Laurenti R
Department of Epidemiology, School of Public Health, University of São Paulo, Brazil.
Bull Pan Am Health Organ. 1993;27(3):205-14.
This article describes maternal mortality trends in São Paulo, Brazil, from 1960 through 1990. In so doing, it compares mortality rates derived from death certificate data with rates suggested by three independent surveys conducted in the city of São Paulo in 1962-1963, 1974-1975, and 1986. In general, these data indicate that a substantial share of all maternal deaths in the city have been ascribed to other causes on death certificates, that prevailing maternal mortality levels are far higher than those found in the urban areas of most developed countries, and that in recent years levels of maternal mortality in the city have been rising. Various measures are suggested for improving the accuracy of available data and reducing the maternal mortality they describe.
本文描述了1960年至1990年巴西圣保罗市的孕产妇死亡率趋势。在此过程中，将死亡证明数据得出的死亡率与1962 - 1963年、1974 - 1975年和1986年在圣保罗市进行的三项独立调查所显示的死亡率进行了比较。总体而言，这些数据表明，该市所有孕产妇死亡中有很大一部分在死亡证明上被归因于其他原因，普遍的孕产妇死亡率水平远高于大多数发达国家城市地区的水平，且近年来该市的孕产妇死亡率一直在上升。文中提出了各种措施，以提高现有数据的准确性并降低其所描述的孕产妇死亡率。
