abortions, which finally led to the decriminalization of abortion.
评估乌拉圭过去25年孕产妇死亡率的变化、按病因的分布情况，以及其与社会变化和人类发展指数（HDI）指标的时间关系。
分析了2001年至2015年期间直接从乌拉圭公共卫生部获得的孕产妇死亡数据，以及1990年至2015年期间联合国儿童死亡率估计机构间小组的数据。评估了每五年孕产妇死亡率下降的速度、与流产相关死亡百分比的变化，以及与HDI指标的相关性。
孕产妇死亡率显著下降，主要原因是不安全流产死亡人数减少，不安全流产是20世纪90年代孕产妇死亡的主要原因。过去10年孕产妇死亡率的下降也与贫困率降低和HDI改善相吻合。
乌拉圭孕产妇死亡率迅速下降，尤其是不安全流产导致的孕产妇死亡率。这与采用降低不安全流产风险和危害的模式相吻合，最终导致流产合法化。
