Département santé et recherche génésiques Department of reproductive health and research PVL_COUNTRY_DATE00/1 Methodological issues in the measurement of maternal mortality and morbidity Methodological issues Methodological issues in the measurement of in the measurement of maternal mortality and maternal mortality and morbidity morbidity
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Département santé et recherche génésiquesDepartment of reproductive health and research PVL_COUNTRY_DATE00/1
Methodological issues in the measurement of maternal mortality and
morbidity
Methodological issues Methodological issues in the measurement of in the measurement of maternal mortality and maternal mortality and
morbiditymorbidity
PVL_COUNTRY_DATE00/2
Département santé et recherche génésiquesDepartment of reproductive health and research
Why is it important to monitor Why is it important to monitor maternal mortality and morbidity?maternal mortality and morbidity?
•• What women die ofWhat women die of
•• PriorizationPriorization
•• Evaluation of progressEvaluation of progress
PVL_COUNTRY_DATE00/3
Département santé et recherche génésiquesDepartment of reproductive health and research
Why is it difficult to measure Why is it difficult to measure maternal mortalitymaternal mortality
Rare event Rare event
Lack of vital statisticsLack of vital statistics
Attribution of cause is not reliable Attribution of cause is not reliable underestimatesunderestimates
Differentials in definitionsDifferentials in definitions
Differentials in interpretationDifferentials in interpretation
PVL_COUNTRY_DATE00/4
Département santé et recherche génésiquesDepartment of reproductive health and research
Published and revised MMRPublished and revised MMRSalabaneSalabane B. IJE, 1999;28:64B. IJE, 1999;28:64--6969
Département santé et recherche génésiquesDepartment of reproductive health and research
Why is it difficult to measure Why is it difficult to measure maternal mortalitymaternal mortality
Rare event Rare event
Lack of vital statisticsLack of vital statistics
Attribution of cause is not reliable Attribution of cause is not reliable underestimatesunderestimates
Differentials in definitionsDifferentials in definitions
Differentials in interpretationDifferentials in interpretation
PVL_COUNTRY_DATE00/6
Département santé et recherche génésiquesDepartment of reproductive health and research
Differentials in definitionsDifferentials in definitions
UKUKEctopic pregnancy
AbortionEarly pregnancy deaths
USAUSA Ectopic pregnancy Haemorrhage
USAUSA Septic abortion Sepsis
PVL_COUNTRY_DATE00/7
Département santé et recherche génésiquesDepartment of reproductive health and research
Why is it difficult to measure Why is it difficult to measure maternal mortalitymaternal mortality
Rare event Rare event
Lack of vital statisticsLack of vital statistics
Attribution of cause is not reliable Attribution of cause is not reliable underestimatesunderestimates
Differentials in definitionsDifferentials in definitions
Differentials in interpretationDifferentials in interpretation
PVL_COUNTRY_DATE00/8
Département santé et recherche génésiquesDepartment of reproductive health and research
Maternal deathMaternal deathICDICD--1010
““A maternal death is the death of a women A maternal death is the death of a women while pregnant or within 42 days of while pregnant or within 42 days of termination of pregnancy, irrespective of termination of pregnancy, irrespective of the duration and the site of the pregnancy, the duration and the site of the pregnancy, from any cause related to or aggravated from any cause related to or aggravated by the pregnancy or its management, but by the pregnancy or its management, but not from accidental or incidental causesnot from accidental or incidental causes””
PVL_COUNTRY_DATE00/9
Département santé et recherche génésiquesDepartment of reproductive health and research
Indicators to measure maternal Indicators to measure maternal mortalitymortality
Maternal mortality ratio (MMR)Maternal mortality ratio (MMR)
Proportion of deaths women of Proportion of deaths women of reproductive age that are due to reproductive age that are due to maternal causes (PMDF)maternal causes (PMDF)