Kintampo Health Research Centre, Ghana Health Service, P. O. Box 200, Kintampo, Ghana.
Regional, Institute for Population Studies, University of Ghana, P. O. Box LG 96, Legon, Ghana.
BMC Pregnancy Childbirth. 2019 Oct 23;19(1):374. doi: 10.1186/s12884-019-2515-0.
Almost 99% of pregnancy or childbirth-related complications globally is estimated to occur in developing regions. Yet, little is known about the demographic impact of maternal causes of death (COD) in low-and middle-income countries. Assuming that critical interventions were implemented such that maternal mortality is eradicated as a major cause of death, how would it translate to improved longevity for reproductive-aged women in the Kintampo districts of Ghana?
The study used longitudinal health and demographic surveillance data from the Kintampo districts to assess the effect of hypothetically eradicating maternal COD on reproductive-aged life expectancy by applying multiple decrement and associated single decrement life table techniques.
According to the results, on the average, women would have lived an additional 4.4 years in their reproductive age if maternal mortality were eradicated as a cause of death, rising from an average of 28.7 years lived during the 2005-2014 period to 33.1 years assuming that maternal mortality was eradicated. The age patterns of maternal-related mortality and all-cause mortality depict that the maternal-related mortality is different from the all-cause mortality for women of reproductive age.
This observation suggests that other COD are competing with maternal mortality among the WRA in the study area and during the study period.
据估计,全球近 99%的与妊娠或分娩相关的并发症发生在发展中地区。然而,对于中低收入国家孕产妇死亡原因的人口统计学影响知之甚少。假设实施了关键干预措施,使孕产妇死亡率作为主要死亡原因得以消除,那么这将如何转化为加纳金坦波地区育龄妇女预期寿命的延长?
本研究利用金坦波地区的纵向健康和人口监测数据,通过应用多项递减和相关单项递减生命表技术,评估假设消除孕产妇死亡原因对育龄妇女预期寿命的影响。
根据研究结果,平均而言,如果孕产妇死亡率作为死亡原因被消除,妇女在育龄期的预期寿命将额外增加 4.4 年,从 2005-2014 年期间的平均 28.7 岁增加到 33.1 岁,假设孕产妇死亡率被消除。孕产妇相关死亡和全因死亡的年龄模式表明,孕产妇相关死亡与育龄妇女的全因死亡不同。
这一观察结果表明,在研究区域和研究期间,其他死因与育龄妇女的孕产妇死亡率竞争。